Online Program

Ten best practices of contraceptive counseling, and integrating them into a counseling protocol

Tuesday, November 3, 2015 : 8:50 a.m. - 9:10 a.m.

Deborah S. Levine, MSW, MAT, Education Division, Planned Parenthood Federation of America, New York, NY
James Jaccard, PhD, School of Social Work, New York University, New York, NY
Leslie Kantor, PhD, MPH, PPFA, Planned Parenthood Federation of America, New York, NY
Nicole Levitz, MPH, New York University, New York, NY
After an in-depth review of the extant literature on contraceptive counseling, ten best practices were identified and combined into a comprehensive contraceptive counseling protocol. Two of the practices --  demonstrating trustworthiness, expertise, and accessibility, and using active and memorable learning strategies -- are used throughout the counseling session. The other practices were discrete strategies.  These include introducing all method options through a visual tool, considering how methods fit with the broader lifestyle of the patient, addressing accurate and consistent use, discussing dual use, addressing side effects ahead of time, forming a contingency plan for switching as needed, discussing the influence of pregnancy ambivalence on method use, and reminding patients that they can most likely start their method that day.

To create an intervention to convey all ten practices in counseling, we designed a trainer guide which served as the basis for a one day training agenda. This eight hour training included a presentation of practices, videos with role plays, role play activities, and worksheets for the practices that were the greatest departure for the standard of care. We gave counselors the opportunity to share myths they have heard about methods and debunked them as a group. The one day training was followed by two days of on-site shadowing by one of the training facilitators. Feedback during shadowing was provided to counselors both immediately following counseling and at the end of the day. Counselors were left with all the necessary materials including fidelity checklists to be completed following each counseling session.

Learning Areas:

Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
List the science-based ten best practices of providing contraceptive counseling.

Keyword(s): Contraception

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have extensive training expertise and played a primary role in developing the training for the intervention contraceptive counselors for the study, am Director of Online Education at Planned Parenthood Federation of America.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4063.0: Contraceptive counseling