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

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

  • 0 min

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  • 1

    Adolescents and young adults experiencing homelessness face increased risks of reproductive violence and unintended pregnancy.

  • 2

    A focus group study with 41 AYA revealed a preference for patient-centered contraceptive counseling over efficacy-first approaches.

  • 3

    Participants suggested improvements in counseling delivery, content, and locations to better meet their unique needs.

  • 4

    The adapted CHOICE-AYA counseling script aims to enhance provider interactions and support informed decision-making.

  • 5

    Current reproductive health guidelines should incorporate considerations specific to AYA experiencing homelessness.

Original Source(s)

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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