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Developing emergency department-based education about emergency contraception: adolescent preferences
Cynthia J Mollen1, Melissa K Miller, Katie L Hayes
1Division of Emergency Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA; Department of Pediatrics, The University of Pennsylvania, Philadelphia, PA.
Summary
Adolescents prefer in-person emergency contraception (EC) education in the emergency department (ED), ideally from a doctor or nurse. Tailoring education to specific complaints can improve pregnancy prevention knowledge.
Area of Science:
- Reproductive Health
- Adolescent Medicine
- Public Health
Background:
- Emergency departments (EDs) are crucial points of contact for adolescents requiring sensitive health information.
- Understanding adolescent preferences for emergency contraception (EC) education is vital for effective sexual health outreach.
- Current EC education delivery in ED settings may not align with adolescent needs and preferences.
Purpose of the Study:
- To determine adolescent preferences for emergency department (ED)-based education regarding emergency contraception (EC).
- To gather data on preferred educators, delivery methods, frequency, duration, and triggers for EC education in the ED.
- To inform the development of adolescent-centered EC education programs within emergency care settings.
Main Methods:
- A cross-sectional computerized survey utilizing adaptive conjoint analysis (ACA) was administered to female patients aged 14-19.
- Participants were recruited from two urban EDs, excluding those too ill or non-English speaking.
- ACA assessed preferences for education attributes: provider, mode, frequency, length, and chief complaint triggers.
Main Results:
- A total of 223 adolescents participated, with a mean age of 16.1 years.
- The majority preferred education delivered by a healthcare professional (doctor or nurse).
- Participants favored slightly longer education sessions and preferred education triggered by complaints potentially related to sexual activity.
Conclusions:
- Adolescents possess distinct preferences for receiving emergency contraception (EC) education in EDs.
- This study provides actionable insights for clinicians to enhance adolescent knowledge of pregnancy prevention and EC.
- Tailoring EC education delivery in EDs can improve its effectiveness and uptake among adolescent populations.
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