1. "No Judging Eyes": Youth Experiences of Effective (and Ineffective) Pregnancy Options Counseling

Bell, Lauren; Kirkpatrick, Laura; Tyler, Carl W.; Russell, Margaret; Szoko, Nicholas; Harrison, Elizabeth; Kazmerski, Traci M.; Syed, Tahniat

doi:10.1016/j.jadohealth.2022.01.005

Cited by 2 publications

(2 citation statements)

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“…The revision entailed multiple phases. We first conducted qualitative interviews with individuals who experienced adolescent pregnancy, the results of which are described elsewhere, 12 in order to obtain their recommendations for best practices on pregnancy options counseling with adolescents. Next, we drew upon an evidence-based framework for community partnership, the modified Method for Program Adaptation through Community Engagement (M-PACE), to engage community partners in proposing curriculum revisions and reviewing themes for best practice recommendations derived from formal analysis of the qualitative interview results.…”

Section: Methodsmentioning

confidence: 99%

Structured Engagement of Community Partners to Revise a Pregnancy Options Counseling Curriculum for Pediatric Residents

Kirkpatrick

Goldman

Bell

et al. 2023

Journal of Medical Education and Curricular Development

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OBJECTIVE The engagement of community partners, including patients, is increasingly recognized as important in developing medical education curricula. Structured methodology for partner engagement in curriculum development is lacking in the existing literature. This article describes a structured approach to engaging community partners to provide input on revising a curriculum for pediatric residents about pregnancy options counseling with adolescents. METHODS We used the five-step Method for Program Adaptation through Community Engagement: (1) development of a panel of community partners including patients and professionals, (2) and (3) partner evaluation of the existing curriculum and recommendations for revisions, (4) summarization of partner feedback, and (5) development of the revised curriculum. We surveyed partners about their perceived impact on the revision and satisfaction with the process. RESULTS Seventeen partners participated. Five experienced adolescent pregnancy, while the remaining 12 included healthcare and social service professionals. All partners provided multiple recommendations, generating 124 discrete recommendations. Twenty recommendations were suggested by multiple individuals. The authors reviewed all recommendations by category during consensus meetings and determined which recommendations would be incorporated into the revised curriculum to meet stated learning objectives. We implemented 14 of these 20 recommendations, including adding a values clarification exercise, information about mental health crisis resources, and more detail about adoption. We also incorporated 15 individual recommendations pertaining to curriculum clarity. Recommendations from professionals and patients were similar. Fourteen out of 17 participants completed the survey at the close of the project. All respondents understood their roles, were satisfied with their degree of engagement, and felt that their expectations for participation were met or exceeded. CONCLUSIONS This study describes a methodology for a formal process to engage community partners in curriculum development and revision processes. Such methodology can ensure that medical education curricula are optimally attuned to the needs of key community members and integrate the patient’s voice.

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Section: Methodsmentioning

confidence: 99%

Structured Engagement of Community Partners to Revise a Pregnancy Options Counseling Curriculum for Pediatric Residents

Kirkpatrick

Goldman

Bell

et al. 2023

Journal of Medical Education and Curricular Development

Self Cite

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“…9,10 Interviews with adolescents and young adults about their experiences with pregnancy options counseling highlight their desire for respect, compassion, neutrality, discussion of all options, and consideration of their feelings and life goals, independent of the ultimate pregnancy outcome. 50 Adolescent medicine sub-specialists represent a subset of pediatric primary care providers that are especially trained and experienced in providing this care. However, given the realities of healthcare access in the US, we cannot expect adolescent medicine sub-specialists to engage in this fundamental work alone.…”

Section: Providing Options Counseling To Adolescents Within the Repro...mentioning

confidence: 99%

Medication abortion for adolescents in the United States: Strengthening the role of pediatric primary care providers

Starosta,

Harris,

Gariepy

et al. 2024

Perspect Sexual Reproductive

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BackgroundRecent legal changes have led to mounting abortion restrictions in the United States (US), disproportionately impacting adolescents, who already face multifaceted barriers to abortion care. Informed by the framework of reproductive justice, adolescents who become pregnant deserve comprehensive, unbiased, and non‐judgmental pregnancy options counseling, inclusive of all choices for pregnancy continuation and termination. Pediatric primary care providers are at the front lines of caring for adolescent patients' reproductive health needs and frequently diagnose pregnancy, provide pregnancy options counseling, and assist patients in accessing abortion care. They are uniquely poised to provide this care given their trusted, ongoing relationships with adolescent patients and their families, and their values of deep respect for adolescents' individuality and autonomy.MethodsIn this commentary, we aim to describe the medical and legal landscape of adolescent abortion access in the US and provide recommendations to support pediatric primary care providers' involvement in abortion care. We focus on medication abortion, as the provision of medication abortion has the potential to encompass a broad group of clinicians, including pediatric primary care providers.ResultsWe discuss the importance of providing options counseling to adolescents within the reproductive justice framework, improving abortion education for pediatric providers, and expanding access to abortion care by supporting providers at an institutional level if they opt to provide medication abortions.ConclusionIn light of the current legal landscape, the role of pediatric primary care providers in ensuring adolescent access to abortion care is ever more critical. Although many pediatric and adolescent providers already provide this important care, we, a team of obstetricians/gynecologists and adolescent medicine physicians, echo prior calls for improved training and institutional support for pediatric providers to counsel about and provide abortion‐related care. We hope that highlighting the role of pediatric providers in this sphere will help center the needs of adolescent patients and help them fulfill their family planning goals.

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1. "No Judging Eyes": Youth Experiences of Effective (and Ineffective) Pregnancy Options Counseling

Cited by 2 publications

References 0 publications

Structured Engagement of Community Partners to Revise a Pregnancy Options Counseling Curriculum for Pediatric Residents

Structured Engagement of Community Partners to Revise a Pregnancy Options Counseling Curriculum for Pediatric Residents

Medication abortion for adolescents in the United States: Strengthening the role of pediatric primary care providers

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