Dual Protection Messaging for Adolescent and Young Adults in the Setting of Over-the-Counter Hormonal Contraception: A Human-Centered Design Approach

• Type of Material: Article
• Authors: Tracey A. Wilkinson, Indiana University, Indianapolis; Kelli Jenkins, Indiana Clinical Translational Institute; Bridget A. Hawryluk, Indiana Clinical Translational Institute; Courtney M. Moore, Indiana Clinical Translational Institute; Sarah E. Wiehe, Indiana University, Indianapolis; Melissa Kottke, Emory University
• Language: English
• Date: 2022-08-26
• Publisher: Elsevier
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © 2022 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
• License: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International
• Final Published Version (URL): https://doi.org/10.1016/j.jpag.2022.08.009
• Title of Journal or Parent Work: Journal of Pediatric and Adolescent Gynecology
• Volume: 35
• Issue: 6
• Start Page: 669
• End Page: 675
• Grant/Funding Information: This work was supported by a grant from Ibis Reproductive Health, the NICHD K23 Award (HD099274-01) and with support from the Indiana Clinical and Translational Sciences Institute which is funded in part by Award Number UL1TR002529 from the National Institutes of Health, National Center for Advancing Translational Sciences, Clinical and Translational Sciences Award.
• Keywords: Access; Dual Method Use; Human-Centered Design; Over-the-Counter; Young Adult; Dual Protection; Contraception; Adolescent
• Research Categories: Psychology, Behavioral; Health Sciences, Public Health; Health Sciences, Education

Abstract

Study Objective: To use human-centered design approaches to engage adolescent and young adults in the creation of messages focused on dual method use in the setting of over-the-counter hormonal contraception access. Design: Baseline survey and self-directed workbooks with human-centered design activities were completed. The workbooks were transcribed and analyzed using qualitative methods to determine elements of the communication model-including sender, receiver, message, media, and environment. Setting: Indiana and Georgia Participants: People ages 14-21 years in Indiana and Georgia Interventions: Self-directed workbooks Main Outcome Measures: Elements of the communication model-including sender, receiver, message, media, and environment. Results: We analyzed 54 workbooks, with approximately half from each state. Stakeholders self-identified as female (60.5%), white (50.9%), Hispanic (10.0%), sexually active (69.8%) and heterosexual (79.2%) with a mean age of 18 years. A majority strongly agreed (75.5%) they knew how to get condoms, with only 30.2% expressing the same sentiment about hormonal contraception. Exploration of the elements of the communication model indicated the importance of crafting tailored messages to intended receivers. Alternative terminology for dual protection, such as “Condom+____,” was created. Conclusion: There is a need for multiple and diverse messaging strategies about dual method use in the context of over-the counter hormonal contraception to address the various pertinent audiences as this discussion transitions outside of traditional clinical encounters. Human-centered design approaches can be used for novel message development.