Reproductive Life Planning and Contraceptive Action Planning for Privately Insured Women: The MyNewOptions Study.
CONTEXT: Although reproductive life planning (RLP) is recommended in federal and clinical guidelines and may help insured women make personalized contraceptive choices, it has not been systematically evaluated for effectiveness. METHODS: In 2014, some 984 privately insured women aged 18–40 who were...
| Publicado en: | Perspectives on Sexual & Reproductive Health Vol. 51; no. 4; pp. 219 - 228 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=140371007&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 140371007 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15386341 K87 jtl: Perspectives on Sexual & Reproductive Health issn: 15386341 maglogo: Y pubinfo: dt: Dec2019 vid: 51 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 140371007 140371007 140371007 10.1363/psrh.12123 140371007 ppf: 219 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Reproductive Life Planning and Contraceptive Action Planning for Privately Insured Women: The MyNewOptions Study. aug: au: Chuang, Cynthia H. Weisman, Carol S. Velott, Diana L. Lehman, Erik Chinchilli, Vernon M. Francis, Erica B. Moos, Merry‐K. Sciamanna, Christopher N. Armitage, Christopher J. Legro, Richard S. affil: Department of Medicine and Public Health Sciences, Penn State College of Medicine, Hershey PA sug: subj: Patient Centered Care Family Planning Contraception Utilization Decision Making Women Psychosocial Factors Insurance, Health Human Randomized Controlled Trials Adolescence Young Adult Adult Patient Compliance Patient Satisfaction Self-Efficacy Logistic Regression Linear Regression Data Analysis, Statistical Methods Sterilization, Sexual Odds Ratio Patient Preference Adolescent: 13-18 years Adult: 19-44 years ab: CONTEXT: Although reproductive life planning (RLP) is recommended in federal and clinical guidelines and may help insured women make personalized contraceptive choices, it has not been systematically evaluated for effectiveness. METHODS: In 2014, some 984 privately insured women aged 18–40 who were not intending to become pregnant in the next year were randomly assigned to receive RLP, RLP with contraceptive action planning (RLP+) or information only (the control group). Women's contraceptive use, prescription contraceptive use, method adherence, switching to a more effective method, method satisfaction and contraceptive self‐efficacy were assessed at six‐month intervals during the two‐year follow‐up period. Differences between groups were identified using binomial logistic regression, linear regression and generalized estimating equation models. RESULTS: During the follow‐up period, the proportion of women using any contraceptive method increased from 89% to 96%, and the proportion using a long‐acting reversible contraceptive or sterilization increased from 8% to 19%. Contraceptive adherence was high (72–76%) in all three groups. In regression models, the sole significant finding was that women in the RLP+ group were more likely than those in the RLP group to use a prescription method (odds ratio, 1.3). No differences were evident between the intervention groups and the control group in overall contraceptive use, contraceptive adherence, switching to a more effective method, method satisfaction or contraceptive self‐efficacy. CONCLUSIONS: The study does not provide evidence that web‐based RLP influences contraceptive behaviors in insured women outside of the clinical setting. Further research is needed to identify strategies to help women of reproductive age identify contraceptive methods that meet their needs and preferences. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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