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. 2023 Jul:123:110002.
doi: 10.1016/j.contraception.2023.110002. Epub 2023 Mar 11.

Assessment of adolescent decision-making capacity for pharmacy access to hormonal contraception

Tracey A Wilkinson  1 , Ashley H Meredith  2 , Amy J Katz  3 , Carolyn G Meagher  3 , Mary A Ott  3
Affiliations

Assessment of adolescent decision-making capacity for pharmacy access to hormonal contraception

Tracey A Wilkinson et al. Contraception. 2023 Jul.

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. Overall scores were compared by age and demographic factors and variation examined.

Results: Participants scored high on the MacArthur Competence Assessment Tool-Treatment 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.

Keywords: Access to health care; Adolescents; Capacity; Contraception; Decision-making; Pharmacy.

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Conflict of interest statement

Declarations of Interest: Dr. Wilkinson receives project funding from Organon, Bayer and Copper Surgical. Dr. Ott has a conflict with Eli Lilly, Inc. (Spouse is employee) and she has done paid consultant work for Bayer, USA. All other authors have no conflicts to report.

Figures

Figure 1:
Figure 1:
Adolescent Decision Capacity Scores (MacCAT-T) by Age During a Simulated Pharmacy Access to Contraception Encounter
See this image and copyright information in PMC

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