To adapt the evidence-based CHOICE contraceptive counseling approach specifically for adolescents and young adults (AYA) experiencing homelessness.
Key Findings:
AYA preferred a patient-centered counseling approach over an efficacy-first approach.
Three themes emerged for improving contraceptive counseling: delivery method, content, and location.
The adapted counseling script will better meet the needs of AYA experiencing homelessness.
Interpretation:
The findings suggest that a patient-centered approach is more effective for AYA experiencing homelessness, addressing their unique challenges and preferences, which could inform future counseling practices.
Limitations:
Study limited to English-speaking participants in specific shelters.
Findings may not be generalizable to all AYA experiencing homelessness.
Potential biases in self-reported data may affect the results.
Conclusion:
The CHOICE-AYA initiative aims to enhance contraceptive counseling for homeless AYA by incorporating their preferences and addressing their unique challenges, ultimately improving reproductive health outcomes.