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Provider discomfort with patient-centered counseling about reproductive choices and supporting reproductive decisions of these women poses barriers to reproductive healthcare access.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We used participatory research methods to develop a half-day workshop for San Francisco-based medical and social service providers to improve reproductive counseling of women experiencing homelessness and\/or who use substances. Guided by a stakeholder group comprising cisgender women with lived experience and providers, goals of the workshop included increasing provider empathy, advancing patient-centered reproductive health communication, and eliminating extraneous questions in care settings that perpetuate stigma. We used pre\/post surveys to evaluate acceptability and effects of the workshop on participants\u2019 attitudes and confidence in providing reproductive health counseling. We repeated surveys one month post-event to investigate lasting effects.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Forty-two San Francisco-based medical and social service providers participated in the workshop. Compared to pre-test, post-test scores indicated reduced biases about: childbearing among unhoused women (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01), parenting intentions of pregnant women using substances (<jats:italic>p<\/jats:italic>\u2009=\u20090.03), and women not using contraception while using substances (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). Participants also expressed increased confidence in how and when to discuss reproductive aspirations (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) with clients. At one month, 90% of respondents reported the workshop was somewhat or very beneficial to their work, and 65% reported increased awareness of personal biases when working with this patient population.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions for Practice<\/jats:title>\n                <jats:p>A half-day workshop increased provider empathy and improved provider confidence in reproductive health counseling of women affected by homelessness and substance use.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s10995-023-03671-y","type":"journal-article","created":{"date-parts":[[2023,5,19]],"date-time":"2023-05-19T15:01:48Z","timestamp":1684508508000},"page":"143-152","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Improving Reproductive Health Communication Between Providers and Women Affected by Homelessness and Substance Use in San Francisco: Results from a Community-Informed Workshop"],"prefix":"10.1007","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0436-4245","authenticated-orcid":false,"given":"Erin E.","family":"Wingo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara J.","family":"Newmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah E.","family":"Borne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brad J.","family":"Shapiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominika L.","family":"Seidman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,5,19]]},"reference":[{"issue":"9","key":"3671_CR1","doi-asserted-by":"publisher","first-page":"1970","DOI":"10.1124\/JBISRIR-D-19-00214","volume":"18","author":"J Allen","year":"2020","unstructured":"Allen, J., & Vottero, B. 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