Abstract
Objectives
To examine adolescents’ decision-making capacity for pharmacsist-prescribed hormonal
contraception.
Study Design
A subset of 60 females, ages 14-21 were recruited to complete the MacArthur Competence
Assessment Tool-Treatment (MacCAT-T). Overall scores were compared by age and demographic
factors and variation examined.
Results
Participants scored high on the MacCAT-T with little variation in the scores (18.8
[+/- 1.9]/20 total points). Factors such as chronic illness, health literacy, and
family affluence were not associated with of overall scores.
Conclusions
Adolescents and young adults have the capacity to make decisions regarding contraception
in the pharmacy access settings.
Abbreviations:
REALM (Rapid Assessment of Adult Literacy in Medicine), FAS (Family Affluence Scale), CSHCN (Children with Special Healthcare Needs), MacCAT-T (MacArthur Competency Assessment Tool-Treatment)Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to ContraceptionAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Changing Patterns of Contraceptive Use and the Decline in Rates of Pregnancy and Birth Among U.S. Adolescents, 2007-2014.J Adolesc Health. 2018; 63: 253-256https://doi.org/10.1016/j.jadohealth.2018.05.017
Pharmacist Prescribing of Hormonal Contraception. 〈https://birthcontrolpharmacist.com/policies/〉, Accessed October 1, 2022
- Adolescents' and Young Adults' Reports of Barriers to Confidential Health Care and Receipt of Contraceptive Services.J Adolesc Health. 2018; 62: 36-43
- Barriers to Contraception and Interest In Over-the-Counter Access Among Low-Income Women: A Qualitative Study.Perspect Sex Reprod Health. 2012; 44: 84-91https://doi.org/10.1016/j.jadohealth.2017.10.011
- Expanding adolescent access to hormonal contraception: an update on over-the-counter, pharmacist prescribing, and web-based telehealth approaches.Curr Opin Obstet Gynecol. 2018; 30: 458-464
- Assessment of Patients' Competence to Consent to Treatment.N Engl J Med. 2007; 357: 1834-1840https://doi.org/10.1097/GCO.0000000000000497
- Adolescents' and Young Adults' Ability to Self-Screen for Contraindications to Hormonal Contraception and the Role of Chronic Illness.J Adolesc Health. 2021; 69: 566-573https://doi.org/10.1016/j.jadohealth.2021.04.032
- Rapid assessment of literacy levels of adult primary care patients.Fam Med. 1991; 23: 433-435
- The Family Affluence Scale as a Measure of National Wealth: Validation of an Adolescent Self-Report Measure.Soc Indic Res. 2006; 78: 473-487https://doi.org/10.1007/s11205-005-1607-6
- Identifying children with special health care needs: development and evaluation of a short screening instrument.Ambul Pediatr. 2002; 2: 38-48https://doi.org/10.1367/1539-4409(2002)002<0038:icwshc>2.0.co;2
- The MacArthur Competence Assessment Tool for Treatment (MacCAT-T).Professional Resource Press, Sarasota, Florida1998
- Adolescents Capacity to Make Treatment Decisions for Birth Control.J Adolesc Health. 2016; 58: S33-S34https://doi.org/10.1016/j/jadohealth.2015.10.080
- Assessing patients' capacities to consent to treatment.N Engl J Med. 1988; 319: 1635-1638https://doi.org/10.1056/NEJM198812223192504
Article info
Publication history
Accepted:
March 1,
2023
Received in revised form:
February 28,
2023
Received:
October 3,
2022
Publication stage
In Press Accepted ManuscriptIdentification
Copyright
© 2023 Elsevier Inc. All rights reserved.
