Summary of findings 2. Enhanced counseling versus standard care.

Enhanced counseling + provider training compared with standard care for improving contraceptive use
Patient or population: young women with need for contraception Settings: clinic Intervention: special counseling Comparison: standard care
Outcomes	Relative effect (95% CI)a	Participants (study)	Quality of the evidence (GRADE)	Interventions and population
Use of effective contraceptive method at 6 months	Reported adjusted OR 2.03 (1.04 to 3.98)	2336 (16 sites) (Zhu 2009)	⊕⊕⊝⊝ low	Comprehensive service package vs standard package; to age 25 requesting abortion; cluster (site) RCT
Condom use at 6 months: consistent; correct; consistent and correct	Reported adjusted ORs: 2.32 (1.55 to 3.46); 2.78 (1.81 to 4.26); 5 .68 (3.39 to 9.53)	2336 (16 sites) (Zhu 2009)	⊕⊕⊝⊝ low	Comprehensive service package vs standard package; to age 25 requesting abortion; cluster (site) RCT
Effective user of contraception at 1 year	OR 48.38 (5.96 to 392.63)	78 (Marcy 1983)	⊕⊝⊝⊝ very low	Developmental counseling vs standard counseling; 13 to 18 years old
CI: confidence interval; OR: odds ratio; RCT: randomized controlled trial
GRADE Working Group grades of evidence High quality: Further research is very unlikely to change our confidence in the estimate of effect. Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate. Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate. Very low quality: We are very uncertain about the estimate.

^aSignificant differences between study arms for primary outcomes in this review