Communicating contraceptive effectiveness: A randomized controlled trial to inform a World Health Organization family planning handbook

Communicating contraceptive effectiveness: A randomized controlled trial to inform a World Health Organization family planning handbook
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DOI:
10.1016/j.ajog.2005.12.053
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发表时间:
2006-07-01
影响因子:
9.8
通讯作者:
Bourne, Deborah
Bourne, Deborah
中科院分区:
医学1区
文献类型:
--
作者:
Steiner, Markus J.;Trussell, James;Bourne, Deborah

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目的:本研究的目的是比较3种不同的方法,以增加客户的了解避孕effectiveness.Study design:我们随机900育龄妇女在印度和牙买加的I的3个图表呈现怀孕risk.Results:选择避孕药的最重要的原因是如何以及它可以防止怀孕(54%)其次是一些副作用(17%)。在基线时,对避孕有效性的了解很差。大约一半的人知道口服避孕药比避孕套更有效(46%),宫内节育器比注射避孕药更有效(50%)。所有3个图表都显著提高了这2个问题的知识(P < .01)。没有一种图表比其他图表更能提高知识(P > .05)。连续性避孕方法排序图比其他2个图更容易理解。结论:只有准确了解妊娠风险,才能做出明智的选择。我们的研究结果已经为计划生育提供者的全球手册提供了信息,以使用连续性避孕方法排名图表。(c)2006 Mosby,Inc. All rights reserved.
Objective: The objective of the study was to compare 3 different approaches for increasing clients' understanding of contraceptive effectiveness.Study design: We randomized 900 reproductive-age women in India and Jamaica to I of 3 charts presenting pregnancy risk.Results: The most important reason for choosing a contraceptive was how well it prevents pregnancy (54%) followed by few side effects (17%). At baseline, knowledge about contraceptive effectiveness was poor. About half knew oral contraceptive pills are more effective than condoms (46%) and intrauterine devices are more effective than injectables (50%). All 3 charts improved knowledge significantly (P < .01) for these 2 questions. No chart improved knowledge better than any other (P > .05). The chart ranking contraceptive methods on a continuum was judged slightly easier to understand than the other 2 charts.Conclusion: Only with accurate understanding of pregnancy risk can clients make informed choices. Our results have already informed a global handbook for family planning providers to use the chart ranking contraceptive methods on a continuum. (c) 2006 Mosby, Inc. All rights reserved.