Effects of technology-based contraceptive decision aids: a systematic review and meta-analysis

Evaluating the Acceptability and Feasibility of a Sexual Health–Focused Contraceptive Decision Aid for Diverse Young Adults: User-Centered Usability Study

“…Some results in this study mapped to results of recent systematic reviews; one that quantified the effects of the use of technology-based contraceptive decision aids and another that evaluated decision aids used in obstetrics and gynecology more broadly [ 13 , 14 ]. Both systematic reviews reported higher decision self-efficacy scores and lower decisional conflict scores for decision-aid users) and high acceptability ratings but mixed results for changes in knowledge.…”

“…It should be noted that our web-based decision aid is designed for diverse populations mapped to these exact findings. Decision aids with a computer or web-based modality and tools that were tailored for underrepresented groups also showed positive effects on contraceptive use and decision self-efficacy [ 13 ], 2 outcomes that should be measured with future iterations of the tool. Our preliminary data on decisional conflict also shows promise for an effect on decisional quality.…”

“…More specifically, technology-based decision aids provide patients with an accessible tool to use at their own time and pace, outside of the clinical environment. Patients who use decision aids appear to increase contraceptive use, knowledge, and contraceptive satisfaction while reducing decisional conflict [ 13 , 14 ]. What is missing from the current decision aid landscape is one that (1) is intentionally built to be inclusive for underserved populations (ie, racial or ethnic and gender nonbinary people), groups who experience worse reproductive health outcomes than their White or heterosexual counterparts [ 11 , 15 , 16 ], and (2) integrates sexual health data into the electronic health record for use at current and future health care visits.…”

Male or female sterilization - the decision making process: Counselling and regret

“…A study regarding a decision aid for vasectomy showed that both a complete decision aid and a condensed decision aid (only containing information on the procedure, effectiveness, side-effects and irreversibility) improved men's knowledge of vasectomy, raised their certainty about undergoing the procedure and decreased their decisional conflict [27]. Furthermore, a systematic review regarding the effects of decision aids on contraceptive use, found that decision aid users had higher knowledge and self-efficacy scores compared to a control group [28]. These studies show that both men and women benefit from the use of a decision aid when making a decision about contraception and sterilization.…”

Tuuned In: Use of an Online Decision Aid Increases Women’s Reproductive Self-Efficacy and Knowledge; Results of an Experimental Clinical Trial

“…Given the important role of contraceptive knowledge in choosing the right kind of contraception and reducing unintended pregnancy rates [9,10], one treatment area in which decision aids are becoming increasingly common is in the area of contraceptive counseling and family planning [11]. Many contraceptive prescriptions are written by PCPs, including family practice physicians [12,13], whose ability to stay informed about the hundreds of contraceptive options currently available on the market can be precluded by their need to provide treatment and counseling to a wide variety of patients with a wide variety of health concerns.…”