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Digital tools for reproductive life planning may strengthen counseling and improve outcomes. This study evaluated user experiences with a self-administered, tablet-based family planning counseling tool delivered within a packaged digital intervention in a Kenya cluster randomized trial.",{"@graph":69,"@context":126},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/user-experiences-with-a-digital-health-family-planning-counseling-tool-read-and-assess-findings/440567/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/user-experiences-with-a-digital-health-family-planning-counseling-tool-read-and-assess-findings/440567.png","ImageObject",300,407,{"name":92,"@type":93},"anakgang17","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118,122],{"name":109,"@type":110,"acceptedAnswer":111},"What digital health tool was evaluated in this study?","Question",{"text":112,"@type":113},"A self-administered, tablet-based family planning counseling tool used as part of a packaged digital health intervention.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were user experiences collected?",{"text":117,"@type":113},"The study used focus group discussions with WLWH and in-depth interviews with providers, with data gathered via semi-structured guides and analyzed thematically.",{"name":119,"@type":110,"acceptedAnswer":120},"What did women and providers report about the tool?",{"text":121,"@type":113},"They found it acceptable and reported improvements in decision-making, family planning knowledge, and patient-provider interactions, while women noted it supported informed choices and addressed myths.",{"name":123,"@type":110,"acceptedAnswer":124},"What limitations or improvement needs were identified?",{"text":125,"@type":113},"The tool was considered too lengthy, and tailoring it and making it optional for specific groups may improve feasibility.","https://schema.org",{"og:url":83,"og:type":128,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":130,"canonical":83},"index,follow",{"doc_id":132,"site_id":62},440567,1790959875,{"code":4,"msg":5,"data":135},{"doc_id":132,"user_id":136,"nickname":92,"user_avatar":137,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":138,"file_id":139,"file_url":140,"file_type":141,"file_size":142,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":143,"language":144,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":145,"faqs":146,"seo_title":147,"seo_description":67,"update_tm":148,"read_time":149,"preview_page_count":4},962090883568,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","medRxiv preprint doi: [https://doi.org/10.64898/2025.12.22.25342549](https://doi.org/10.64898/2025.12.22.25342549); this version posted December 30, 2025. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity.  \nIt is made available under a CC-BY-NC 4.0 International license .  \nTitle: User experiences with a digital health family planning counseling tool for women living with HIV in Kenya  \nShort title: User experiences with a digital health family planning counseling tool  \nAuthors: Agnes Karingo Karume 1* , MBChB, MBA, MPH; Alison L. Drake2,3*, PhD, MPH; June Moraa 1 , BSc, Celestine Atieno 1 , BSc, Nancy Ngumbau 1 , MBChB, MPH; Aparna Seth2 , MPP;  \nKristin Beima-Sofie2 , PhD, MPH; John Kinuthia1 , MBChB, MMed, MPH; Jennifer A. Unger4 , MD, MPH  \n*Co-first authors  \nAffiliations:  \n1 Department of Research & Programs, Kenyatta National Hospital, Nairobi, Kenya  \n2 Department of Global Health, University of Washington, Seattle, Washington, USA 3 Department of Epidemiology, University of Washington, Seattle, Washington, USA 4 Department of Obstetrics and Gynaecology, Warren Alpert School of Medicine at Brown University, Women and Infants Hospital, Providence, RI, USA  \nCorresponding authors: Agnes Karingo Karume and Alison L. Drake  \nEmail: [karumeagnes@gmail.com](karumeagnes@gmail.com) , [adrake2@uw.edu](adrake2@uw.edu)  \nConflicts of Interest: The authors have no financial conflicts of interest to declare  \nFunding: Funding for the study is provided by NIH-NICHD R01HD104551 . Support is also provided by the Global Center for Integrated Health of Women, Adolescents, and Children (Global WACh) and the University of Washington / Fred Hutch Center for AIDS Research, NIHNIAID AI02775  \n1  \nNOTE: This preprint reports new research that has not been certified by peer review and should not be used to guide clinical practice.  \nmedRxiv preprint doi: [https://doi.org/10.64898/2025.12.22.25342549](https://doi.org/10.64898/2025.12.22.25342549); this version posted December 30, 2025. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity.  \nIt is made available under a CC-BY-NC 4.0 International license .  \nAbstract  \nWomen with HIV(WLHIV) have diverse and complex reproductive health needs that require patient-centered, informed decision making. Digital tools to support reproductive life planning may improve reproductive health counseling and outcomes for these women. We evaluated user-experiences with a self-administered, tablet-based family planning(FP) counseling tool as part of a packaged digital health intervention evaluated in a cluster randomized trial in Kenya.  \nWe conducted focus group discussions with WLWH who received the counseling tool(n=10) and in-depth interviews with providers(n=10) . Data were collected using semi-structured guides, transcribed, translated, and thematically analyzed.  \nAmong 95 women, median age was 26 years and 52% were married. Providers had median 7 years’ experience. WLWH and providers found the counseling tool acceptable, and felt it improved decision-making, FP knowledge, and patient-provider interactions. Women reported the counseling tool supported informed FP decisions, educated on less familiar options, and dispelled myths and misconceptions. Providers said the counseling tool helped tailor counseling though it was challenging to use with women with more FP experience or with a selected  \nmethod, but helpful among FP-initiators and adolescents.  \nThe counseling tool was useful and acceptable, but too lengthy. Tailoring the counseling tooland making it optional for specific groups of WLWH may improve feasibility.  \nmedRxiv preprint doi: [https://doi.org/10.64898/2025.12.22.25342549](https://doi.org/10.64898/2025.12.22.25342549); this version posted December ","cbCaisrrFVk1bQ16","https://ap.wps.com/l/cbCaisrrFVk1bQ16","pdf",624286,29,"English","# Abstract\n# Background\n## Family planning needs among WLHIV\n## Gaps in contraception access and counseling\n## HIV care as an opportunity for FP support","[{\"question\":\"What digital health tool was evaluated in this study?\",\"answer\":\"A self-administered, tablet-based family planning counseling tool used as part of a packaged digital health intervention.\"},{\"question\":\"How were user experiences collected?\",\"answer\":\"The study used focus group discussions with WLWH and in-depth interviews with providers, with data gathered via semi-structured guides and analyzed thematically.\"},{\"question\":\"What did women and providers report about the tool?\",\"answer\":\"They found it acceptable and reported improvements in decision-making, family planning knowledge, and patient-provider interactions, while women noted it supported informed choices and addressed myths.\"},{\"question\":\"What limitations or improvement needs were identified?\",\"answer\":\"The tool was considered too lengthy, and tailoring it and making it optional for specific groups may improve feasibility.\"}]","User experiences with a digital health family planning counseling tool - read and assess findings | PDF",1790692549,73]