Online Program

Intervention versus treatment as usual: Are we doing counseling differently, and does it improve overall satisfaction with the for health centers?

Tuesday, November 3, 2015 : 9:10 a.m. - 9:30 a.m.

Leslie Kantor, PhD, MPH, PPFA, Planned Parenthood Federation of America, New York, NY
James Jaccard, PhD, School of Social Work, New York University, New York, NY
Deborah S. Levine, MSW, MAT, Education Division, Planned Parenthood Federation of America, New York, NY
Nicole Levitz, MPH, New York University, New York, NY
Over 1,400 patients who were seen by counselors who had either underwent training in a new contraceptive counseling intervention or had not (control group) at 10 health centers -- five control, five experimental -- were asked to complete a questionnaire following their visit. The surveys assessed not only the method they were leaving the health center with, but previous method use, demographics, and what transpired during the course of their contraceptive counseling that visit. The responses to what the counselors did or did not share that day were significantly different between the treatment and control groups.

Counselors trained on the intervention were significantly more likely to discuss how to use the patient’s method of choice correctly, what to do if the patient wants to switch methods, possible side effects, STIs, plans for pregnancy, relevant lifestyle factors for method choice, and a quick start of their method of choice. These differences led to more positive client perceptions of not only the intervention counselors, but the intervention health centers. In particular, improvements in perceptions of trustworthiness, expertise, and accessibility of the intervention counselors were found. Positive attitudes towards the health center were evaluated with three attitude items focused on positive perceptions of the health center.  These improvements to patient experience further validate the importance of including all of these practices in an evidence-based contraceptive counseling program.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Social and behavioral sciences

Learning Objectives:
Describe contraceptive counseling as usual and a new counseling protocol and demonstrate the effects of the intervention on patient satisfaction and subjective experiences.

Keyword(s): Contraception

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Leslie Kantor, MPH, Planned Parenthood Federation of America’s Vice President of Education, is a widely respected leader in the field of sexual and reproductive health, with over two decades of experience in sex education. Since arriving at PPFA, Ms. Kantor has led efforts to develop innovative, technology-based approaches to sex education, partnered with affiliates to strengthen programs and evaluation, served as a national spokesperson, and spearheaded PPFA’s policy efforts related to sex education.
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