Prior Intention Research Articles

Patients' Perspectives on Emergency Department COVID-19 Vaccination and Vaccination Messaging Through Randomized Vignettes.

Objectives:Emergency departments (EDs) could play an important role in the COVID-19 pandemic response by reaching patients who would otherwise not seek vaccination in the community. Prior to expanding COVID-19 vaccination to the acute care setting, we assessed ED patients’ COVID-19 vaccine status, perspectives, and hypothetical receptivity to ED-based vaccination.Methods:From January 11 through March 31, 2021, we conducted a multisite (Albany Medical Center, Boston Medical Center, Buffalo General Hospital, University of Cincinnati Medical Center, and Upstate Medical Center), cross-sectional survey of ED patients, with embedded randomization for participants to receive 1 of 4 vignette vaccination messages (simple opt-in message, recommendation by the hospital, community-oriented message, and acknowledgment of vaccine hesitancy). Main outcomes included COVID-19 vaccination status, prior intention to be vaccinated, and receptivity to randomized hypothetical vignette messages.Results:Of 610 participants, 122 (20.0%) were vaccinated, 234 (38.4%) had prior intent to be vaccinated, 111 (18.2%) were unsure as to prior intent, and 143 (23.4%) had no prior intent to be vaccinated. Vaccine hesitancy (participants who were vaccine unsure or did not intend to receive the vaccine) was associated with the following: age <45 years, female, non-Hispanic Black, no primary health care, and no prior influenza vaccination. Overall, 364 of 565 (64.4%; 95% CI, 60.3%-68.4%) were willing to accept a hypothetical vaccination in the ED. Among participants with prior vaccine hesitancy, a simple opt-in message resulted in the highest acceptance rates to hypothetical vaccination (39.7%; 95% CI, 27.6%-52.8%).Conclusions:EDs have appropriate patient populations to initiate COVID-19 vaccination programs as a supplement to community efforts. A simple opt-in approach may offer the best messaging to reach vaccine-hesitant ED patients.

Economic Conditions as an Environmental Moderator of E-Purchase Intention

Purchasing through e-commerce continues to expand rapidly and is expected to reach $18.89 trillion by 2027. After two decades of e-commerce research, little is known about the effects of economic conditions (developed vs. developing). We synthesize prior e-purchase intention literature from multiple business disciplines (e.g., information systems, marketing) through a meta-analysis and use economic condition as an environmental moderator to explore this gap. We discuss the consolidated effects of the antecedents of e-purchase intention and explore research trends. We reveal that trust is the most studied antecedent, economic conditions of countries moderate some of the antecedents, and that this important research stream continues to evolve.

Perceptual alignment contributes to referential transparency in indirect learning

Young children can sometimes acquire new word meanings—even for property terms—through incidental learning (e.g. Carey & Bartlett, 1978). We propose that an important support for this process is spontaneous perceptual comparison processes that lead children to notice key commonalities and differences. Specifically, we hypothesize that when the target property appears as a difference between two highly similar and alignable objects, spontaneous comparison processes operate to highlight the property. The property may then be linked to an accompanying word, even if the child has no prior intention to learn the word. To test this, we revisited the Carey and Bartlett paradigm, varying the perceptual alignability of the objects that 3- and 4-year-olds saw while hearing a novel color word, chromium. In Experiments 1 and 2, children in the High Alignment condition were able to identify chromium objects in a subsequent task, whereas those in the Low Alignment condition were not. Experiment 3 showed that direct instructions to learn the word led to a different pattern of results. Experiment 4 showed that the incidental learning persisted over delay and transferred to new objects. We conclude that perceptual alignment contributes to referential transparency and to incidental learning of word meanings. Implications for hypothesis-testing theories of word learning are discussed.

Unsettledness and the intentionality of practical decisions

ABSTRACT Say that a ‘practical decision’ is a momentary intentional mental action of intention formation. According to what I’ll call the ‘Decisional Prior Intention Thesis’ (‘DPIT’), each practical decision is intentional at least partly in virtue of the representational content of some previously acquired intention. DPIT is entailed by the following widely endorsed thesis that I’ll call the ‘General Prior Intention Thesis’ (‘GPIT’): each intentional action is intentional at least partly in virtue of the representational content of some previously acquired intention. Alfred Mele argues that a certain kind of case impugns DPIT. I defend DPIT from Mele’s argument by showing that his focal case is impossible. I then develop a new argument for an important portion of DPIT – viz., the thesis that, necessarily, if at t you decide to A, then just before t you have an intention whose representational content enables it to play an intentionality-grounding role relative to an act of deciding to A. The defense of DPIT and argument for the indicated portion of it jointly foreground and shed new light on the phenomenon of practical unsettledness – i.e. the felt unsettledness about what to do that precedes a practical decision.

Looking ahead: Caregivers’ COVID-19 vaccination intention for children 5 years old and younger using the health belief model

COVID-19 vaccine hesitancy is a significant public health issue. While vaccines are not yet available for children, clinical trials are underway, and children will likely be an important factor in the U.S. reaching herd immunity. However, little research has been conducted to examine parents’ intention to vaccinate their young children for COVID-19. MethodAn online survey with a national U.S. sample of 682 primary caregivers of children under age six assessed variables associated with intention to accept the COVID-19 vaccine for their children from November 13, 2020, to December 8, 2020. ResultsCaregivers whose child received a recent influenza vaccine, as well as those with previous experience COVID-19, were more likely to express COVID-19 vaccination intention for their young child. Identifying as female was associated with lower COVID-19 vaccination intention, while identifying as Hispanic or Latino was associated with higher intention. Health Belief Model variables of perceived severity of COVID-19 for their child, as well as vaccine confidence, were positive predictors of COVID-19 vaccine intention and mediated the relationship between prior behavior, demographic variables, and intention. ConclusionsThe findings highlight the importance of early, proactive COVID-19 vaccination education efforts directed at caregivers, including those with young children. Vaccines for young children will likely become a necessary part of ending the pandemic’s impact in school settings. Operationally, COVID-19 vaccination may also become a part of childhood vaccination schedules. Understanding the beliefs and intentions of caregivers of young children before vaccinations are recommended for children will enable public health officials and medical practitioners to prepare in advance.

Conservation behavior over time: Examining a Midwestern farmer sample

Conservation practices are heavily promoted in agriculture, yet adoption rates remain low and relatively stagnant. We conducted a panel study of reported farmer subsurface placement and cover crop adoption in the Western Lake Erie Basin to assess (1) if reported adoption is changing over time, and (2) what is driving this change. Our results indicate that similar numbers of farmers are adding (~12%) and discontinuing use of (~14%) these practices. We find no evidence that prior intention increases the likelihood of future practice use, suggesting that intentions do not necessarily translate into behavior. We also examined self-efficacy (i.e., perceived control) and response efficacy (i.e., beliefs about practice effectiveness) but find limited evidence that these are changing over time and increasing adoption. The results suggest that increases in critical conservation practice adoption is not occurring, potentially because farmer efficacy, which might build stronger intentions and lead to change over time, is not increasing.

Attracting prospective STEM teachers using realistic job previews: a mixed methods study

ABSTRACT The purpose of this article is to report the development and implementation of a STEM teacher attraction intervention based on person-environment (and person-vocation) fit theory. Study 1 reports the administration of an 'realistic job preview' (RJP) intervention requiring participant responses, followed by experienced teacher feedback and a tailored fit message to 111 university students in STEM-related fields. Results showed a significant relationship between RJP performance and interest in a teaching career, even after controlling for prior career intentions. Study 2 reports the results from individual interviews with 14 university students studying STEM-related subjects on the factors contributing to career-decision making, especially regarding teaching as a career. The 16 codes were distilled into three themes: the role of personal reflection, critical influences on career decisions, and patterns of change. We conclude with suggestions for implementation of RJPs as a supplement to current attraction and recruitment approaches.

Still want to be a doctor? Medical student dropout in the era of COVID-19

This research examines the intention of undergraduate medical students to withdraw from the medical profession and pursue a career in a different field upon graduation during COVID-19. We leverage the first and most comprehensive nationwide survey for medical education in China, which covered 98,668 enrolled undergraduate students from 90 out of 181 Chinese medical schools in 2020. We focus on these students’ self-reported intention to leave the healthcare industry (the “dropout intention”) before and after the outbreak of the epidemic. We also designed a randomized experiment to test whether and to what extent medical students dropout intention responded to an information nudge that highlighted the prosociality of health professionals in the fight against the virus. Results from a difference-in-differences model and a student fixed effect model suggest that after the onset of COVID-19, the proportion of Chinese undergraduate medical students with a dropout intention declined from 13.7% to 6.8%. Furthermore, the nudge information reduced the intent-to-drop-out probability by 0.8 additional percentage points for students in their early college years. There was large heterogeneity underneath the treatment effect. Specifically, we find that prior dropout intention and exposures to COVID-19-related information tended to mitigate the nudge effects. Data on students’ actual dropout outcomes support our findings.

From COVID-19 Vaccination Intention to Actual Vaccine Uptake: A Longitudinal Study Among Chinese Adults After Six Months of a National Vaccination Campaign

ABSTRACT Background Mass COVID-19 vaccination campaigns have been launched globally, but the translation from vaccination intention to actual vaccine uptake by the public remains unknown, hindering the evaluation of present promotion strategies. Methods Six months after the national vaccination campaign in China, a longitudinal study was conducted among the Chinese adult population, whose vaccination intention has been previously surveyed, to examine the vaccine uptake, the relationship between intention and actual vaccination, and factors associated with actual vaccination behaviors with multiplelogistic models. Results Among the total 1047 participants, 81.8% (834/936) of those who had a prior COVID-19 vaccination intention before the campaign actually received the vaccine, while 61.3% (68/111) of those without a prior intention got vaccinated. Having a prior vaccination intention, believing in vaccine safety and receiving frequent recommendations from community sources were significant predictors of vaccine uptake, while the shortage of vaccine supply would reduce the likelihood of getting vaccinated. Conclusions Promotion interventions for vaccination intentions need to be launched well before the availability of the vaccine. Sustaining vaccination attitudes and intentions, reducing barriers (e.g. vaccine safety concerns, accessibility, affordability) and shaping vaccination behavior would be effective in closing the intention-action gap and motivating vaccine uptake.

AGAINST THE DISTINCTION BETWEEN INTENTIONS FOR THE FUTURE AND INTENTIONS FOR THE PRESENT

AbstractHow should we account for the planning and performance of a bodily action in terms of the agent’s intentions? An influential answer invokes two distinct kinds of intention: intentions for the future (also known as prior intentions or distal intentions), responsible for action planning, and intentions for the present (also known as intentions in action or proximal intentions), responsible for action performance. I argue that there is something wrong with this influential answer: the notion of intention for the present is either superfluous (because intentions for the future can exercise functions associated both with action planning and with action performance) or ambiguous (because it conflates temporal, functional, and content-related aspects). Developing this criticism will lead to an alternative account of action planning and performance based on intentions of just one kind.

S828 IBD Patients’ COVID-19 Vaccine Intention Is Positively Associated With Annual Influenza Vaccination

Introduction: Despite significant breakthroughs in addressing the COVID-19 public health crisis, global vaccine hesitancy persists. As influenza is another acute respiratory illness with historically severe mortality and morbidity rates, we sought to investigate attitudes towards both influenza and COVID-19 vaccines. In order to inform interventions in vaccine acceptance, our study aimed to assess the relationship between prior annual influenza vaccine receipt and COVID-19 vaccine intention among our IBD patient population. Methods: A retrospective chart review of electronic medical records was conducted of all IBD patients seen from 1/1/2016 to 1/31/2021 by gastroenterologists at an urban university medical center. Patient gender, age, race, IBD subtype, and treatment regimen were obtained. Phone-based surveys were conducted to determine patients’ perceptions of and intention to receive a COVID vaccine, and history of receiving an annual flu vaccine. Patients were excluded if they were unable to be contacted or there was missing demographic data. A confidential database was created using Microsoft Excel. Fischer exact tests were used with statistical significance set at p< 0.05. This study was approved by the university IRB. Results: 218 of 458 (47.6%) medical records were reviewed. 195 (89.5%) patients had already received at least one COVID vaccine dose (n=37) or planned to be vaccinated once made available (n=158). 82.1% of the patients stated they receive the influenza vaccine annually. Patients receiving annual flu vaccines were significantly more likely to have received or planned to receive COVID-19 vaccination as compared to patients not planning to be vaccinated (p< 0.001; OR: 8.3 [3.3, 21.6]). Otherwise, there were no statistically significant differences in vaccine intention or receipt based on patient race, gender, IBD subtype, or biologic use. Conclusion: Our findings of increased willingness to be vaccinated against COVID-19 in patients who regularly seek the influenza vaccine, and the converse, are consistent with existing literature. These patterns in vaccination behavior highlight the importance of learning from prior disease response models to promote COVID-19 vaccine uptake. It is encouraging that existing disparities in COVID-19 vaccine acceptance may resolve over time as they have with the influenza vaccine through targeted health education interventions.

Determinants of Social Entrepreneurial Intention of Sri Lankan Entrepreneurs (An Evidence from Current Entrepreneurs of Ratnapura District)

Today the whole world is embraced by harsh problems than ever in the history of mankind. People are suffering due to many kinds of social and environmental issues; climate changes, environmental pollution, natural disasters, diseases, poverty, crime, corruption, economic crises etc. Mankind has to provide innovative and sustainable solutions since they are the root causes to occur such as disasters to the world. To solve these harsh problems, social entrepreneurs have a big role to play. They are the change agents who combine change and innovations and they should possess the behavioural intention to start social enterprises. However, as per the preliminary findings, Sri Lankan entrepreneurs do not intend to start social enterprises or convert their existing businesses into social enterprises. Accordingly, the current study was dedicated to investigating the impact of the determinants on low social entrepreneurial intention (SEI) of Sri Lankan entrepreneurs which was proved by the preliminary findings. Further, the study investigated the significance of SEI in Sri Lanka. The study was conducted as a quantitative study and the deductive approach was used. Mair and Noboa’s model (2006) adopted by Hockerts (2015) was used with five latent constructs; prior Experience with social problems/social organizations, social entrepreneurial self-efficacy, empathy, moral obligation and perceived presence of social support. Out of 1,800 Registered entrepreneurs in Ratnapura District to the date, 317 entrepreneurs were selected as the sample based on Krejcie and Morgan (1970) table. Convenience sampling technique was deployed, and data collection was done through a questionnaire survey. Structural equation modelling was performed to analyse the variable interested with the assistance of AMOS 16 and SPSS 21. Social entrepreneurial self-efficacy and moral obligation were not validated and analysis was done by using the rest of the three variables. Analysis results indicated that the empathy, prior experience and perceived presence of social support have a direct positive impact towards SEI. Empathy and perceived presence of social support are the partial mediators of the model which significantly affect the relationship exist between prior experience and social entrepreneurial intention. Hence, it is concluded that both the partial mediators create mechanisms for prior experience to impact the SEI rather than individual impacts.&#x0D; Keywords: Social Entrepreneurial Intention, Empathy, Prior Experience and Perceived Presence of Social Support

Cross-sectional survey of surrogate decision-making in Japanese medical practice

BackgroundInstances of surrogate decision-making are expected to increase with the rise in hospitalised older adults in Japan. Few large-scale studies have comprehensively examined the entire surrogate decision-making process. This study aimed to gather information to assess the current state of surrogate decision-making in Japan.MethodsA cross-sectional survey was conducted using online questionnaires. A total of 1000 surrogate decision-makers responded to the questionnaire. We examined the characteristics of surrogate decision-makers and patients, content of surrogate decision-making meeting regarding life-sustaining treatment between the doctors and surrogate decision-makers, extent of involvement of the various parties in the surrogate decision-making process, judgement grounds for surrogate decision-making, and frequency of involvement in the surrogate decision-making process.ResultsOf the participants, 70.5% were male and 48.3% were eldest sons. Only 7.6% of the patients had left a written record of their preferences and 48.8% of the surrogates reported no knowledge of the patient having expressed their prior intentions regarding medical care in any form. Respondents indicated that their family meetings with healthcare professionals mostly included the information recommended by guidelines in a surrogate decision-making meeting in Japan. Most participants reported a good understanding of the meeting content. Although many participants based their decisions on multiple grounds, surrogates’ considerations may not adequately reflect respect for patient autonomy in Japan. Specifically, the eldest son considered his own preference more frequently than that of the other surrogate decision-makers. In 26.1% of the cases, either zero or one family meeting with healthcare professionals was held. In these cases, significantly fewer decisions involved the participation of healthcare professionals other than the doctor compared to cases with multiple meetings.ConclusionsSurrogate decisions in Japan are most commonly made by eldest sons and may not frequently consider the perspectives of other surrogates. The finding that patient preferences were rarely known suggests a role for increased advance care planning.

Sustained, Multifaceted Improvements in Mental Well-Being Following Psychedelic Experiences in a Prospective Opportunity Sample.

In the last 15 years, psychedelic substances, such as LSD and psilocybin, have regained legitimacy in clinical research. In the general population as well as across various psychiatric populations, mental well-being has been found to significantly improve after a psychedelic experience. Mental well-being has large socioeconomic relevance, but it is a complex, multifaceted construct. In this naturalistic observational study, a comprehensive approach was taken to assessing well-being before and after a taking a psychedelic compound to induce a “psychedelic experience.” Fourteen measures of well-being related constructs were included in order to examine the breadth and specificity of change in well-being. This change was then analysed to examine clusters of measures changing together. Survey data was collected from volunteers that intended to take a psychedelic. Four key time points were analysed: 1 week before and 2 weeks, 4 weeks, and 2 years after the experience (N = 654, N = 315, N = 212, and N = 64, respectively). Change on the included measures was found to cluster into three factors which we labelled: 1) “Being well”, 2) “Staying well,” and 3) “Spirituality.” Repeated Measures Multivariate Analysis of Variance revealed all but the spirituality factor to be improved in the weeks following the psychedelic experience. Additional Mixed model analyses revealed selective increases in Being Well and Staying Well (but not Spirituality) that remained statistically significant up to 2 years post-experience, albeit with high attrition rates. Post-hoc examination suggested that attrition was not due to differential acute experiences or mental-health changes in those who dropped out vs. those who did not. These findings suggest that psychedelics can have a broad, robust and sustained positive impact on mental well-being in those that have a prior intention to use a psychedelic compound. Public policy implications are discussed.

The Activity of Reasoning: How Reasoning Can Constitute Epistemic Agency

AbstractWe naturally see ourselves as capable of being active with respect to the matter of what we believe – as capable of epistemic agency. A natural view is that we can exercise such agency by engaging in reasoning. Sceptics contend that such a view cannot be maintained in light of the fact that reasoning involves judgements, which are not decided upon or the products of prior intentions. In response, I argue that reasoning in fact can amount to epistemic agency in virtue of its being aim‐directed in a way that cannot be reconciled with the sceptics' conception of it.

Which disadvantaged students study medicine? Analysis of an English outreach scheme.

BackgroundStudents from disadvantaged backgrounds continue to be underrepresented in medical education. Widening participation (WP) or outreach schemes seek to increase diversity. Drawing on previously unexplored data from a scheme called Realising Opportunities in England, this study aimed to investigate which high‐achieving socioeconomically disadvantaged students in a national WP scheme went on to study medicine at university.MethodsThis retrospective longitudinal study analyzed data of 2665 16‐year‐olds on a WP scheme in England between 2010 and 2014. Descriptive statistics and logistic regression analyses investigated any differences between those that went on to study medicine and those that did not. Eligibility for studying medicine, student's neighborhood, gender, ethnicity, parent's higher education experience, exam attainment, interest in medicine, and their subject of choice for university at age 16 were considered.ResultsOf the 1850 students who were tracked to a university destination, only 55 (3%) studied medicine. Participants with high exam results, female, Asian, and from neighborhoods of higher university entry were most likely to study medicine. In the multivariate model, only prior attainment and intention to study medicine predicted studying medicine. Three hundred and forty Realising Opportunities participants expressed interest in studying medicine at age 16, but 80 (24%) were found to have unrealistic aspirations based on their prior academic attainment.ConclusionsAttainment and intention were key factors for predicting medicine enrolment among these outreach scheme participants. Some students interested in studying medicine had insufficient academic attainment to compete for medical school places. Efforts to equalize attainment and provide guidance for career choice are crucial factors for students from disadvantaged backgrounds.

Exploring Computational Thinking Skills Training Through Augmented Reality and AIoT Learning.

Given the widespread acceptance of computational thinking (CT) in educational systems around the world, primary and higher education has begun thinking about how to cultivate students' CT competences. The artificial intelligence of things (AIoT) combines artificial intelligence (AI) and the Internet of things (IoT) and involves integrating sensing technologies at the lowest level with relevant algorithms in order to solve real-world problems. Thus, it has now become a popular technological application for CT training. In this study, a novel AIoT learning with Augmented Reality (AR) technology was proposed and explored the effect of CT skills. The students used AR applications to understand AIoT applications in practice, attempted the placement of different AR sensors in actual scenarios, and further generalized and designed algorithms. Based on the results of the experimental course, we explored the influence of prior knowledge and usage intention on students' CT competence training. The results show that proposed AIoT learning can increase students' learning intention and that they had a positive impact on problem solving and comprehension with AR technology, as well as application planning and design.

Factors associated with medical students' interest in remote and very remote practice in Australia: A national study.

ObjectiveTo investigate the factors that are associated with medical student interest in remote and very remote practice in Australia.DesignAggregated data of an annual cross‐sectional survey from 2013 to 2017.SettingAustralia.ParticipantsMedical students from 17 medical schools, at the point of finishing one year of clinical training in a rural or remote location in Australia.Main outcome measuresIntention for working in a remote or very remote location as a doctor.ResultsResponses were analysed from 3328 medical students. From this cohort, 37.6%, 54.0% and 7.0% of students reported future career intent in capital or major cities; regional Australia; and remote or very remote Australia respectively. Multivariable analysis indicated students interested in remote and very remote practice compared to those interested in regional practice were more likely to be from a rural background, have prior generalist intentions, felt as though their rural clinical school (RCS) experience increased interest in remote and very remote practice, and had higher rural practice self‐efficacy. Odds ratios were larger for these factors when students interested in remote or very remote practice were compared with students interested in practicing in capital or major cities.ConclusionsRural background, prior generalist intentions, rural practice self‐efficacy and the overall influence of the RCS experience are associated with interest in remote and very remote practice.

Trembling Meaning: Camera Instability and Gilbert Simondon's Transduction in Czech Archival Film

Many experimental found footage films base their meanings and effects on an interaction between the figurative content of the image and its material-technological underpinnings. Can this interaction arise accidentally without artistic appropriation? A recently digitised film by the Czech cinema pioneer Jan Kříženecký, Opening Ceremony of the Čech Bridge (1908), presents such an exercise in accidental aesthetics. At one point, the horizontal and vertical trembling of the cinematograph – obtained from the Lumière brothers – translates into a trembling of the figures on the bridge so precisely that the figurative and material spheres appear to cooperate towards a common aesthetic goal. To account for such phenomena, film theory, found footage filmmaking, and archival practice need to join forces with philosophy. More specifically, Gilbert Simondon's notion of transduction, a process based on the intersection of diverse realities within a domain, allows us to conceptualise the paradoxical interaction between the figurative and material dimensions and the unintentional meanings that arise out of it. Transduction enables the distribution of elements between these heterogeneous spheres while maintaining a certain stability within a system. In the case of archival films in which transduction occurs without prior intention or expectation, transduction can be foregrounded and prolonged. The connection between transduction and the “trembling meaning” of Opening Ceremony, understood within the wider context of camera instability in experimental found footage, will uncover the aesthetic potentialities held by the autonomous creativity of film matter and its interferences with the figurative content.

The Role of Health Care Providers in Young Women's Attitudes about and Willingness to Use Emergency Contraceptive Pills.

Emergency contraceptive pills (ECPs) are an underused resource among adolescent and young adult women who have unprotected sex. This analysis examines young women's attitudes about and willingness to use ECPs, with particular attention to their experiences with health care providers. Sexually active young women (ages 15-25, assigned female at birth, N=212) completed a self-administered survey at 10 family planning clinics in the San Francisco Bay Area. Participants reported attitudes about ECP effectiveness, safety, effect on sex drive, and whether it should not be taken often, and their willingness to use ECPs in the next 3months. The predictors of interest were past and current contraceptive experiences with health care providers. Data were analyzed through descriptive statistics and multivariable logistic regression analyses controlling for sociodemographic characteristics, prior contraceptive use, pregnancy history, and pregnancy intentions. Most young women agreed that ECPs are effective at preventing pregnancy (75%) and safe to use (71%); few reported that they reduce sex drive (11%). Yet, the majority (62%) believed ECPs should not be taken often and only 35% reported willingness to use ECPs. In multivariable analyses, more positive health care experiences were associated with more positive attitudes about ECP safety, less concern that ECPs should not be taken often, and greater willingness to use ECPs (p<.05). Health care providers play an important role in the acceptance and provision of ECPs, especially for young women who prefer ECPs over other contraceptive methods. In particular, providers can use the contraceptive visit as an opportunity to destigmatize repeat ECP use.