Client participation and provider communication in family planning counselling and the sample study from Turkey

Kirimlioğlu, Nurdan; Elçioğlu, Ömür; Yıldız, Zeki

doi:10.1080/13625180500131360

Cited by 10 publications

(8 citation statements)

References 19 publications

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“…Our finding of a lack of provider involvement in or facilitation of decision making in the majority of family planning visits is similar to findings in the developing world [15][16][17][18] and is consistent with research on the philosophy of counseling in family planning programs, which emphasizes an autonomous model of decision making because of the personal nature of the reproductive health context. 19,28,35 While we were not able to determine the intentions of the providers in our sample, both the informed choice and the foreclosed models may be motivated by a desire to prioritize patient autonomy in the decision-making process.…”

Section: Discussionsupporting

confidence: 89%

“…14 Research that has directly documented the contraceptive counseling dynamic has been largely limited to studies in the developing world, and these studies have found that family planning counseling sessions are often dominated by the provider. [15][16][17][18] Even when the patient is the one ultimately making the decision about which method to use, there is often minimal provider engagement with patients to determine their preferences and concerns about methods and how these issues relate to available options. 19,20 Given the increasing recognition of the value of patient-centered care, in which there is a focus on patients' preferences and experiences, 21 interventions to enhance patient-provider engagement during contraceptive decision making could improve the counseling experience, which may positively influence contraceptive use.…”

mentioning

confidence: 99%

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A qualitative analysis of approaches to contraceptive counseling

Dehlendorf¹,

Kimport²,

Levy³

et al. 2014

Contraception

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Section: Discussionsupporting

confidence: 89%

mentioning

confidence: 99%

A qualitative analysis of approaches to contraceptive counseling

Dehlendorf¹,

Kimport²,

Levy³

et al. 2014

Contraception

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“…Qualitative studies of U.S. women's counseling experiences have found that women often report being dissatisfied with the counseling they receive, and that many are concerned that providers do not fully disclose the potential side effects of methods . Research that has directly documented the contraceptive counseling dynamic has been largely limited to studies in the developing world, and these studies have found that family planning counseling sessions are often dominated by the provider . Even when the patient is the one ultimately making the decision about which method to use, there is often minimal provider engagement with patients to determine their preferences and concerns about methods and how these issues relate to available options …”

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

A Qualitative Analysis of Approaches To Contraceptive Counseling

Dehlendorf

Kimport²,

Levy³

et al. 2014

Perspect Sexual Reproductive

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CONTEXT-Underuse and inconsistent use of contraceptives contribute to the continued high rate of unintended pregnancy in the United States. High-quality interaction between patient and provider about contraception is associated with improved contraceptive use, yet little is known about how providers support patients in the decision-making process.METHODS-A random sample of 50 family planning visits by patients in the San Francisco Bay Area was selected from a larger sample of 342 audio-recorded visits to six clinics between 2009 and 2012. In qualitative analysis guided by grounded theory techniques, transcripts were assessed to determine counseling approaches and patterns in the use of these approaches.RESULTS-Providers employed three counseling approaches: foreclosed (in 48% of visits), characterized by discussion of few contraceptive methods and method selection by the patient with no involvement from the provider; informed choice (30%), characterized by detailed description of multiple methods, but little or no interaction between the patient and the provider; and shared decision making (22%), characterized by the provider's interactive and responsive participation with the patient in method selection. Use of these approaches varied by patient's age: Women 25 or younger experienced the foreclosed approach more often than those in the two other agegroups, and patients older than 35 were far more likely than their younger counterparts to experience the shared decision-making approach.CONCLUSIONS-Most visits did not include interactive engagement between the patient and the provider. Contraceptive counseling interventions should encourage providers to responsively engage with patients of all ages to better meet their contraceptive needs.The high rate of unintended pregnancy in the United States 1 places a heavy burden on women, society and the health care system. 2 One factor contributing to this high rate is the underuse and inconsistent use of contraceptives. Not only do 11% of women at risk of unintended pregnancy not use any contraceptive method, 3 but 25% of women using a reversible method rely on condoms, a method with relatively low efficacy. 4 In addition, female contraceptive users report high rates of discontinuation and incorrect use of their chosen method. 5,6 Patient-provider communication during family planning visits is one influence on women's contraceptive use. Health communication has been recognized as a marker of quality health care by the Institute of Medicine, 7 and has been found to be correlated with patient outcomes, including patient satisfaction and medication adherence, across a range of health HHS Public Access Author Manuscript Author ManuscriptAuthor ManuscriptAuthor Manuscript conditions. 8,9 In family planning care, patient assessment of the quality of interpersonal aspects of care has been linked to contraceptive use and continuation. [10][11][12] Despite this evidence of the importance of contraceptive counseling, little is known about what occurs during routine family...

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“…However, Mohammad Alizadeh et al (2008) have indicated employees' shyness in discussing family planning issues, particularly when speaking with men (9). Mohammad Alizadeh et al (2009) and Kirimlioglu et al (2005) in their studies about the family planning services have reported the silence and inactiveness of the clients in talking about their needs as a barrier in the consultation process (6, 14). In this study, most of managers and employees were agreeing on the clients’ lack of interest in participating in the process of family planning consultation.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Perspectives of Managers, Employees and Clients Regarding the Individual Barriers of Family Planning Counseling in Healthcare Centers of Isfahan in 2012

Taheri¹,

Ehsanpour²,

Kohan³

et al. 2014

Iran Red Crescent Med J

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Background:Family planning is a lifestyle that is selected voluntarily and is based on the knowledge, attitude and responsible decision making by couples in order to promote the health and welfare of the family and the advancement of the society. In this regard, family planning counseling plays an important role in making informed decisions if used properly and in a responsible way. Detection of individual barriers in family planning counseling based on the viewpoints of managers, employees and clients who are key participants in the healthcare service provision is a major step towards appropriate planning to modify or eliminate such barriers.Objectives:The present study was conducted with the goal of comparing managers’, employees’ and clients’ viewpoints about individual barriers in family planning counseling in health care centers in Isfahan in 2012.Patients and Methods:This was a cross-sectional one-step three-group comparative descriptive study conducted on 295 subjects including 59 managers, 110 employees and 126 clients in medical health care centers in Isfahan in 2012. The managers and employees were selected by census sampling, and the clients were recruited through convenient random sampling. The data collection tool was a researcher-designed questionnaire, which was designed in two sections of fertility and personal characteristics, and viewpoint measurement. Descriptive and inferential statistical tests were used to analyze the data.Results:The obtained results showed significant differences between mean scores of viewpoints in three groups of managers, employees and clients concerning individual barriers in family planning counseling. In addition, most of the managers, employees and clients reported individual barriers as an intermediate level barrier in the process of family planning counseling.Conclusions:Results indicate that subjects in three studied groups hold different views regarding the individual barriers in family planning counseling. This difference in the perspectives may be a factor that affects the quality of the provided services. Therefore, it is necessary for the healthcare providers to consider the main concerns of their clients regarding family planning.

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Client participation and provider communication in family planning counselling and the sample study from Turkey

Cited by 10 publications

References 19 publications

A qualitative analysis of approaches to contraceptive counseling

A qualitative analysis of approaches to contraceptive counseling

A Qualitative Analysis of Approaches To Contraceptive Counseling

Comparison of the Perspectives of Managers, Employees and Clients Regarding the Individual Barriers of Family Planning Counseling in Healthcare Centers of Isfahan in 2012

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