What matters most? The content and concordance of patients' and providers' information priorities for contraceptive decision making

Donnelly, Kyla Z., Foster, Tina C. and Thompson, Rachel (2014) What matters most? The content and concordance of patients' and providers' information priorities for contraceptive decision making. Contraception, 90 3: 280-287. doi:10.1016/j.contraception.2014.04.012


Author Donnelly, Kyla Z.
Foster, Tina C.
Thompson, Rachel
Title What matters most? The content and concordance of patients' and providers' information priorities for contraceptive decision making
Journal name Contraception   Check publisher's open access policy
ISSN 0010-7824
1879-0518
Publication date 2014-01-01
Year available 2014
Sub-type Article (original research)
DOI 10.1016/j.contraception.2014.04.012
Volume 90
Issue 3
Start page 280
End page 287
Total pages 8
Place of publication Philadelphia, PA United States
Publisher Elsevier
Collection year 2015
Language eng
Abstract Objective(s): The objective of this study was to identify women's and health care providers' information priorities for contraceptive decision making and counseling, respectively. Study Design: Cross-sectional surveys were administered online to convenience samples of 417 women and 188 contraceptive care providers residing in the United States. Participants were provided with a list of 34 questions related to the features of contraceptive options and rated the importance of each. Participants also ranked the questions in descending order of importance. For both women and providers, we calculated the mean importance rating for each question and the proportion that ranked each question in their three most important questions. Results: The average importance ratings given by women and providers were similar for 18 questions, but dissimilar for the remaining 16 questions. The question rated most important for women was "How does it work to prevent pregnancy?" whereas, for providers, "How often does a patient need to remember to use it?" and "How is it used?" were rated equally. The eight questions most frequently selected in the top three by women and/or providers were related to the safety of the method, mechanism of action, mode of use, side effects, typical- and perfect-use effectiveness, frequency of administration and when it begins to prevent pregnancy. Conclusion(s): Although we found considerable concordance between women's and provider's information priorities, the presence of some inconsistencies highlights the importance of patient-centered contraceptive counseling and, in particular, shared contraceptive decision making. Implications: This study provides insights into the information priorities of women for their contraceptive decision making and health care providers for contraceptive counseling. These insights are critical both to inform the development of decision support tools for implementation in contraceptive care and to guide the delivery of patient-centered care.
Keyword Contraception
Family planning
Needs assessment
Patient education
Patient Centered Care
Shared decision making
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Psychology Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 16 times in Thomson Reuters Web of Science Article | Citations
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Created: Sun, 05 Apr 2015, 18:41:39 EST by Miss Rachel Thompson on behalf of School of Psychology