Peer counselling for the promotion of long-acting, reversible contraception among teens: a randomised, controlled trial

Wilson, Susan F.; Degaiffier, Nathalie; Ratcliffe, Sarah J.; Schreiber, Courtney A.

doi:10.1080/13625187.2016.1214698

Cited by 12 publications

(8 citation statements)

References 23 publications

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“…The results show that adolescents who received peer counselling were 24% more likely to accept a modern contraceptive method compared to those who received routine counselling. These findings are in line with previous work on peer counselling in Turkey which reported an increase in use of contraceptive services by 37.5% [ 23 ] but in contradiction to results from a trial conducted in the US which reported no significant association between peer counselling and same-day desire for LARC [ 22 ]. the latter trial looked at acceptance of LARCs only whereas our study looked at acceptance of any modern contraceptive which could explain differences in results.…”

Section: Discussionsupporting

confidence: 80%

“…WHO advocates for contraceptive counselling as one of the main interventions to prevent adolescent pregnancy thereby increasing contraceptive knowledge, dispelling misconceptions and dealing with fear of side effects [ 21 ]. A number of studies aiming to increase uptake of contraception among adolescents, both in low and high income settings have focused on peer education/counselling [ 22 – 25 ]. Existing evidence on child development shows that peers become of great significance while adults lose some of their significance in adolescent years [ 26 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, the hypothesis of peers in contraceptive counselling is that it should have a positive effect on contraceptive uptake and use. However, previous studies have shown conflicting results [ 22 – 25 ]. The aim of this study was to determine the effect of peer counselling, compared to routine counselling, on same day acceptance of modern contraceptives among female refugee adolescents in northern Uganda.…”

Section: Introductionmentioning

confidence: 99%

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Effect of peer counselling on acceptance of modern contraceptives among female refugee adolescents in northern Uganda: A randomised controlled trial

et al. 2021

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Background The unmet need for contraceptives among refugee adolescents is high globally, leaving girls vulnerable to unintended pregnancies. Lack of knowledge and fear of side effects are the most reported reasons for non-use of contraceptives amongst refugee adolescents. Peer counselling, the use of trained adolescents to offer contraceptive counselling to fellow peers, has showed effectiveness in increasing use of contraceptives in non-refugee adolescent resarch. Objective To determine the effect of peer counselling on acceptance of modern contraceptives among female refugee adolescents in northern Uganda. Methods A randomised controlled trial carried out in Palabek refugee settlement in northern Uganda, May to July 2019. Adolescents were included if they were sexually active or in any form of union, wanted to delay child bearing, and were not using any contraceptives. A total of 588 consenting adolescents were randomised to either peer counselling or routine counselling, the standard of care. Results Adolescents who received peer counselling were more likely to accept a contraceptive method compared to those who received routine counselling (PR: 1·24, 95% CI: 1·03 to 1·50, p = 0·023). Adolescents whose partners had attained up to tertiary education were more likely to accept a method than those whose partners had secondary or less education (PR: 1·45, 95% CI: 1·02 to 2·06, p = 0·037). In both groups, the most frequently accepted methods were the injectable and implant, with the commonest reasons for non-acceptance of contraception being fear of side effects and partner prohibition. Conclusion Our data indicates that peer counselling has a positive effect on same day acceptance of modern contraceptives and should therefore be considered in future efforts to prevent adolescent pregnancies in refugee settings. Future peer counselling interventions should focus on how to effectively address adolescents’ fear of side effects and partner prohibition, as these factors continue to impede decision making for contraceptive uptake.

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effect of peer counselling on acceptance of modern contraceptives among female refugee adolescents in northern Uganda: A randomised controlled trial

et al. 2021

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“…The individual ability to receive complete and accurate information depends on their knowledge and experience, family members' influence, and social media's use to their geographic location (Wilson et al 2016). Peer counseling requires preparation and strategies to achieve maximum results.…”

Section: The Effectiveness Of Peer Counselingmentioning

confidence: 99%

“…This may be because peers have the same experience with the problem in very simple language and help make informed decisions (Ebrahimi et al 2021;McLeish & Redshaw 2017b). In addition, peer counseling is successful in influencing knowledge and positive attitudes about the effectiveness of contraceptive use among adolescents with abortion (Wilson et al, 2016). Mahat's research found that peer education can increase knowledge about HIV (Mahat & Scoloveno, 2010).…”

Section: The Effectiveness Of Peer Counselingmentioning

confidence: 99%

Parenting peer education on adolescent mothers

Rokhanawati

Salimo

Andayani

et al. 2022

ijhs

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The study aims to review the evidence related to the application of parenting peer education in several countries and to find out the effectiveness of parenting peer education for adolescent mothers. This study used Scoping Review-PRISMA-ScR on the Wiley Online Library, PubMed, Science Direct, and EBSCO databases. Articles that meet the inclusion and exclusion criteria were then subjected to a critical appraisal using the Joanna Briggs Institute tools. 12 articles were identified in this review. The results showed that there were four themes: partner support, family support, social support, and the effectiveness of peer education. Partner support could provide inner peace, while parents could advise during the transition period as parents. In addition, peer counseling could also be used as a strategy to assist women in becoming new roles as mothers. Peer counseling was able to increase the mother's trust due to similar experiences. They offered a unique empathic understanding, conveyed information in simple language, and were able to help in making the right decision. The support needed by adolescent mothers depends on the context of their relationships with others.

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Postpartum contraceptive counseling for first-time adolescent mothers: a randomized controlled trial

Frarey

Gurney

Sober

et al. 2018

Arch Gynecol Obstet

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Peer counselling for the promotion of long-acting, reversible contraception among teens: a randomised, controlled trial

Abstract: While brief, point-of-care peer counselling is well received, and can increase adolescent knowledge and positive attitude about our most effective contraceptive methods, barriers to same-day LARC placement limit immediate use.

Cited by 12 publications

References 23 publications

Effect of peer counselling on acceptance of modern contraceptives among female refugee adolescents in northern Uganda: A randomised controlled trial

Effect of peer counselling on acceptance of modern contraceptives among female refugee adolescents in northern Uganda: A randomised controlled trial

Parenting peer education on adolescent mothers

Postpartum contraceptive counseling for first-time adolescent mothers: a randomized controlled trial

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