TY - JOUR
T1 - A Checklist to Assess Childbearing Intentions and Promote Referral to Preconception Care or Contraception
T2 - A Multi-Site Study
AU - Mirabal-Beltran, Roxanne
AU - Anderson, Jean
AU - Dariotis, Jacinda K
AU - Finocchario-Kessler, Sarah
N1 - Funding Information:
We appreciate the time and effort of the busy providers who participated in this research. We are grateful to the University of Kansas Medical Center for providing funds to transcribe interview audio files. We sincerely appreciate the dedication of the HIV Preconception Care (PCC) Research Team: Drs. Mary Jo Hoyt, William Short, Shannon Weber, Judy Levison, Rana Chakraborty, Deborah Storm, and Joanne Philips, Sofie Champassak, Efua Leke, Richlyn Yond, Rachel Martinelli, Emma Rouda, Heather Fahey, Kathy Goggin, Sara Lowery, Meredith Shapland and Allison Zaldivar.
Publisher Copyright:
© 2021, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2021/5
Y1 - 2021/5
N2 - INTRODUCTION: This study assesses HIV provider views on the value of a checklist designed to assess patients' preconception care (PCC) needs and guide implementation of PCC.METHODS: Ninety-two HIV providers in seven U.S. cities provided perspectives via an in-depth phone interview regarding a checklist to facilitate communication and referrals for PCC. A sub-sample of 27 providers shared feedback on a checklist designed for this purpose. Interview audio files were transcribed and uploaded to a web-based program supporting coding and analysis of qualitative data. Content analysis was utilized to identify key themes within the larger, a priori themes of interest. Feedback regarding the checklist was analyzed using a grounded theory approach to examine patterns and emergent themes across transcripts.RESULTS: Providers averaged 11.5 years of HIV treatment experience; over 80 percent were physicians (MD) or nurse practitioners (NP) and 76 percent were HIV/infectious disease specialists. The majority of providers were female (70%) and Caucasian (72%). Checklist benefits identified included standardization of care, assisting new/inexperienced providers, educational resource for patients, and aid in normalizing childbearing. Concerns included over-protocolizing care, interfering with patient-provider communication, or requiring providers address non-priority issues during visits. Providers suggested checklists be simple, incorporated into the electronic medical record, and accompanied with appropriate referral systems.DISCUSSION: Findings support a need for a checklist tool to assist in conversations about reproductive intentions/desires. Additional referral or innovative consultative services will be needed as more persons living with HIV/AIDS are engaged on the topic of childbearing.
AB - INTRODUCTION: This study assesses HIV provider views on the value of a checklist designed to assess patients' preconception care (PCC) needs and guide implementation of PCC.METHODS: Ninety-two HIV providers in seven U.S. cities provided perspectives via an in-depth phone interview regarding a checklist to facilitate communication and referrals for PCC. A sub-sample of 27 providers shared feedback on a checklist designed for this purpose. Interview audio files were transcribed and uploaded to a web-based program supporting coding and analysis of qualitative data. Content analysis was utilized to identify key themes within the larger, a priori themes of interest. Feedback regarding the checklist was analyzed using a grounded theory approach to examine patterns and emergent themes across transcripts.RESULTS: Providers averaged 11.5 years of HIV treatment experience; over 80 percent were physicians (MD) or nurse practitioners (NP) and 76 percent were HIV/infectious disease specialists. The majority of providers were female (70%) and Caucasian (72%). Checklist benefits identified included standardization of care, assisting new/inexperienced providers, educational resource for patients, and aid in normalizing childbearing. Concerns included over-protocolizing care, interfering with patient-provider communication, or requiring providers address non-priority issues during visits. Providers suggested checklists be simple, incorporated into the electronic medical record, and accompanied with appropriate referral systems.DISCUSSION: Findings support a need for a checklist tool to assist in conversations about reproductive intentions/desires. Additional referral or innovative consultative services will be needed as more persons living with HIV/AIDS are engaged on the topic of childbearing.
KW - AIDS
KW - Checklists
KW - HIV
KW - Preconception care
KW - Provider-patient communication
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U2 - 10.1007/s10995-020-03051-w
DO - 10.1007/s10995-020-03051-w
M3 - Article
C2 - 33389454
SN - 1092-7875
VL - 25
SP - 786
EP - 795
JO - Maternal and Child Health Journal
JF - Maternal and Child Health Journal
IS - 5
ER -