Kelsey Holt
Dados Biográficos
| ID | 3667201 |
|---|---|
| NOME | Kelsey Holt |
| PRENOMES | Kelsey |
| SOBRENOME | Holt |
| ASSINATURA | HOLT K |
| AFILIAÇÕES | University of California, San Francisco |
| ORCID | 0000-0001-9093-4322 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 20 |
| TOTAL DE CITAÇÕES | 51 |
| TOTAL COMO AUTOR | 20 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1990 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 4 |
An in-depth interview study of women's perspectives on the effects of contraceptive use on future fertility in Ethiopia and Kenya
Infertility is a common perceived side effect of contraceptive use among women in sub-Saharan Africa, and fear of infertility can affect contraceptive choices. While no choice is inherently negative, it is critical that women have accurate information about side effects to ensure contraceptive decision-making agency. Despite the prevalence of infertility fears, little is known about women's specific beliefs, where they originate, and how they inf…
Opening the black box of agency in contraceptive decision-making
Influence of social networks on women’s contraceptive decision-making and action
Our study highlights how different types of social support from partners, relatives, and peers can either bolster or undermine women's agency in making contraceptive decisions. Informational support from relatives and peers can boost women's certainty in their intentions, while emotional support from partners boosts their confidence to act on these intentions. Multipronged approaches targeting these networks are necessary to promote women's agenc…
Development and Validation of the Agency in Contraceptive Decisions Scale in Uganda and Nigeria
To fill a gap in measures of empowered contraceptive decision‐making, we developed the Agency in Contraceptive Decisions Scale in Uganda and Nigeria. We developed an item pool drawing on the previously published Contraceptive Agency framework. We refined items through cognitive interviews ( N = 80) and expert feedback and piloted a reduced item pool via surveys ( N = 3002). Exploratory factor analysis using a random half of the sample suggested a…
Person‐Centered Measurement
Despite growing enthusiasm for measurement approaches that capture individuals’ needs, values, and preferences, there remains a lack of conceptual clarity regarding person‐centered measurement in the global field of contraception. In this commentary, we propose a working definition of person‐centered measurement within the contraceptive field and describe how this definition can be applied to existing and novel contraceptive indicators. We argue …
Análisis de narrativas del personal prestador de servicios anticonceptivos en México
O objetivo deste artigo foi identificar os relatos sobre autonomia reprodutiva e coerção contraceptiva de prestadores de serviços de planejamento familiar e contracepção, da equipe administrativa e dos criadores/operadores de políticas públicas em saúde reprodutiva a partir do referencial teórico da qualidade em assessoramento contraceptivo. Se trata de um estudo exploratório transversal, de natureza qualitativa. Realizamos 25 entrevistas semiest…
It's a reality that we in medicine should catch up with
Women's Perspectives on the Unique Benefits and Challenges of Self‐Injectable Contraception
Implementing self‐injection (SI) of subcutaneous depot‐medroxyprogesterone acetate (DMPA‐SC) is a key self‐care strategy for sexual and reproductive health, but SI uptake remains low, and assertions about the potential of SI to increase women's control over contraceptive use lack evidence. We sought to qualitatively explore how women with diverse contraceptive experiences—including those with and without experience using SI—view the benefits and …
Analyzing fast and slow
Much of the methodological literature on rapid qualitative analysis describes processes used by a relatively small number of researchers focusing on one study site and using rapid analysis to replace a traditional analytical approach. In this paper, we describe the experiences of a transnational research consortium integrating both rapid and traditional qualitative analysis approaches to develop social theory while also informing program design. …
Validation and Predictive Utility of a Person‐Centered Quality of Contraceptive Counseling (QCC‐10) Scale in Sub‐Saharan Africa
The lack of validated, cross‐cultural measures for examining quality of contraceptive counseling compromises progress toward improved services. We tested the validity and reliability of the 10‐item Quality of Contraceptive Counseling scale (QCC‐10) and its association with continued protection from unintended pregnancy and person‐centered outcomes using longitudinal data from women aged 15–49 in Burkina Faso, Kenya, and Nigeria. Psychometric anal…
Preference‐Aligned Fertility Management as a Person‐Centered Alternative to Contraceptive Use‐Focused Measures
Equating contraceptive use with programmatic success is fundamentally flawed in failing to account for whether individuals desire contraceptive use; this is problematic because nonuse can reflect empowered decision‐making and use may reflect an individual's inability to refuse or discontinue a method. A rights‐based approach demands respect for individuals’ freedom to weigh options and choose how their desire for pregnancy prevention can be accom…
Development and Validation of the Client‐Reported Quality of Contraceptive Counseling Scale to Measure Quality and Fulfillment of Rights in Family Planning Programs
We developed the Quality of Contraceptive Counseling (QCC) Scale to improve measurement of client experiences with providers in the era of rights‐based service delivery. We generated scale items drawing on the previously published QCC Framework and qualitative research on women's preferences for counseling in Mexico, and refined them through cognitive interviews (n = 29) in two Mexican states. The item pool was reduced from 35 to 22 items after p…
Evaluation of a Training for Health and Social Service Providers on Abortion Referral-Making
Purpose Engaging trusted care providers and empowering them with information and skills about abortion is a critical opportunity to improve coordination of care for women seeking abortion, if and when these services are needed. Description Provide, a nonprofit that works in partnership with health and social service providers to build a health system that is equipped to respond to women's health care needs around abortion, launched a referrals tr…
Proposed Title X Regulatory Changes
These people who dig roots in the forests cannot treat HIV’
Relatively few empirical investigations of the intersection of HIV biomedical and traditional medicine have been undertaken. As part of preliminary work for a longitudinal study investigating health-seeking behaviours among newly diagnosed individuals living with HIV, we conducted semi-structured interviews with 24 urban South Africans presenting for HIV testing or newly enrolled in HIV care; here we explored participants' views on African tradit…
Knowledge of Abortion Laws and Services Among Low-Income Women in Three United States Cities
Military Sexual Trauma Among US Servicewomen During Deployment
Objectives. We explored qualitatively US servicewomen’s experiences with and perceptions of military sexual trauma (MST), reporting, and related services. Methods. From May 2011 to January 2012, we conducted 22 telephone interviews with US servicewomen deployed overseas between 2002 and 2011. We analyzed data thematically with modified grounded theory methods. Results. Factors identified as contributing to MST included deployment dynamics, milita…
Willingness of Clinicians to Integrate Microbicides into HIV Prevention Practices in Southern Africa
Self-induction of abortion among women in the United States
Recent media coverage and case reports have highlighted women's attempts to end their pregnancies by self-inducing abortions in the United States. This study explored women's motivations for attempting self-induction of abortion. We surveyed women in clinic waiting rooms in Boston, San Francisco, New York, and a city in Texas to identify women who had attempted self-induction. We conducted 30 in-depth interviews and inductively analyzed the data.…
Playground hazards in Atlanta child care centers
We identified 684 playground hazards in 66 child care centers despite regulations mandating that the grounds be hazard-free. Of 21 centers with less than or equal to 5 hazards, 42.9 percent reported a playground-related injury in the previous year; of 25 centers with 6-11 hazards, 52.0 percent reported a playground-related injury; and of 20 centers with greater than or equal to 12 hazards, 60.0 percent reported a playground-related injury. Climbi…
Preference‐Aligned Fertility Management as a Person‐Centered Alternative to Contraceptive Use‐Focused Measures
Equating contraceptive use with programmatic success is fundamentally flawed in failing to account for whether individuals desire contraceptive use; this is problematic because nonuse can reflect empowered decision‐making and use may reflect an individual's inability to refuse or discontinue a method. A rights‐based approach demands respect for individuals’ freedom to weigh options and choose how their desire for pregnancy prevention can be accom…
Self-induction of abortion among women in the United States
Recent media coverage and case reports have highlighted women's attempts to end their pregnancies by self-inducing abortions in the United States. This study explored women's motivations for attempting self-induction of abortion. We surveyed women in clinic waiting rooms in Boston, San Francisco, New York, and a city in Texas to identify women who had attempted self-induction. We conducted 30 in-depth interviews and inductively analyzed the data.…
Playground hazards in Atlanta child care centers
We identified 684 playground hazards in 66 child care centers despite regulations mandating that the grounds be hazard-free. Of 21 centers with less than or equal to 5 hazards, 42.9 percent reported a playground-related injury in the previous year; of 25 centers with 6-11 hazards, 52.0 percent reported a playground-related injury; and of 20 centers with greater than or equal to 12 hazards, 60.0 percent reported a playground-related injury. Climbi…
Development and Validation of the Client‐Reported Quality of Contraceptive Counseling Scale to Measure Quality and Fulfillment of Rights in Family Planning Programs
We developed the Quality of Contraceptive Counseling (QCC) Scale to improve measurement of client experiences with providers in the era of rights‐based service delivery. We generated scale items drawing on the previously published QCC Framework and qualitative research on women's preferences for counseling in Mexico, and refined them through cognitive interviews (n = 29) in two Mexican states. The item pool was reduced from 35 to 22 items after p…
Validation and Predictive Utility of a Person‐Centered Quality of Contraceptive Counseling (QCC‐10) Scale in Sub‐Saharan Africa
The lack of validated, cross‐cultural measures for examining quality of contraceptive counseling compromises progress toward improved services. We tested the validity and reliability of the 10‐item Quality of Contraceptive Counseling scale (QCC‐10) and its association with continued protection from unintended pregnancy and person‐centered outcomes using longitudinal data from women aged 15–49 in Burkina Faso, Kenya, and Nigeria. Psychometric anal…
Military Sexual Trauma Among US Servicewomen During Deployment
Objectives. We explored qualitatively US servicewomen’s experiences with and perceptions of military sexual trauma (MST), reporting, and related services. Methods. From May 2011 to January 2012, we conducted 22 telephone interviews with US servicewomen deployed overseas between 2002 and 2011. We analyzed data thematically with modified grounded theory methods. Results. Factors identified as contributing to MST included deployment dynamics, milita…
Person‐Centered Measurement
Despite growing enthusiasm for measurement approaches that capture individuals’ needs, values, and preferences, there remains a lack of conceptual clarity regarding person‐centered measurement in the global field of contraception. In this commentary, we propose a working definition of person‐centered measurement within the contraceptive field and describe how this definition can be applied to existing and novel contraceptive indicators. We argue …
Analyzing fast and slow
Much of the methodological literature on rapid qualitative analysis describes processes used by a relatively small number of researchers focusing on one study site and using rapid analysis to replace a traditional analytical approach. In this paper, we describe the experiences of a transnational research consortium integrating both rapid and traditional qualitative analysis approaches to develop social theory while also informing program design. …
Playground hazards in Atlanta child care centers
We identified 684 playground hazards in 66 child care centers despite regulations mandating that the grounds be hazard-free. Of 21 centers with less than or equal to 5 hazards, 42.9 percent reported a playground-related injury in the previous year; of 25 centers with 6-11 hazards, 52.0 percent reported a playground-related injury; and of 20 centers with greater than or equal to 12 hazards, 60.0 percent reported a playground-related injury. Climbi…
Self-induction of abortion among women in the United States
Recent media coverage and case reports have highlighted women's attempts to end their pregnancies by self-inducing abortions in the United States. This study explored women's motivations for attempting self-induction of abortion. We surveyed women in clinic waiting rooms in Boston, San Francisco, New York, and a city in Texas to identify women who had attempted self-induction. We conducted 30 in-depth interviews and inductively analyzed the data.…
Willingness of Clinicians to Integrate Microbicides into HIV Prevention Practices in Southern Africa
Knowledge of Abortion Laws and Services Among Low-Income Women in Three United States Cities
Military Sexual Trauma Among US Servicewomen During Deployment
Objectives. We explored qualitatively US servicewomen’s experiences with and perceptions of military sexual trauma (MST), reporting, and related services. Methods. From May 2011 to January 2012, we conducted 22 telephone interviews with US servicewomen deployed overseas between 2002 and 2011. We analyzed data thematically with modified grounded theory methods. Results. Factors identified as contributing to MST included deployment dynamics, milita…
These people who dig roots in the forests cannot treat HIV’
Relatively few empirical investigations of the intersection of HIV biomedical and traditional medicine have been undertaken. As part of preliminary work for a longitudinal study investigating health-seeking behaviours among newly diagnosed individuals living with HIV, we conducted semi-structured interviews with 24 urban South Africans presenting for HIV testing or newly enrolled in HIV care; here we explored participants' views on African tradit…
Evaluation of a Training for Health and Social Service Providers on Abortion Referral-Making
Purpose Engaging trusted care providers and empowering them with information and skills about abortion is a critical opportunity to improve coordination of care for women seeking abortion, if and when these services are needed. Description Provide, a nonprofit that works in partnership with health and social service providers to build a health system that is equipped to respond to women's health care needs around abortion, launched a referrals tr…
Proposed Title X Regulatory Changes
Development and Validation of the Client‐Reported Quality of Contraceptive Counseling Scale to Measure Quality and Fulfillment of Rights in Family Planning Programs
We developed the Quality of Contraceptive Counseling (QCC) Scale to improve measurement of client experiences with providers in the era of rights‐based service delivery. We generated scale items drawing on the previously published QCC Framework and qualitative research on women's preferences for counseling in Mexico, and refined them through cognitive interviews (n = 29) in two Mexican states. The item pool was reduced from 35 to 22 items after p…
Analyzing fast and slow
Much of the methodological literature on rapid qualitative analysis describes processes used by a relatively small number of researchers focusing on one study site and using rapid analysis to replace a traditional analytical approach. In this paper, we describe the experiences of a transnational research consortium integrating both rapid and traditional qualitative analysis approaches to develop social theory while also informing program design. …
Validation and Predictive Utility of a Person‐Centered Quality of Contraceptive Counseling (QCC‐10) Scale in Sub‐Saharan Africa
The lack of validated, cross‐cultural measures for examining quality of contraceptive counseling compromises progress toward improved services. We tested the validity and reliability of the 10‐item Quality of Contraceptive Counseling scale (QCC‐10) and its association with continued protection from unintended pregnancy and person‐centered outcomes using longitudinal data from women aged 15–49 in Burkina Faso, Kenya, and Nigeria. Psychometric anal…
Preference‐Aligned Fertility Management as a Person‐Centered Alternative to Contraceptive Use‐Focused Measures
Equating contraceptive use with programmatic success is fundamentally flawed in failing to account for whether individuals desire contraceptive use; this is problematic because nonuse can reflect empowered decision‐making and use may reflect an individual's inability to refuse or discontinue a method. A rights‐based approach demands respect for individuals’ freedom to weigh options and choose how their desire for pregnancy prevention can be accom…
Women's Perspectives on the Unique Benefits and Challenges of Self‐Injectable Contraception
Implementing self‐injection (SI) of subcutaneous depot‐medroxyprogesterone acetate (DMPA‐SC) is a key self‐care strategy for sexual and reproductive health, but SI uptake remains low, and assertions about the potential of SI to increase women's control over contraceptive use lack evidence. We sought to qualitatively explore how women with diverse contraceptive experiences—including those with and without experience using SI—view the benefits and …
An in-depth interview study of women's perspectives on the effects of contraceptive use on future fertility in Ethiopia and Kenya
Infertility is a common perceived side effect of contraceptive use among women in sub-Saharan Africa, and fear of infertility can affect contraceptive choices. While no choice is inherently negative, it is critical that women have accurate information about side effects to ensure contraceptive decision-making agency. Despite the prevalence of infertility fears, little is known about women's specific beliefs, where they originate, and how they inf…
Opening the black box of agency in contraceptive decision-making
Influence of social networks on women’s contraceptive decision-making and action
Our study highlights how different types of social support from partners, relatives, and peers can either bolster or undermine women's agency in making contraceptive decisions. Informational support from relatives and peers can boost women's certainty in their intentions, while emotional support from partners boosts their confidence to act on these intentions. Multipronged approaches targeting these networks are necessary to promote women's agenc…
Development and Validation of the Agency in Contraceptive Decisions Scale in Uganda and Nigeria
To fill a gap in measures of empowered contraceptive decision‐making, we developed the Agency in Contraceptive Decisions Scale in Uganda and Nigeria. We developed an item pool drawing on the previously published Contraceptive Agency framework. We refined items through cognitive interviews ( N = 80) and expert feedback and piloted a reduced item pool via surveys ( N = 3002). Exploratory factor analysis using a random half of the sample suggested a…
Person‐Centered Measurement
Despite growing enthusiasm for measurement approaches that capture individuals’ needs, values, and preferences, there remains a lack of conceptual clarity regarding person‐centered measurement in the global field of contraception. In this commentary, we propose a working definition of person‐centered measurement within the contraceptive field and describe how this definition can be applied to existing and novel contraceptive indicators. We argue …
Análisis de narrativas del personal prestador de servicios anticonceptivos en México
O objetivo deste artigo foi identificar os relatos sobre autonomia reprodutiva e coerção contraceptiva de prestadores de serviços de planejamento familiar e contracepção, da equipe administrativa e dos criadores/operadores de políticas públicas em saúde reprodutiva a partir do referencial teórico da qualidade em assessoramento contraceptivo. Se trata de um estudo exploratório transversal, de natureza qualitativa. Realizamos 25 entrevistas semiest…
It's a reality that we in medicine should catch up with
Medicine (15 obras) · Political science (11 obras) · Reproductive Health and Contraception (10 obras) · Global Maternal and Child Health (8 obras) · Environmental health (7 obras) · Family medicine (7 obras) · Population (7 obras) · Sociology (7 obras) · Psychology (6 obras) · Reproductive Health and Technologies (6 obras)