Adapting an Evidence-Based Contraceptive Counseling Program for Homeless Adolescents and Young Adults: The CHOICE-AYA Initiative - Summary - MDSpire
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Adapting an Evidence-Based Contraceptive Counseling Program for Homeless Adolescents and Young Adults: The CHOICE-AYA Initiative

  • By

  • Mariah E. Brewe

  • Anna E. Burns

  • Nik Schuetz

  • Taylor Stephens

  • Emma Francis

  • Haylie Yost

  • Stephani L. Stancil

  • April 10, 2026

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Objective:

To adapt the evidence-based CHOICE contraceptive counseling approach specifically for adolescents and young adults (AYA) experiencing homelessness.

Approach:
    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.

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