A mixed-methods study of provider perspectives on My Birth Control: a contraceptive decision support tool designed to facilitate shared decision making
A mixed-methods study of provider perspectives on My Birth Control: a contraceptive decision support tool designed to facilitate shared decision making
复制标题
DOI：
10.1016/j.contraception.2019.08.001
复制
发表时间：
2019-11-01
期刊：
影响因子：
2.9
通讯作者：
Kimport, Katrina
中科院分区：
文献类型：
--
作者：
Dehlendorf, Christine;Reed, Reiley;Kimport, Katrina
目的：提供以患者为中心的避孕咨询的障碍包括时间限制，患者对方法的频繁误解和错误信息，以及众多避孕选择的可用性，这增加了避孕决策的复杂性。决策支持工具是旨在促进偏好敏感决策中的高质量决策的干预措施。我们评估了一个避孕决策支持工具，我的生育控制，对供应商的经验与避孕counseling.Study设计：我们采访了15个供应商谁参加了干预组的随机对照试验我的生育控制，以获得他们的印象，他们的病人的互动工具。我们使用主题分析法分析了访谈，比较了每支手臂（n=749）的患者预约时间长度，并评估了每支手臂（n=28）的提供者倦怠。结果：提供者报告说，将我的节育纳入他们的实践有助于他们更有效地分配时间，使他们能够磨练病人的兴趣领域。他们还报告说，与该工具互动的患者似乎更了解避孕选择和功能，并在方法选择中发挥更积极的作用。所有提供者都认为使用该工具是可以接受和可行的，并表示愿意将其纳入实践。有没有差异，在供应商倦怠得分比较之前和之后的审判我的BirthControl.Conclusion：供应商有一个积极的印象，我的生育控制避孕咨询的影响，包括咨询的质量，并认为该工具是一个可行的干预措施，在临床环境中使用。(C)2019爱思唯尔公司All rights reserved.
Objectives: Barriers to the provision of patient-centered contraceptive counseling include time limitations, frequent misconceptions and misinformation about methods among patients, and the availability of numerous contraceptive options, which increases the complexity of contraceptive decision making. Decision support tools are interventions designed to facilitate quality decision making in preference-sensitive decisions. We evaluated the impact of a contraceptive decision support tool, My Birth Control, on providers' experience with contraceptive counseling.Study design: We interviewed 15 providers who participated in the intervention arm of a cluster randomized controlled trial of My Birth Control to obtain their impressions of their patients' interactions with the tool. We analyzed the interviews using thematic analysis, compared appointment lengths of patients in each arm (n=749) and assessed provider burnout in each arm (n=28).Results: Providers reported that incorporating My Birth Control into their practice helped them allocate time more efficiently, enabling them to hone in on patients' areas of interest. They also reported that patients who interacted with the tool appeared more informed about contraception options and features, and took a more active role in method selection. All providers described using the tool as acceptable and feasible, and indicated they would like to incorporate it into their practice. There was no difference in provider burnout scores comparing before and after the trial of My Birth Control.Conclusion: Providers had a positive impression of the impact of My Birth Control on contraceptive counseling, including the quality of counseling, and perceived the tool to be a feasible intervention to use in the clinical setting. (C) 2019 Elsevier Inc. All rights reserved.