DESIGN SPECIFICATIONS FOR AN ADOLESCENT-CENTERED CONTRACEPTION CARE COMPANION CREATED FOR AND WITH ADOLESCENTS AND PRIMARY CARE CLINICIANS

Abstract

Objectives

Contraceptive care in primary care settings often centers adults and thus is not tailored to adolescents’ unique sexual, cognitive, and social development. We aimed to determine design specifications and features of a developmentally appropriate web-based contraception care tool for adolescents and clinicians in the primary care setting.

Methods

We used human-centered design to engage with adolescents aged 14–17 and primary care clinicians. A team of designers led 1:1 interviews and design sessions, employing techniques such as journey mapping, collage, alien artifact, and bad design charrette. A structured analysis identified key themes, which were synthesized into design specifications and priority features through consensus.

Results

Adolescents (n=27) expressed desire for a tool to learn about contraception earlier in adolescence, prior to their need for contraception, and to help them talk to providers about contraception. Clinicians (n=47) expressed desire for a tool with information about adolescent contraceptive preferences and questions before the appointment to help tailor the visit. Design specifications included offering high-level educational content with access to more detail if desired; using non-pressuring, easy to understand, inclusive language; and providing discreet, mobile-optimized access without log-in requirements. Priority features were a tool that evolves throughout adolescence and builds confidence in discussing contraception with others, knowing one’s options, and making informed choices.

Conclusions

Adolescents want more information about contraception earlier in adolescence, and more in-depth conversations with clinicians about contraceptive options. Clinicians want to provide more patient-centered care within the constraints of a primary care environment. A web-based contraception care companion holds promise to support both sets of goals.