title: Patient and provider perspectives on Bedsider.org, an online contraceptive information tool, in a low income, racially diverse clinic population.
abstract: OBJECTIVE
  To explore patient and provider perspectives regarding a new Web-based contraceptive support tool.
  
  
  METHODS
  We conducted a qualitative study at an urban Medicaid-based clinic among sexually active women interested in starting a new contraceptive method, clinic providers and staff. All participants were given the opportunity to explore Bedsider, an online contraceptive support tool developed for sexually active women ages 18-29 by the National Campaign to Prevent Teen and Unplanned Pregnancy and endorsed by the American Congress of Obstetricians and Gynecologists. Focus groups were conducted separately among patient participants and clinic providers/staff using open-ended structured interview guides to identify specific themes and key concepts related to use of this tool in an urban clinic setting.
  
  
  RESULTS
  Patient participants were very receptive to this online contraceptive support tool, describing it as trustworthy, accessible and empowering. In contrast, clinic providers and staff had concerns regarding the Website's legitimacy, accessibility, ability to empower patients and applicability, which limited their willingness to recommend its use to patients.
  
  
  CONCLUSIONS
  Contrasting opinions regarding Bedsider may point to a potential disconnect between how providers and patients view contraception information tools. Further qualitative and quantitative studies are needed to explore women's perspectives on contraceptive education and counseling and providers' understanding of these perspectives.
  
  
  CONCLUSIONS
  This study identifies a contrast between how patients and providers in an urban clinic setting perceive a Web-based contraceptive tool. Given a potential patient-provider discrepancy in preferred methods and approaches to contraceptive counseling, additional research is needed to enhance this important arena of women's health care.
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT.
authors.forename: Gregory M
authors.initials: GM
authors.lastname: Gressel
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT.
authors.forename: Lisbet S
authors.initials: LS
authors.lastname: Lundsberg
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT.
authors.forename: Jessica L
authors.initials: JL
authors.lastname: Illuzzi
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT.
authors.forename: Cheryl M
authors.initials: CM
authors.lastname: Danton
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT.
authors.forename: Sangini S
authors.initials: SS
authors.lastname: Sheth
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT.
authors.forename: Xiao
authors.initials: X
authors.lastname: Xu
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT. Electronic address: aileen.gariepy@yale.edu.
authors.forename: Aileen
authors.initials: A
authors.lastname: Gariepy
mesh_terms: D000293:Adolescent; D000328:Adult; D003267:Contraception / Q000523:psychology; D003268:Contraception Behavior / Q000523:psychology; D003376:Counseling; D005193:Family Planning Services / Q000379:methods*; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D057226:Information Seeking Behavior; D020407:Internet; D010353:Patient Education as Topic / Q000379:methods*; D010465:Perception; D011203:Poverty / Q000523:psychology*; D011247:Pregnancy; D014481:United States; D016387:Women's Health; D055815:Young Adult
keywords: Bedsider; Contraception; Counseling; Internet; Sex education