Tips for increasing contraceptive adherence among adolescent females*^¶

Contraceptive method	Potential barriers to adherence	Strategies to increase adherence
Oral contraceptive pills	Failure to refill prescription Forgetting to take pill Using pills sporadically Not using a back-up method when necessary	Tell (and ask the adolescent to repeat back) three things:
		When to start the pill
		Take the pill every day at the same time (eg, when brushing teeth)
		Call the clinic/office if there are any questions
	Desire to avoid monthly periods	Extended-cycle or continuous pill use
Depot medroxyprogesterone acetate	Failure to make/keep appointment for next shot	Schedule the appointment for the next shot when the adolescent is in the clinic/office and ask them to set the alarm on their cell phone as a reminder Schedule injections 11 to 12 weeks apart rather than 13 to 15 weeks
Transdermal patch	Requires weekly change	Use a wall, computer, or cell phone calendar Use a cell phone alarm Place a sticker designating the change day on the bathroom mirror
Vaginal ring	Requires change every three weeks	Use a wall, computer, or cell phone calendar Use a cell phone alarm Place a sticker designating the change day on the bathroom mirror
Condoms	Must be available at time of sexual activity	Provide condoms to the adolescent before they leaves the clinic/office Suggest that the adolescent carry condoms in their bag

* The intrauterine device and contraceptive implant are recommended as first-line methods of contraception in adolescents. They are effective, safe, and reversible and adherence is not an issue.

¶ Provide the adolescent with a list of the following information: the clinic/office name, a contact person, the clinic/office phone number, and instructions about what to do if they miss a dose.

Graphic 52699 Version 7.0

خرید پکیج

Tips for increasing contraceptive adherence among adolescent females*¶

Tips for increasing contraceptive adherence among adolescent females*^¶