Browsing by Author "Kottke, Melissa J."

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    Contraception for Adolescents During the Coronavirus Disease 2019 Pandemic
    (JAMA, 2021-03-01) Wilkinson, Tracey A.; Kottke, Melissa J.; Berlan, Elise D.; Pediatrics, School of Medicine
    Our recent publication, Providing Contraception for Young People During a Pandemic is Essential Healthcare, was written in response to the sudden shift towards low-contact or no-contact medicine in the wake of the COVID-19 pandemic. Ensuring access to contraception is essential as every 6 months of lockdown can result in 47 million women losing access to contraception, resulting in an additional 7 million of unintended pregnancies. We welcome the letters submitted by Alouini/Venslauskaite and Uzoigwe/Ali as they exemplify common misperceptions within the medical community about contraception. The question of whether a physical exam is required prior to a contraception prescription, the safety of emergency contraception, and abstinence counseling are addressed below.
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    Dual Protection Messaging for Adolescents and Young Adults in the Setting of Over-the-Counter Hormonal Contraception: A Human-Centered Design Approach
    (Elsevier, 2022-12) Wilkinson, Tracey A.; Jenkins, Kelli; Hawryluk, Bridget A.; Moore, Courtney M.; Wiehe, Sarah E.; Kottke, Melissa J.; Pediatrics, School of Medicine
    Study Objective To use human-centered design approaches to engage adolescents 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 aged 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. Most strongly agreed (75.5%) that they knew how to get condoms, but only 30.2% expressed 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.
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    Providing Contraception for Young People During a Pandemic is Essential Healthcare
    (AMA, 2020) Wilkinson, Tracey A.; Kottke, Melissa J.; Berlan, Elise D.; Pediatrics, School of Medicine