Now Offering: One Key Question Online!

November 2020 Update: Using One Key Question in a primary care setting increases patient satisfaction, according to a recent article published in Contraception.

People of reproductive age are often asked a standard screening question by their providers: Are you pregnant today, yes or no?

Many patients are asked this question by multiple providers in multiple settings. And it’s likely just one of many other questions they’re asked about their sexual and reproductive health, partners, and practices.

Patients, however, have something different in mind when it comes to pregnancy desire.

Patients want health care providers to ask them about their own goals and desires, then offer them the services they deserve based on their responses. Asking patients about their own goals and desires reflects the simple truth that many patients are ambivalent about pregnancy. A simple yes or no response to pregnancy desire does not reflect the reality of many patients’ lives.  

Meeting patients where they are and recognizing that some want to get pregnant, some do not, and some are ambivalent, led to the creation of One Key Question^®. This pregnancy desire screening tool helps health care and social service providers start a conversation with patients about if, when, and under what circumstances they want to get pregnant and have a child. 

By asking “Would you like to become pregnant in the next year?” and allowing patients to answer one of four ways—yes, no, unsure, or ok either way—One Key Question captures the nuanced and personalized nature of family planning desires. Importantly, One Key Question is not simply a question, but an entire tool designed to revolutionize health care. 

Over the years, thousands of providers in over 30 states have used it to better understand their patients and address maternal and child health disparities from a preventative lens. Since its inception, we have certified providers on how to use the tool through day-long, in-person trainings. 

Power to Decide is excited to announce that One Key Question training and certification is now available online!

The One Key Question Certification Training takes 4-6 hours to complete and can be taken at any time, from any location. It covers topics such as reproductive well-being, unconscious bias in family planning, and how to implement this program at clinical and non-clinical sites. Ultimately, the training helps providers adopt a new, patient-centered approach for discussing family planning with their clients. 

Once certified, providers are eligible to take a supplemental 1-2 hour training called Preconception and Contraception Pathways to Care. This training builds on the One Key Question Certification Training by diving deeper into patient-centered counseling, teaching providers how to center patients’ desires as the conversation continues. Based on each patient’s response, providers are trained on how to offer follow-up counseling in a non-judgmental and unbiased way and how to build individual pathways to care, whether directly or through referrals. 

Both trainings are interactive and use videos, case studies, reflections, and activities to engage with the content. Clinical and non-clinical providers learn how to ask patients and clients about their pregnancy desires and respond with the type of care they deserve. 

Join thousands of trained providers by registering today.