{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T07:32:08Z","timestamp":1784705528221,"version":"3.55.0"},"reference-count":34,"publisher":"Guttmacher Institute","issue":"3","license":[{"start":{"date-parts":[[2023,8,9]],"date-time":"2023-08-09T00:00:00Z","timestamp":1691539200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Context<\/jats:title><jats:p>Adolescents need support to make informed decisions about contraception. Few clinical questionnaires exist to help adolescents and their healthcare providers align contraception decisions with patient needs and preferences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Our mixed\u2010methods study involved a convenience sample of English\u2010speaking, female patients aged 13\u201319 seeking contraception services at an adolescent reproductive health clinic in Colorado, USA. Qualitative interviews informed development of clinical questionnaire items. The questionnaire elicited demographic characteristics, pregnancy and contraception use history, preferred contraception attributes, peer and family involvement, healthcare information and support needs, motivations for contraceptive use, and barriers to contraceptive services. We identified key decision\u2010making factors and reduced the number of questionnaire items through principal components analysis. Using multivariable analyses, we examined the correlation between questionnaire responses and current contraceptive method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty individuals participated in interviews and 373 individuals completed the preliminary questionnaire with 63 candidate items. We identified five contraceptive decision\u2010making factors: side\u2010effect avoidance (eight items, Cronbach's alpha\u2009=\u20090.84), preferred method attributes (six items, Cronbach's alpha\u2009=\u20090.67), parental involvement (three items, Cronbach's alpha\u2009=\u20090.67), life goals prior to parenting (four items, Cronbach's alpha\u2009=\u20090.88), and access to a contraceptive provider (two items, Cronbach's alpha\u2009=\u20090.92) and nine stand\u2010alone items. In multivariable analyses, we found that questionnaire responses for decision\u2010making factors varied among participants using different contraceptive methods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Multiple priorities may influence adolescent contraceptive decisions. This clinical questionnaire can elicit these priorities before or during a healthcare encounter. Future studies should assess generalizability of the questionnaire and examine impact on method choice, continuation, satisfaction, and reproductive health outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1363\/psrh.12242","type":"journal-article","created":{"date-parts":[[2023,8,9]],"date-time":"2023-08-09T07:45:27Z","timestamp":1691567127000},"page":"140-152","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Development of a clinical questionnaire to support contraception decisions in an adolescent reproductive health clinic in Colorado"],"prefix":"10.1363","volume":"55","author":[{"given":"Andrea J.","family":"Hoopes","sequence":"first","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aletha Y.","family":"Akers","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Guttmacher 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USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanelle","family":"Sheeder","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology and Department of Pediatrics University of Colorado School of Medicine  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"259","published-online":{"date-parts":[[2023,8,9]]},"reference":[{"issue":"3","key":"e_1_2_6_2_1","first-page":"15","article-title":"What is behind the declines in teen pregnancy rates?","volume":"17","author":"Boonstra HD","year":"2014","journal-title":"Guttmacher Policy Rev"},{"issue":"13","key":"e_1_2_6_3_1","first-page":"363","article-title":"Vital signs: Trends in use of long\u2010acting reversible contraception among teens aged 15\u201319\u2009years seeking contraceptive services: United States, 2005\u20132013","volume":"64","author":"Romero L","year":"2015","journal-title":"MMWR Morb Mortal Wkly 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