Choosing and Using Contraceptives: Integrating Qualitative and Quantitative Research Methods in Family Planning

Cooper, Philip; Diamond, Ian; High, Sue

doi:10.1177/147078539303500403

Cited by 8 publications

(7 citation statements)

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“…Our patients are encouraged to accept vaginal misoprostol due to its increased effectiveness but occasionally women still opt for oral administration. 7 In conclusion, the numbers in this initial study are small but the results suggest that an increased flexibility in the timing of mifepristone and misoprostol administration contributes to the acceptability of the procedure without decreasing its efficiency. We have shown that flexible regimens can be used successfully in a local service catering for all women presenting for medical TOP up to 84 days' gestation.…”

Section: Discussionmentioning

confidence: 77%

“…Some of our findings concur with those of others, for example, that information leaflets are optimally used together with other forms of communication; 12,13 and that a common complaint among young people is that health professionals frequently underestimate patients' desire for and ability to cope with information 4 and assume too much existing knowledge about contraception. 7 The diversity in individual information needs poses a challenge for health professionals. Striking the correct balance in the amount of information given to young people, correctly assessing individual information needs and tailoring the style, content and level of information to the client is a difficult task.…”

Section: Discussionmentioning

confidence: 99%

“…6 Yet research has shown them to be critical of the amount and quality of information about contraceptive methods received from providers. 7 There is agreement that young people need better information on the range of contraceptives available, 8,9 more advice about the effectiveness and potential side effects of particular methods, and clear instructions about method use. Less is known on how information should be presented.…”

Section: Introductionmentioning

confidence: 99%

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Providing information for young people in sexual health clinics: getting it right

Kane

Macdowall²,

Wellings³

2003

j fam plann reprod health care

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No women in the 24-hour group, two women in the 48-hour group and seven in the 72-hour group aborted prior to the misoprostol. Only three women in total required surgical evacuation. No women required blood transfusion and there were no admissions for overt pelvic inflammatory disease following the procedures. Women who started hormonal contraception immediately after the procedure did not experience more bleeding problems.A small number of women did not present for follow up but all local antenatal and gynaecological care is carried out in our unit and it is most unlikely that major problems occurred of which we were unaware. The follow-up period extended for several months after completion of the study and no late complications were identified. The overall incidence of problems was very low. DiscussionOur study supports the findings of Schaff et al. 4 that a more flexible regimen of mifepristone/misoprostol administration is very effective for medical TOP. In the 72-hour group, more women aborted following mifepristone alone and there was a tendency to require fewer subsequent doses of misoprostol.At all gestations the administration of a second dose of misoprostol if abortion has not already occurred after 4 hours helps to ensure that termination occurs completely. This practice has recently been confirmed in a study by Ashok et al. 6 In our study there was a low requirement for surgical evacuation for incomplete procedures and a very small number of continuing pregnancies. This makes these regimens appropriate for use in all women up to 84 days' gestational age.Approximately 30% of women with pregnancies with a gestational age of 70-83 days required further doses of misoprostol to effect abortion. If the women are prepared for the possibility of a lengthier procedure, the subsequent complete abortion rate is also very good. Initially when our unit commenced performing the terminations at 70-83 days' gestation women were allowed home at 1600 hours even if abortion had not occurred. Two pregnancies (Table 2) remained viable at review and subsequent management was more difficult because of the increased gestational age. It was therefore decided to change the discharge policy in these later gestations to ensure that products of conception were identified prior to the woman going home. This does not seem necessary for gestations up to 69 days as most terminations complete at home even if not completed in hospital.The failure rate in the 24-hour group appears higher than the other two groups but is still within acceptable limits. The two women with ongoing pregnancies in the £ 69 days' gestation group received oral misoprostol. Our patients are encouraged to accept vaginal misoprostol due to its increased effectiveness but occasionally women still opt for oral administration. 7In conclusion, the numbers in this initial study are small but the results suggest that an increased flexibility in the timing of mifepristone and misoprostol administration contributes to the acceptability of the procedure without decreasin...

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Providing information for young people in sexual health clinics: getting it right

Kane

Macdowall²,

Wellings³

2003

j fam plann reprod health care

View full text Add to dashboard Cite

show abstract

“…With this group, activities were not required to keep them focused; however when participants' identi ed a speci c relationship theme or issue, such as dealing with con ict, an activity was implemented to provide avenues for more open discussion on the topic. In this way, we provided participants the opportunity to set the agenda and to focus on the topic that was important for gaining access into their worlds (Cooper, Diamond, & High, 1993). Keeping participants' agenda in mind, we used an activity called "Your con ict strategies" (Johnson & Johnson, 1997) to help participants' gain greater awareness of their con ict strategies.…”

Section: Sonya's Groupmentioning

confidence: 99%

Data Collection Strategies for Accessing Adolescent Women's Worlds

Banister

Tate

Wright

et al. 2002

Health Care for Women International

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A two-year study was initiated in 1999 to investigate adolescent women's health concerns pertaining to their relationships. Data were obtained from four groups of girls (ages 14-19; N = 31) that met for approximately 18 weeks each. To help equalize power in the groups and facilitate a respectful and caring environment, we encouraged each group to use a variety of strategies, including those based on feminist principles. Data collection procedures based on feminist values can enable researchers to gain rich descriptions on the lived experience of adolescent women. Such procedures can help create an environment in which individuals can articulate their concerns and collectively co-construct the meanings of life events in health-promoting and consciousness-raising ways.

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“…Reduced researcher control gives focus group participants much greater opportunity to set the research agenda, and to 'develop the themes most important to them' (Cooper, Diamond, & High, 1993). These may diverge from those identified by the researcher and participants may challenge, or even undermine, the researcher, insisting on their own interpretations and agendas being heard in place of the formal requirements of the research project.…”

Section: Enabling Participants To Follow Their Own Agendasmentioning

confidence: 99%

Focus Groups in Health Research

1998

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Focus group method is becoming increasingly popular among qualitative researchers. After introducing focus group method and briefly overviewing its use in health research, this article shows that the distinctive (and under-used) feature of focus group method is its generation of interactive data. Illustrating my argument with examples from healthrelated focus group research (including my own data on breast cancer), I argue that this feature makes focus groups an ideal method for gaining access to research participants' own meanings. Interactive data result in enhanced disclosure, improved access to participants' own language and concepts, better understanding of participants' own agendas, the production of more elaborated accounts, and the opportunity to observe the co-construction of meaning in action. Focus groups are, then, an ideal method for exploring people's own meanings and understandings of health and illness.

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Choosing and Using Contraceptives: Integrating Qualitative and Quantitative Research Methods in Family Planning

Cited by 8 publications

References 0 publications

Providing information for young people in sexual health clinics: getting it right

Providing information for young people in sexual health clinics: getting it right

Data Collection Strategies for Accessing Adolescent Women's Worlds

Focus Groups in Health Research

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