Kelsey Holt, ScD, MA
Assistant Professor, Department of Family & Community Medicine
Dr. Holt is a social and behavioral scientist with training in anthropology and public health. She is a faculty member within the Person-Centered Reproductive Health Program. Dr. Holt’s research focuses on two main themes:
- documenting individuals’ preferences for and experiences with reproductive health care, and improving quantitative measurement of patient experience; and
- identifying evidence-based approaches to improving reproductive health care services that take into account individual, interpersonal, health system, and policy related factors.
Dr. Holt and colleagues developed and validated the client-reported Quality of Contraceptive Counseling (QCC) Scale in Mexico as a tool for ensuring quality and fulfilment of human rights in family planning services. The QCC Scale is now being adapted for India and Ethiopia, based on their qualitative research on women’s preferences for counseling in those settings, and the India and Ethiopia versions will soon be validated. Dr. Holt also conducts quantitative and qualitative research with health care providers. Most recently, she and her colleagues conducted a nationally representative survey of primary care physicians in the United States about their training, practices, and opinions related to abortion provision, pregnancy options counseling, abortion referral-making, and contraceptive care. Dr. Holt is also involved in work in the United States to improve access to patient-centered contraceptive care.
Areas of interest:
- Patient experience measures
- Patient-centered reproductive health care
- Quality improvement
Education:
- Harvard T.H. Chan School of Public Health, Doctorate in Social and Behavioral Sciences
- University of Colorado at Denver, Master’s in Medical Anthropology
- Northwestern University, Bachelor’s in Biological Anthropology
In the news:
- The dangerous rise of the IUD as poverty cure (op-ed) | New York Times
- Scientists suggest fertility control as a way to combat climate change. Now that's alarming (op-ed) | Los Angeles Times
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Development of the Patient-Centered Contraceptive Counseling scale (PCCC), a short form of the Interpersonal Quality of Family Planning Care scale. Contraception. 2021 Jan 25. Dehlendorf C, Fox E, Silverstein IA, Hoffman A, Pérez MPC, Holt K, Reed R, Hessler D. PMID: 33508252.
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Homelessness, housing instability, and abortion outcomes at an urban abortion clinic in the United States. Am J Obstet Gynecol. 2020 12; 223(6):892.e1-892.e12. Orlando MS, Vable AM, Holt K, Wingo E, Newmann S, Shapiro BJ, Borne D, Drey EA, Seidman D. PMID: 32640198.
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Breaking the silence in the primary care office: patients' attitudes toward discussing abortion during contraceptive counseling. Contracept X. 2020; 2:100029. Dianat S, Silverstein IA, Holt K, Steinauer J, Dehlendorf C. PMID: 32671336.View in: PubMed Mentions:
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Factors associated with positive user experience with primary healthcare providers in Mexico: a multilevel modelling approach using national cross-sectional data. BMJ Open. 2020 01 14; 10(1):e029818. Holt K, Doubova SV, Lee D, Perez-Cuevas R, Leslie HH. PMID: 31941761.
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Beyond same-day long-acting reversible contraceptive access: a person-centered framework for advancing high-quality, equitable contraceptive care. Am J Obstet Gynecol. 2020 04; 222(4S):S878.e1-S878.e6. Holt K, Reed R, Crear-Perry J, Scott C, Wulf S, Dehlendorf C. PMID: 31809706.
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Cluster Randomized Trial of a Patient-Centered Contraceptive Decision Support Tool, My Birth Control. Obstetrical & Gynecological Survey. 2019 Oct 1; 74(10):599-600. Christine Dehlendorf, Judith Fitzpatrick, Edith Fox, Kelsey Holt, Eric Vittinghoff, Reiley Reed, Maria Paula Campora, Abby Sokoloff, Miriam Kuppermann. .View in: Publisher Site Mentions:
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Patient-provider communication before and after implementation of the contraceptive decision support tool My Birth Control. Patient Educ Couns. 2020 02; 103(2):315-320. Holt K, Kimport K, Kuppermann M, Fitzpatrick J, Steinauer J, Dehlendorf C. PMID: 31537316.
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Development and Validation of the Client-Reported Quality of Contraceptive Counseling Scale to Measure Quality and Fulfillment of Rights in Family Planning Programs. Stud Fam Plann. 2019 06; 50(2):137-158. Holt K, Zavala I, Quintero X, Hessler D, Langer A. PMID: 31120147.
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Cluster randomized trial of a patient-centered contraceptive decision support tool, My Birth Control. Am J Obstet Gynecol. 2019 06; 220(6):565.e1-565.e12. Dehlendorf C, Fitzpatrick J, Fox E, Holt K, Vittinghoff E, Reed R, Campora MP, Sokoloff A, Kuppermann M. PMID: 30763545.
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Women's preferences for contraceptive counseling in Mexico: Results from a focus group study. Reprod Health. 2018 Jul 16; 15(1):128. Holt K, Zavala I, Quintero X, Mendoza D, McCormick MC, Dehlendorf C, Lieberman E, Langer A. PMID: 30012157.
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'These people who dig roots in the forests cannot treat HIV': Women and men in Durban, South Africa, reflect on traditional medicine and antiretroviral drugs. Glob Public Health. 2018 Jan; 13(1):115-127. PMID: 28793809.
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Pregnancy Options Counseling and Abortion Referrals Among US Primary Care Physicians: Results From a National Survey. Fam Med. 2017 Jul; 49(7):527-536. Holt K, Janiak E, McCormick MC, Lieberman E, Dehlendorf C, Kajeepeta S, Caglia JM, Langer A. PMID: 28724150.
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Defining quality in contraceptive counseling to improve measurement of individuals' experiences and enable service delivery improvement. Contraception. 2017 09; 96(3):133-137. PMID: 28645786.
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A call for collaboration on respectful, person-centered health care in family planning and maternal health. Reprod Health. 2017 Feb 02; 14(1):20. PMID: 28153027.
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Predictors of pregnancy options counseling and abortion referrals or dissuasion among United States primary care physicians: results from a national survey. Contraception. 2016 Oct 1; 94(4):393-394. K Holt, E Janiak, MC McCormick, E Lieberman, C Dehlendorf, S Kajeepeta, JM Caglia, A Langer. .View in: Publisher Site Mentions:
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Knowledge of Abortion Laws and Services Among Low-Income Women in Three United States Cities. J Immigr Minor Health. 2015 Dec; 17(6):1811-8. PMID: 25488893.
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Accessing Sexual and Reproductive Health Information and Services: A Mixed Methods Study of Young Women's Needs and Experiences in Soweto, South Africa. Afr J Reprod Health. 2015 Mar; 19(1):73-81. PMID: 26103697.
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Reproductive health access among deployed U.S. servicewomen: a qualitative study. Mil Med. 2014 Jun; 179(6):645-52. PMID: 24902132.
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Military sexual trauma among US servicewomen during deployment: a qualitative study. Am J Public Health. 2014 Feb; 104(2):345-9. PMID: 24328617.
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Military sexual trauma among U.S. servicewomen during deployment: a qualitative study. Contraception. 2013 Sep 1; 88(3):468-469. B. Burns, K. Grindlay, K. Holt, R. Manski, D. Grossman. .View in: Publisher Site Mentions:
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A nationally representative survey of healthcare provider counselling and provision of the female condom in South Africa and Zimbabwe. BMJ Open. 2013 Mar 18; 3(3). PMID: 23512836.
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Willingness of clinicians to integrate microbicides into HIV prevention practices in southern Africa. AIDS Behav. 2012 Oct; 16(7):1821-9. PMID: 22210482.
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O057 EVALUATION OF A HARM-REDUCTION MODEL OF SERVICE DELIVERY FOR WOMEN WITH UNINTENDED PREGNANCIES IN PERU. International Journal of Gynecology & Obstetrics. 2012 Oct 1; 119:s281-s281. D. Andjelic, K. Holt, D. Grossman, C. Tatum. .View in: Publisher Site Mentions:
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Assessment of service availability and health care workers' opinions about young women's sexual and reproductive health in Soweto, South Africa. Afr J Reprod Health. 2012 Jun; 16(2):283-93. PMID: 22916560.
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Unintended pregnancy and contraceptive use among women in the U.S. military: a systematic literature review. Mil Med. 2011 Sep; 176(9):1056-64. PMID: 21987966.
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Contraception access and use among US military women deployed overseas. Contraception. 2011 Sep 1; 84(3):329. K. Grindlay, K. Holt, D. Grossman. .View in: Publisher Site Mentions:
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Impact of learning HIV status on contraceptive use in the MIRA trial. J Fam Plann Reprod Health Care. 2011 Oct; 37(4):204-8. PMID: 21746799.
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Self-induction of abortion among women in the United States. Reprod Health Matters. 2010 Nov; 18(36):136-46. Grossman D, Holt K, Peña M, Lara D, Veatch M, Córdova D, Gold M, Winikoff B, Blanchard K. PMID: 21111358.
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Barriers to hospital births: why do many Bolivian women give birth at home? Rev Panam Salud Publica. 2008 Jul; 24(1):46-53. PMID: 18764994.