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BMC Women's Health
Published in: BMC Women's Health 1/2014

Open Access 01-12-2014 | Research article

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

Authors: Kirk D Wyatt, Ryan T Anderson, Douglas Creedon, Victor M Montori, John Bachman, Patricia Erwin, Annie LeBlanc

Published in: BMC Women's Health | Issue 1/2014

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Abstract

Background

Women can choose from a range of contraceptive methods that differ in important ways. Inadequate decision support may lead them to select a method that poorly fits their circumstances, leading to dissatisfaction, misuse, or nonuse. Decision support interventions, such as decision aids, may help women choose a method of contraception that best fits their personal circumstances. To guide future decision aid development, we aim to summarize the attributes of contraceptive methods included in available decision aids as well as surveys and interviews of women actively choosing a contraceptive method.

Methods

We conducted a systematic review to identify attributes of contraceptive methods that may be important to women when engaging in this decision making process. We performed a database search of MEDLINE/PubMed, Ovid EMBASE, OVID CENTRAL, Ovid PsycInfo, EBSCO CINAHL, Popline, and Scopus from 1985 until 2013 to identify decision aids, structured interviews and questionnaires reporting attributes of contraceptive options that are of importance to women. A free-text internet search was also performed to identify additional decision support tools. All articles and tools were reviewed in duplicate for inclusion, and a summary list of attributes was compiled.

Results

We included 20 surveys, 1 semistructured interview report and 19 decision aids, reporting 32 unique attributes. While some attributes were consistently included in surveys/interviews and decision aids, several were included more often in decision aids as opposed to surveys/interviews (e.g., STI prevention, noncontraceptive benefits, how the method is used, requirement of a healthcare provider), and vice versa (e.g., a woman’s vicarious experience with contraceptive methods). Key attributes mentioned in both surveys/interviews and decision aids include efficacy (29 total mentioned) and side effects/health risks (28 total mentioned). While a limited number of decision support tools were formally evaluated, many were not rigorously studied.

Conclusions

Many attributes were identified as potentially important to women choosing a method of contraception, but these were inconsistently included in the reviewed resources. Formal evaluation of decision support tools for contraceptive choice and involvement of users in the development process may lead to more user-centered design and implementation.
Appendix
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Literature
1.
Mosher W, Jones J: Use of contraception in the United States: 1982–2008. Vital Health Stat. 2010, Series 23, No 29
2.
Finer LB, Zolna MR: Unintended pregnancy in the United States: incidence and disparities, 2006. Contraception. 2011, 84: 478-485. 10.1016/j.contraception.2011.07.013. doi:410.1016/j.contraception.2011.1007.1013. Epub 2011 Aug 1024CrossRefPubMedPubMedCentral
3.
4.
Grady WR, Billy JO, Klepinger DH: Contraceptive method switching in the United States. Perspect Sex Reprod Health. 2002, 34: 135-145. 10.2307/3097712.CrossRefPubMed
5.
Makoul G, Clayman ML: An integrative model of shared decision making in medical encounters. Patient Educ Couns. 2006, 60: 301-312. 10.1016/j.pec.2005.06.010.CrossRefPubMed
6.
Dehlendorf C, Levy K, Kelley A, Grumbach K, Steinauer J: Women’s preferences for contraceptive counseling and decision making. Contraception. 2013, 88: 250-256. 10.1016/j.contraception.2012.10.012. doi: 210.1016/j.contraception.2012.1010.1012. Epub 2012 Nov 1021CrossRefPubMed
7.
Barry MJ: Health decision aids to facilitate shared decision making in office practice. Ann Intern Med. 2002, 136: 127-135. 10.7326/0003-4819-136-2-200201150-00010.CrossRefPubMed
8.
French RS, Wellings K, Cowan FM: How can we help people to choose a method of contraception? The case for contraceptive decision aids. J Fam Plann Reprod Health Care. 2009, 35: 219-220. 10.1783/147118909789587169.CrossRefPubMed
9.
Adinma JIB, Agbai AO, Nwosu BO: Contraceptive choices among Nigerian women attending an antenatal clinic. Adv Contracept. 1998, 14: 131-145. 10.1023/A:1006590717562.CrossRefPubMed
10.
Ameh N, Sule ST: Contraceptive choices among women in Zaria, Nigeria. Niger J Clin Pract. 2007, 10: 205-207.PubMed
11.
Amin R: Choice of contraceptive method among females attending family planning center in Hayat Abad Medical Complex, Peshawar. J Pak Med Assoc. 2012, 62: 1023-1028.PubMed
12.
13.
14.
15.
16.
Chewning B, Mosena P, Wilson D, Erdman H, Potthoff S, Murphy A, Kuhnen KK: Evaluation of a computerized contraceptive decision aid for adolescent patients. Patient Educ Couns. 1999, 38: 227-239. 10.1016/S0738-3991(99)00014-2.CrossRefPubMed
17.
Chin-Quee DS, Janowitz B, Otterness C: Counseling tools alone do not improve method continuation: further evidence from the decision-making tool for family planning clients and providers in Nicaragua. Contraception. 2007, 76: 377-382. 10.1016/j.contraception.2007.07.003.CrossRefPubMed
18.
Johnson SL, Kim YM, Church K: Towards client-centered counseling: development and testing of the WHO decision-making tool. Patient Educ Couns. 2010, 81: 355-361. 10.1016/j.pec.2010.10.011.CrossRefPubMed
19.
Kim YM, Davila C, Tellez C, Kols A: Evaluation of the World Health Organization’s family planning decision-making tool: improving health communication in Nicaragua. Patient Educ Couns. 2007, 66: 235-242. 10.1016/j.pec.2006.12.007.CrossRefPubMed
20.
Kim YM, Kols A, Martin A, Silva D, Rinehart W, Prammawat S, Johnson S, Church K: Promoting informed choice: evaluating a decision-making tool for family planning clients and providers in Mexico. Int Fam Plan Perspect. 2005, 31: 162-171. 10.1363/3116205.CrossRefPubMed
21.
Langston AM, Rosario L, Westhoff CL: Structured contraceptive counseling–a randomized controlled trial. Patient Educ Couns. 2010, 81: 362-367. 10.1016/j.pec.2010.08.006.CrossRefPubMed
22.
23.
24.
Costa ARR, Palma F, Sa JL, Vicente L, Bombas T, Nogueira AM, Rocha P: Impact of a women’s counselling programme on combined hormonal contraception in Portugal - The IMAGINE Study. Eur J Contracept Reprod Health Care. 2011, 16: 409-417. 10.3109/13625187.2011.608441.CrossRefPubMed
25.
Egarter C, Grimm C, Nouri K, Ahrendt HJ, Bitzer J, Cermak C: Contraceptive counselling and factors affecting women’s contraceptive choices: results of the CHOICE study in Austria. Reprod BioMed Online. 2012, 24: 692-697. 10.1016/j.rbmo.2011.12.003.CrossRefPubMed
26.
Fait T: Combined hormone contraceptive choice experience in Czech Republic. Cent Eur J Med. 2011, 6: 582-587. 10.2478/s11536-011-0062-9.
27.
Garbers S, Meserve A, Kottke M, Hatcher R, Ventura A, Chiasson MA: Randomized controlled trial of a computer-based module to improve contraceptive method choice. Contraception. 2012, 86: 383-390. 10.1016/j.contraception.2012.01.013.CrossRefPubMed
28.
Gold MA, Coupey SM: Young women’s attitudes toward injectable and implantable contraceptives. J Pediatr Adolesc Gynecol. 1998, 11: 17-24. 10.1016/S1083-3188(98)70102-0.CrossRefPubMed
29.
Goldstuck ND: Factors influencing the initial decision to use an intrauterine device. Br J Clin Pract. 1989, 43: 173-176.PubMed
30.
Johnson LK, Edelman A, Jensen J: Patient satisfaction and the impact of written material about postpartum contraceptive decisions. Am J Obstet Gynecol. 2003, 188: 1202-1204. 10.1067/mob.2003.308.CrossRefPubMed
31.
Leon FR, Brambila C, de la Cruz M, Colindres JG, Morales C, Vasquez B: Providers’ compliance with the balanced counseling strategy in Guatemala. Stud Fam Plan. 2005, 36: 117-126. 10.1111/j.1728-4465.2005.00049.x.CrossRef
32.
Lete I, Doval JL, Perez-Campos E, Sanchez-Borrego R, Correa M, de la Viuda E, Gomez MA, Gonzalez JV, Lertxundi R, Martinez MT, et al: Factors affecting women’s selection of a combined hormonal contraceptive method: the TEAM-06 Spanish cross-sectional study. Contraception. 2007, 76: 77-83. 10.1016/j.contraception.2007.04.014.CrossRefPubMed
33.
Madden T, Mullersman JL, Omvig KJ, Secura GM, Peipert JF: Structured contraceptive counseling provided by the contraceptive CHOICE Project. Contraception. 2012, 88 (2): 243-249.CrossRefPubMedPubMedCentral
34.
Merckx M, Donders GG, Grandjean P, Van De Sande T, Weyers S: Does structured counselling influence combined hormonal contraceptive choice?. Eur J Contracept Reprod Health Care. 2011, 16: 418-429. 10.3109/13625187.2011.625882.CrossRefPubMedPubMedCentral
35.
36.
37.
38.
Proctor A, Jenkins TR, Loeb T, Elliot M, Ryan A: Patient satisfaction with 3 methods of postpartum contraceptive counseling: a randomized, prospective trial. J Reprod Med. 2006, 51: 377-382.PubMed
39.
Rubin SE, Winrob I: Urban female family medicine patients’ perceptions about intrauterine contraception. J Women's Health. 2010, 19: 735-740. 10.1089/jwh.2009.1549.CrossRef
40.
Steiner MJ, Dalebout S, Condon S, Dominik R, Trussell J: Understanding risk: a randomized controlled trial of communicating contraceptive effectiveness. Obstet Gynecol. 2003, 102: 709-717. 10.1016/S0029-7844(03)00662-8.PubMed
41.
Steiner MJ, Trussell J, Mehta N, Condon S, Subramaniam S, Bourne D: Communicating contraceptive effectiveness: a randomized controlled trial to inform a World Health Organization family planning handbook. Am J Obstet Gynecol. 2006, 195: 85-91. 10.1016/j.ajog.2005.12.053.CrossRefPubMed
42.
Venkat P, Masch R, Ng E, Cremer M, Richman S, Arslan A: Knowledge and beliefs about contraception in urban Latina women. J Community Health. 2008, 33: 357-362. 10.1007/s10900-008-9100-1.CrossRefPubMed
43.
Vogt C, Schaefer M: Disparities in knowledge and interest about benefits and risks of combined oral contraceptives. Eur J Contracept Reprod Health Care. 2011, 16: 183-193. 10.3109/13625187.2011.561938.CrossRefPubMed
44.
Wall EM: Development of a decision aid for women choosing a method of birth control. J Fam Pract. 1985, 21: 351-355.PubMed
45.
Weldegerima B, Denekew A: Women’s knowledge, preferences, and practices of modern contraceptive methods in Woreta, Ethiopia. Res Social Adm Pharm. 2008, 4: 302-307. 10.1016/j.sapharm.2007.10.001.CrossRefPubMed
46.
Johnson S, Pion C, Jennings V: Current methods and attitudes of women towards contraception in Europe and America. Reprod Health. 2013, 10: 7-10.1186/1742-4755-10-7. doi:10.1186/1742-4755-10-7CrossRefPubMedPubMedCentral
47.
Bitzer J, Gemzell-Danielsson K, Roumen F, Marintcheva-Petrova M, van Bakel B, Oddens BJ: The CHOICE study: effect of counselling on the selection of combined hormonal contraceptive methods in 11 countries. Eur J Contracept Reprod Health Care. 2012, 17: 65-78. 10.3109/13625187.2011.637586. doi:10.3109/13625187.13622011.13637586CrossRefPubMed
48.
Gemzell-Danielsson K, Cho S, Inki P, Mansour D, Reid R, Bahamondes L: Use of contraceptive methods and contraceptive recommendations among health care providers actively involved in contraceptive counseling–results of an international survey in 10 countries. Contraception. 2012, 86: 631-638. 10.1016/j.contraception.2012.06.002. doi: 610.1016/j.contraception.2012.1006.1002. Epub 2012 Jul 1016CrossRefPubMed
49.
Mullan RJ, Montori VM, Shah ND, Christianson TJ, Bryant SC, Guyatt GH, Perestelo-Perez LI, Stroebel RJ, Yawn BP, Yapuncich V, et al: The diabetes mellitus medication choice decision aid: a randomized trial. Arch Intern Med. 2009, 169: 1560-1568. doi: 1510.1001/archinternmed.2009.1293CrossRefPubMed
50.
51.
52.
Metadata
Title
Women’s values in contraceptive choice: a systematic review of relevant attributes included in decision aids
Authors
Kirk D Wyatt
Ryan T Anderson
Douglas Creedon
Victor M Montori
John Bachman
Patricia Erwin
Annie LeBlanc
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2014
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/1472-6874-14-28

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