Communicating contraceptive effectiveness: A randomized controlled trial to inform a World Health Organization family planning handbook - 18/08/11
, James Trussell, PhD b, Neha Mehta, MPH a, Sean Condon, DrPH a, Sumathi Subramaniam, MPH c, Deborah Bourne, MA d
Reprint requests: Markus Steiner, PhD, Family Health International, PO Box 13950, Research Triangle Park, NC 27709.Abstract |
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 1 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.
Il testo completo di questo articolo è disponibile in PDF.Key words : Contraception, Contraceptive counseling, Informed choice, Decision aids
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| Supported by the William and Flora Hewlett Foundation. |
Vol 195 - N° 1
P. 85-91 - luglio 2006 Ritorno al numero
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