Exploring young women's decisional needs for contraceptive method choice: a qualitative study
Exploring young women's decisional needs for contraceptive method choice: a qualitative study
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DOI：
10.1016/j.contraception.2017.10.004
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发表时间：
2018-03-01
期刊：
影响因子：
2.9
通讯作者：
Raine-Bennett, Tina
中科院分区：
文献类型：
--
作者：
Marshall, Cassondra;Kandahari, Nazineen;Raine-Bennett, Tina
目的：帮助妇女选择符合其需要和偏好的避孕方法是提供以患者为中心的护理的关键，但缺乏支持方法选择的干预措施的研究。评估患者对避孕方法选择的决策需求可能有助于深入了解以患者为中心的支持决策的方式。研究设计：以渥太华决策支持框架为指导，我们进行了半结构访谈的定性研究，以确定女性选择避孕方法的决策需求。样本包括来自综合医疗保健服务系统的21名年龄在18-29岁之间的女性。我们使用主题分析来确定参与者体验中的共同主题。结果：总体而言，参与者认为选择避孕方法是一个有点困难的决定，并描述了感到犹豫不决和不确定。缺乏对方法的了解和熟悉，以及副作用的不可预测性，导致参与者犹豫不决。妇女根据她们的生活和各种避孕属性的价值观，特别是副作用来考虑方法的选择。与会者确定了避孕信息的几个来源。来自朋友和家人的信息影响很大。参与者希望获得事实信息和经验信息。结论：避孕方法的选择对许多年轻女性来说可能很困难，提示需要决策支持。如果支持方法选择的干预措施直接解决了知识差距和不确定性，并提供了关于一套全面的避孕属性的事实和经验信息，则可能更具相关性。(C)2017 Elsevier Inc.保留所有权利。
Objective: Assisting women with choosing contraceptive methods that meet their needs and preferences is essential to providing patient-centered care, but research to inform interventions supporting method choice is lacking. An assessment of patient decisional needs for contraceptive method choice may provide insight into patient-centered ways to support decision making.Study design: Using the Ottawa Decision Support Framework as a guide, we conducted a qualitative study with semistructured interviews to identify women's decisional needs for choosing a contraceptive method. The sample consisted of 21 women aged 18-29 from an integrated health care delivery system. We employed thematic analysis to identify common themes in the participants' experience.Results: Overall, participants perceived choosing a contraceptive method to be a somewhat difficult decision and described feeling hesitant and unsure. Lack of knowledge of and familiarity with methods and the unpredictability of side effects contributed to participants' hesitancy. Women considered method choice in the context of their lives and their values for various contraceptive attributes, particularly side effects. Participants identified several sources for contraceptive information. Information from friends and family was highly influential. Participants desired both factual and experiential information.Conclusions: Contraceptive method choice may be difficult for many young women, suggesting a need for decision support. Interventions supporting method choice may be more relevant if they directly address knowledge gaps and uncertainty as well as provide both factual and experiential information on a comprehensive set of contraceptive attributes. (C) 2017 Elsevier Inc. All rights reserved.