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Virtual Preconception Risk Assessment and Counseling In Primary Health Care.

Anne L Dunlop1, Susana Alfonso2, Nora Hansen2

  • 1From the Department of Gynecology & Obstetrics, Emory University School of Medicine, Atlanta, GA (ALD); Department of Family & Preventive Medicine, Emory University School of Medicine, Atlanta, GA (SA); Emory University School of Medicine, Atlanta, GA (NH); Emory Family Medicine at Dunwoody Clinic, Emory Healthcare, Atlanta, GA (DW); Department of Family & Preventive Medicine, Emory University School of Medicine, Atlanta, GA (VA). amlang@emory.edu).

Journal of the American Board of Family Medicine : JABFM
|June 27, 2025
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Summary

Integrating preconception health tools into primary care is feasible. A digital risk assessment and virtual coaching improved women's confidence in discussing fertility and preconception health with physicians.

Keywords:
CounselingFamily MedicineFeasibility StudiesFertilityPreconception CarePreventive CarePrimary Health CareReproductive HealthRisk AssessmentWomen's Health

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Area of Science:

  • Women's Health
  • Preventive Medicine
  • Digital Health Implementation

Background:

  • Professional guidelines recommend integrating preconception health into primary care.
  • Limited tools and research exist to support this integration in clinical practice.

Purpose of the Study:

  • To assess the feasibility of incorporating a digital preconception health risk assessment and virtual coaching into women's primary care visits.

Main Methods:

  • Female patients aged 21-40 at a family medicine clinic participated.
  • Patients completed a digital risk assessment and virtual coaching.
  • Physicians received a summary to discuss during primary care encounters.

Main Results:

  • High patient engagement with the digital tool (96% account creation, 86% risk assessment completion).
  • 71% of patients had their preconception health discussed by their physician.
  • 80% of patients felt more confident discussing fertility; 50% would not have initiated the conversation otherwise.

Conclusions:

  • Digital preconception risk assessment and virtual counseling effectively facilitate discussions during primary care.
  • This approach shows promise for enhancing women's health outcomes.