Study Objective

Despite the benefits of patient-centered contraceptive care, many adolescents and young adults do not receive such care. The objective of this study was to develop and evaluate Hello Options, a tangible decision aid to support patient-centered contraceptive counseling with adolescents and young adults in a clinic setting.

Design, Setting, Participants, Intervention, and Main Outcome Measures

Hello Options is a contraceptive counseling decision aid tool (hereafter referred to as "the Tool") that allows patients to see and feel life-size “tangible” models of the range of contraceptive methods. The Tool was developed by a team of designers, adolescents, clinicians, and researchers using human-centered design. From December 2019 to March 2020, we conducted a pilot study to evaluate the usability, feasibility, and acceptability of the Tool with 10 contraceptive care providers and 40 adolescent and young adult patients (aged 12-29 years) at two Chicago clinics. We calculated descriptive statistics for patient survey data, and qualitatively analyzed provider interview transcripts for salient themes using recursive abstraction.

Results

Patients had positive reactions to the Tool, reporting that it allowed them to better understand how contraceptive methods work in their body and that it allowed them to make more informed decisions. Furthermore, providers commented that the Tool facilitated conversations with their patients, helped dispel myths about particular methods, and eased patients’ anxieties. Limitations mentioned included storage and portability concerns, and time constraints for counseling.

Conclusion

Hello Options is a useful, feasible, and acceptable decision aid that can support the provision of patient-centered contraceptive care for young people.

中文翻译：

---

提供者和患者对新型有形决策援助工具的看法，以支持以青少年为中心的以患者为中心的避孕咨询

研究目标

尽管以患者为中心的避孕护理有很多好处，但许多青少年和年轻人却没有得到这种护理。这项研究的目的是开发和评估Hello Options，这是一项切实可行的决策辅助工具，可在临床环境中为以青少年为中心的以患者为中心的避孕咨询提供支持。

设计，设置，参加者，干预和主要成果措施

Hello Options是一种避孕咨询决策辅助工具（以下称为“工具”），使患者能够看到和感觉到各种避孕方法的真实大小的“有形”模型。该工具由一组设计人员，青少年，临床医生和研究人员使用以人为本的设计开发。从2019年12月到2020年3月，我们在芝加哥的两家诊所与10名避孕药提供者和40名青少年和年轻成人患者（年龄在12-29岁之间）进行了该工具的可用性，可行性和可接受性评估。我们计算了患者调查数据的描述性统计数据，并使用递归抽象对定性主题的提供者访谈记录进行了定性分析。

结果

患者对该工具产生了积极的反应，报告称该工具使他们能够更好地了解避孕方法在体内的作用，并且使他们能够做出更明智的决定。此外，提供者评论说该工具促进了与患者的交谈，有助于消除关于特定方法的神话，并减轻了患者的焦虑感。提到的限制包括存储和可移植性问题，以及咨询的时间限制。

结论

Hello Options是一种有用，可行且可接受的决策辅助工具，可以支持为年轻人提供以患者为中心的避孕服务。