Women’s values in contraceptive choice: a systematic review of relevant attributes included in decision aids

Wyatt, Kirk D; Anderson, Ryan T.; Creedon, Douglas J.; Montori, Víctor M.; Bachman, John W.; Erwin, Patricia J.; LeBlanc, Annie

doi:10.1186/1472-6874-14-28

Cited by 66 publications

(60 citation statements)

References 34 publications

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“…This patient-informed process is consistent with recommendations to include users in the development of decision aids to achieve a more patient-centered intervention. (38) The tool was enthusiastically received by patients and results from the pilot evaluation revealed trends towards better outcomes with use of the tool, including higher satisfaction with method choice and increased reports of any knowledge about LARC methods among women who had no previous knowledge. The increased knowledge about LARC methods among patients who used the tool was particularly encouraging given that we have designed the educational component of the intervention to be self-motivated, in that it does not automatically direct users to review all of the information provided for each method.…”

Section: Discussionmentioning

confidence: 99%

Development and field testing of a decision support tool to facilitate shared decision making in contraceptive counseling

Dehlendorf

Fitzpatrick

Steinauer

et al. 2017

Patient Education and Counseling

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Objective We developed and formatively evaluated a tablet-based decision support tool for use by women prior to a contraceptive counseling visit to help them engage in shared decision making regarding method selection. Methods Drawing upon formative work around women’s preferences for contraceptive counseling and conceptual understanding of health care decision making, we iteratively developed a storyboard and then digital prototypes, based on best practices for decision support tool development. Pilot testing using both quantitative and qualitative data and cognitive testing was conducted. We obtained feedback from patient and provider advisory groups throughout the development process. Results Ninety-six percent of women who used the tool in pilot testing reported that it helped them choose a method, and qualitative interviews indicated acceptability of the tool’s content and presentation. Compared to the control group, women who used the tool demonstrated trends toward increased likelihood of complete satisfaction with their method. Participant responses to cognitive testing were used in tool refinement. Conclusion Our decision support tool appears acceptable to women in the family planning setting. Practice implications Formative evaluation of the tool supports its utility among patients making contraceptive decisions, which can be further evaluated in a randomized controlled trial.

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Section: Discussionmentioning

confidence: 99%

Development and field testing of a decision support tool to facilitate shared decision making in contraceptive counseling

Dehlendorf

Fitzpatrick

Steinauer

et al. 2017

Patient Education and Counseling

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show abstract

“…However, these also, either explicitly or implicitly, privilege effectiveness over women's preferences for other method characteristics [55,56]. In addition, a systematic review of decision aids for contraceptive methods developed between 1985 and 2013 found that the contraceptive attributes important to women were inconsistently included in decision aids [57]. Overall, these findings indicate the importance of future decision aids to be informed by a patient-centered framework by including and prioritizing individual women's preferences in their choice of a contraceptive method.…”

Section: Interventions To Datementioning

confidence: 98%

Patient-Centered Contraceptive Counseling: Evidence to Inform Practice

Dehlendorf

Fox

Sobel

et al. 2016

Curr Obstet Gynecol Rep

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Patient centeredness is an increasingly recognized aspect of quality health care. The application of this framework to contraceptive counseling and care has not been well described. We propose a definition of patient-centered contraceptive counseling that focuses on and prioritizes each patient's individual needs and preferences regarding contraceptive methods and the counseling experience. Guided by this definition, we review recent research that has advanced our understanding of how patient-centered contraceptive counseling can be delivered in practice, focusing on how women decide on a contraceptive method, their preferences for counseling, and their experiences with counseling. This research provides evidence that women have diverse preferences around attributes of their contraceptive methods and value personal, supportive relationships with their family planning providers that focus on their individual preferences. We discuss the implications of this research for practice and review recent interventions that incorporate patient centeredness to varying degrees.

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“…2009; Wyatt et al. 2014). The major strands of evidence on factors that influence method choice fall into the following categories: information, availability, access, and affordability (Tsui and Ochoa 1992; Korachais et al.…”

Section: Introductionmentioning

confidence: 99%

Method‐Specific Attributes that Influence Choice of Future Contraception Among Married Women in Nairobi's Informal Settlements

Mumah¹,

Casterline²,

Machiyama³

et al. 2018

Studies in Family Planning

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Despite an extensive evidence base on contraceptive method choice, it remains uncertain which factors are most influential in predisposing women toward certain methods and against others. This paper addresses this gap in knowledge by making use of rarely‐measured perceptions about specific methods, perceived social network experience of methods, and women's own past experiences using specific methods. We draw on baseline data from the project, “Improving Measurement of Unintended Pregnancy and Unmet Need for Family Planning.” Using conditional logit analysis, we ascertain which perceived method‐specific attributes, including past experience of methods by women themselves and by their friends, predict preferred future contraceptive method among 317 women living in Nairobi slums who are using no method but intend to start in the next 12 months. Results show that satisfaction with past use, positive experience of use by a woman's social network, husband/partner's approval, lack of interference with menses, and perception of safety for long term use were all associated with choice of a future method.

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Women’s values in contraceptive choice: a systematic review of relevant attributes included in decision aids

Cited by 66 publications

References 34 publications

Development and field testing of a decision support tool to facilitate shared decision making in contraceptive counseling

Development and field testing of a decision support tool to facilitate shared decision making in contraceptive counseling

Patient-Centered Contraceptive Counseling: Evidence to Inform Practice

Method‐Specific Attributes that Influence Choice of Future Contraception Among Married Women in Nairobi's Informal Settlements

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