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- Title
Reproductive Life Planning and Contraceptive Action Planning for Privately Insured Women: The MyNewOptions Study.
- Authors
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.
- Abstract
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.
- Subjects
CONTRACEPTION; DECISION making; HEALTH insurance; PATIENT compliance; PATIENT satisfaction; REGRESSION analysis; SELF-efficacy; STATISTICS; STERILIZATION (Birth control); PSYCHOLOGY of women; LOGISTIC regression analysis; DATA analysis; RANDOMIZED controlled trials; PATIENT-centered care; FAMILY planning; PATIENTS' attitudes; ODDS ratio
- Publication
Perspectives on Sexual & Reproductive Health, 2019, Vol 51, Issue 4, p219
- ISSN
1538-6341
- Publication type
Article
- DOI
10.1363/psrh.12123