以青少年为中心的避孕护理配套工具的设计规范，该配套工具是为青少年和初级保健临床医生设计的，也是与他们一起设计的

IF 2.8 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2024-10-07 DOI:10.1016/j.contraception.2024.110638

AJ Hoopes, BA Hawryluk, A Kiser, LB Brewer, SE Wiehe, JM Maslowsky

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引用次数: 0

摘要

目标初级医疗机构中的避孕护理通常以成年人为中心，因此并不适合青少年独特的性、认知和社会发展。我们的目标是为青少年和初级医疗机构的临床医生确定一个适合青少年发展的基于网络的避孕护理工具的设计规范和功能。方法我们采用以人为本的设计方法，让 14-17 岁的青少年和初级医疗机构的临床医生参与其中。由设计师组成的团队主持了 1:1 的访谈和设计会议，并采用了旅程地图、拼贴画、外星艺术品和糟糕的设计研讨会等技术。通过结构化分析确定了关键主题，并在达成共识的基础上将其归纳为设计规范和优先功能。结果青少年（人数=27）表示希望有一个工具，在青春期早期、需要避孕之前了解避孕知识，并帮助他们与服务提供者讨论避孕问题。临床医生（人数=47）表示希望在就诊前获得有关青少年避孕偏好和问题的工具，以帮助量身定制就诊方案。设计规范包括：提供高水平的教育内容，并可根据需要获取更多细节；使用非施压、易懂、包容性强的语言；提供隐蔽、移动优化的访问，且无登录要求。优先考虑的功能包括：在整个青春期不断发展的工具，以及在与他人讨论避孕、了解自己的选择和做出知情选择方面建立信心的工具。结论青少年希望在青春期早期获得更多有关避孕的信息，并与临床医生就避孕选择进行更深入的交流。临床医生希望在初级保健环境的限制下提供更多以患者为中心的护理。基于网络的避孕护理辅助工具有望实现这两个目标。

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DESIGN SPECIFICATIONS FOR AN ADOLESCENT-CENTERED CONTRACEPTION CARE COMPANION CREATED FOR AND WITH ADOLESCENTS AND PRIMARY CARE CLINICIANS

Objectives

Contraceptive care in primary care settings often centers adults and thus is not tailored to adolescents’ unique sexual, cognitive, and social development. We aimed to determine design specifications and features of a developmentally appropriate web-based contraception care tool for adolescents and clinicians in the primary care setting.

Methods

We used human-centered design to engage with adolescents aged 14–17 and primary care clinicians. A team of designers led 1:1 interviews and design sessions, employing techniques such as journey mapping, collage, alien artifact, and bad design charrette. A structured analysis identified key themes, which were synthesized into design specifications and priority features through consensus.

Results

Adolescents (n=27) expressed desire for a tool to learn about contraception earlier in adolescence, prior to their need for contraception, and to help them talk to providers about contraception. Clinicians (n=47) expressed desire for a tool with information about adolescent contraceptive preferences and questions before the appointment to help tailor the visit. Design specifications included offering high-level educational content with access to more detail if desired; using non-pressuring, easy to understand, inclusive language; and providing discreet, mobile-optimized access without log-in requirements. Priority features were a tool that evolves throughout adolescence and builds confidence in discussing contraception with others, knowing one’s options, and making informed choices.

Conclusions

Adolescents want more information about contraception earlier in adolescence, and more in-depth conversations with clinicians about contraceptive options. Clinicians want to provide more patient-centered care within the constraints of a primary care environment. A web-based contraception care companion holds promise to support both sets of goals.

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来源期刊

Contraception 医学-妇产科学

CiteScore

4.70

自引率

17.20%

发文量

211

审稿时长

69 days

期刊介绍： Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.