Women's preferences for contraceptive counseling and decision making

Dehlendorf, Christine; Levy, Karmit; Kelley, Allison; Grumbach, Kevin; Steinauer, Jody

doi:10.1016/j.contraception.2012.10.012

Cited by 239 publications

(235 citation statements)

References 34 publications

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“…The patient-reported Interpersonal Quality in Family Planning care (IQFP) scale was developed for this study using a review of domains related to patientcentered care included in patientreported quality measures, 9-14 previous qualitative work on women's preferences for contraceptive counseling, 15 and factor analysis. Originally, 17 items were included in the postvisit survey encompassing all identified domains related to patient-centered care.…”

Section: Methodsmentioning

confidence: 99%

Association of the quality of interpersonal care during family planning counseling with contraceptive use

Dehlendorf¹,

Henderson

Vittinghoff³

et al. 2016

American Journal of Obstetrics and Gynecology

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164

149

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BACKGROUND: Health communication and interpersonal skills are increasingly emphasized in the measurement of health care quality, yet there is limited research on the association of interpersonal care with health outcomes. As approximately 50% of pregnancies in the United States are unintended, whether interpersonal communication influences contraceptive use is of public health importance. OBJECTIVE: The aim of this study was to determine whether the quality of interpersonal care during contraceptive counseling is associated with contraceptive use over time.The PatienteProvider Communication about Contraception study is a prospective cohort study of 348 English-speaking women seen for contraceptive care, conducted between 2009 and 2012 in the San Francisco Bay Area. Quality of communication was assessed using a patient-reported interpersonal quality in family planning care measure based on the dimensions of patient-centered care. In addition, the clinical visit was audio recorded and its content coded according to the validated Four Habits Coding Scheme to assess interpersonal communication behaviors of clinicians. The outcome measures were 6-month continuation of the selected contraceptive method and use of a highly or moderately effective method at 6 months. Results were analyzed using mixed effect logistic regression models controlling for patient demographics, the clinic and the provider at which the visit occurred, and the method selected.

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Section: Methodsmentioning

confidence: 99%

Association of the quality of interpersonal care during family planning counseling with contraceptive use

Dehlendorf¹,

Henderson

Vittinghoff³

et al. 2016

American Journal of Obstetrics and Gynecology

Self Cite

164

149

View full text Add to dashboard Cite

show abstract

“…Receiving such reactions to their actions and wishes can lead to changes in their expectations of further counselling. Previous studies (Dehlendorf et al 2013;Donnelly et al 2014;Jaccard and Levitz 2013) have taken note of the problematic situation women are put in when they do not view their caregivers as accommodating, and, as the present study has shown, there may be many negative consequences. It could, for example, lead to an experience of being unable to make a meaningful choice, and, thus, result in the choice of not returning for further consultations.…”

Section: Discussionmentioning

confidence: 82%

“…International research (e.g., Dehlendorf et al 2017), as well as midwife advisory literature (Kaplan 2009), also emphasises that caregivers should provide opportunities to discuss the client's requests, and enable the establishment of trust in the caregiver. Several studies further point to a connection between women's consistency of use and how they perceived the counselling given (Dehlendorf et al 2013;Donnelly et al 2014;Sköld and Larsson 2012). Caregivers could, in other words, have a very large influence on the contraceptive choice made, as well as the consistency of contraceptive use.…”

Section: Introductionmentioning

confidence: 99%

“…However, as Dehlendorf et al (2013) note, few have studied what women value in these consultations, how the caregiver presents his or her recommendations, and how this can influence women's choice to start, continue, end, or change their contraceptive method. Belfield (2009) further emphasises the importance of the context in which the choice is made: How is the information given, perceived, and understood?…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

‘You Will Have These Ones!’: Six Women’s Experiences of Being Pressured to Make a Contraceptive Choice That Did Not Feel Right

2017

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This study aims to contribute to an understanding of women's experiences of contraceptive counselling, and of being pressured to make a contraceptive choice that did not feel right. Six women in Sweden participated in semi-structured interviews, which were analysed through interpretative phenomenological analysis. The results were organised into three themes: (1) The normalisation process, i.e., the ways in which the women experienced using the contraceptive were being promoted as a natural part of womanhood; (2) Drawing the shortest straw, i.e., the women's experiences of encountering insensitive caregivers; and (3) Feeling like a guinea pig, i.e., the women's sense of not being allowed to control the situation and make their own choices. In conclusion, the experience of not being respected in the healthcare system could lead to consequences not only for women's sense of self-efficacy with regard to contraceptives, but also for their willingness to engage in renewed counselling. The caregivers' communicative skills are, therefore, of prime importance.

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“…On one hand, as contraceptive counseling addresses profoundly personal issues related to sexuality and fertility, it has been suggested that there is value to intimacy in the provider-patient relationship, which would support the value of PSD [12,13]. Additionally, PSD might strengthen the legitimacy of information given by the provider, as studies have found that patients value information obtained through personal experiences of contraception [12,14,15]. On the other hand, the concern remains that PSD may be perceived as, or in fact be, inappropriate or even coercive [16].…”

Section: Introductionmentioning

confidence: 99%

Provider self-disclosure during contraceptive counseling

Evans

Chan²,

Dehlendorf³

2013

Contraception

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Objective(s)-Provider self-disclosure (PSD) -defined as providers making statements regarding personal information to patients -has not been well-characterized in the context of contraceptive counseling. In this study we describe the incidence, content and context of contraceptive PSD.Study Design-This mixed methods analysis used data from the Provider-Patient Contraceptive Counseling study, for which 349 family planning patients were recruited from 2009 to 2012 from six clinics in the San Francisco Bay Area. Audio-recordings from their visits were analyzed for the presence or absence of PSD, and those visits with evidence of PSD were analyzed using qualitative methods. The associations of patient and provider demographics and patient satisfaction measures, obtained from survey data, with PSD were analyzed using bivariable and multivariable analyses.Results-37% of providers showed evidence of PSD during at least one visit, and PSD occurred in 9% of clinic visits. 54% of PSD statements were about intrauterine devices. About half of PSD statements occurred prior to the final selection of the contraceptive method and appeared to influence the choice of method. In post-visit surveys, all patients who reported receiving PSD considered it to be appropriate, and patient-reported PSD was not statistically associated with measures of patient satisfaction. Conclusion(s)-This study provides some support for the appropriateness of PSD during family planning encounters, at least as practiced during the sampled visits. Further research could explore whether this counseling strategy has an impact on patients' ability to identify the best contraceptive methods for them.

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Women's preferences for contraceptive counseling and decision making

Cited by 239 publications

References 34 publications

Association of the quality of interpersonal care during family planning counseling with contraceptive use

Association of the quality of interpersonal care during family planning counseling with contraceptive use

‘You Will Have These Ones!’: Six Women’s Experiences of Being Pressured to Make a Contraceptive Choice That Did Not Feel Right

Provider self-disclosure during contraceptive counseling

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