{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T06:03:20Z","timestamp":1789538600609,"version":"build-2803163510"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","award":["AI027757"],"award-info":[{"award-number":["AI027757"]}],"id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Studies in Family Planning"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Women living with HIV(WLHIV) have diverse and complex reproductive health needs that require patient\u2010centered, informed decision\u2010making. Digital tools to support reproductive life planning may improve reproductive health counseling and outcomes for these women. We evaluated user experiences with a self\u2010administered, tablet\u2010based family planning (FP) counseling tool as part of a digital health intervention implemented within a cluster randomized trial in Kenya. We conducted 10 focus group discussions with WLHIV (\n                    <jats:italic>n<\/jats:italic>\n                    = 95) who received the counseling tool and in\u2010depth interviews (\n                    <jats:italic>n<\/jats:italic>\n                    = 10) with providers. Data were collected using semistructured guides, transcribed, translated, and thematically analyzed. Women's median age was 26 years, and 52 percent were married. Providers had a median of seven years\u2019 experience. WLHIV and providers found the counseling tool acceptable and felt it improved decision\u2010making, FP knowledge, and patient\u2013provider interactions. Women reported that the counseling tool supported informed FP decisions, improved awareness about less familiar options, and dispelled myths and misconceptions. Providers said the counseling tool helped tailor counseling, though it was challenging to use with women with more FP experience or with a selected method, but helpful among new FP users and adolescents. Participants also felt that the tool was lengthy. Tailoring the counseling tool and making it optional for specific groups of WLHIV may improve feasibility.\n                  <\/jats:p>","DOI":"10.1111\/sifp.70059","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T04:23:29Z","timestamp":1782275009000},"page":"371-389","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["User and Provider Experiences with a Digital Health Family Planning Counseling Tool for Women Living with HIV in Kenya"],"prefix":"10.1111","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3425-2391","authenticated-orcid":false,"given":"Agnes Karingo","family":"Karume","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4089-5043","authenticated-orcid":false,"given":"Alison L.","family":"Drake","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"June","family":"Moraa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celestine","family":"Atieno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Ngumbau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aparna","family":"Seth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Beima\u2010Sofie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Kinuthia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer A.","family":"Unger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP\u2010D\u201015\u201000393"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0290285"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.4314\/ahs.v24i2.6"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010020\u201006506\u20106"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh\u20102019\u2010200377"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2020.04.003"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.02.015"},{"key":"e_1_2_6_9_1","volume-title":"Operational Requirements for Implementing WHO Recommendations in Digital Systems 2021","author":"Digital Adaptation Kit: Family Planning","year":"2021"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/abm\/kaae024"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461\u2010018\u20102346\u20104"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2022.06.050"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fgwh.2022.837358"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2019.305051"},{"key":"e_1_2_6_15_1","unstructured":"Kenya HMIS Documentation.2026. \u201cKenya HMIS.\u201dhttps:\/\/kenyahmis.org\/."},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1363\/psrh.12016"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0310212"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.3389\/fgwh.2022.781983"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.14.04038"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/26334941241307881"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0195362"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0300642"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461\u2010024\u201004319\u2010w"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010021\u201002043\u2010z"},{"key":"e_1_2_6_25_1","doi-asserted-by":"crossref","unstructured":"Warren Charlotte E. Tracy L.McClair Karen R.Kirk CharityNdwiga andEileen A.Yam.2022. \u201cDesign Adaptation and Diffusion of an Innovative Tool to Support Contraceptive Decision\u2010Making: Balanced Counseling Strategy Plus.\u201d Preprint Gates Open Research May 3.https:\/\/doi.org\/10.12688\/gatesopenres.13477.2.","DOI":"10.12688\/gatesopenres.13477.2"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010017\u20100635\u20103"},{"key":"e_1_2_6_27_1","unstructured":"WHO.2026. \u201cSMART Guidelines.\u201dhttps:\/\/www.who.int\/teams\/digital\u2010health\u2010and\u2010innovation\/smart\u2010guidelines.Geneva:World Health Organization."},{"key":"e_1_2_6_28_1","unstructured":"WHO Guideline Recommendations on Digital Interventions for Health System Strengthening.2019. \u201cWHO Guidelines Approved by the Guidelines Review Committee.\u201dGeneva:World Health Organization.http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK541902\/."},{"key":"e_1_2_6_29_1","unstructured":"WHO World Health.2018. \u201cFamily Planning: A Global Handbook for Providers: Evidence\u2010Based Guidance Developed through Worldwide Collaboration.\u201dhttps:\/\/iris.who.int\/bitstream\/handle\/10665\/260156\/9780999203705\u2010eng.pdf.Geneva:World Health Organization."},{"key":"e_1_2_6_30_1","unstructured":"WHO World Health.2019. \u201cNew App for WHO's Medical Eligibility Criteria for Contraceptive Use.\u201dGeneva:World Health Organization."}],"container-title":["Studies in Family Planning"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/sifp.70059","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/sifp.70059","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/sifp.70059","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T05:17:35Z","timestamp":1789535855000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/sifp.70059"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,23]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/sifp.70059"],"URL":"https:\/\/doi.org\/10.1111\/sifp.70059","archive":["Portico"],"relation":{},"ISSN":["0039-3665","1728-4465"],"issn-type":[{"value":"0039-3665","type":"print"},{"value":"1728-4465","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,23]]},"assertion":[{"value":"2026-06-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}