Exploring young women's decisional needs for contraceptive method choice: a qualitative study

Marshall, Cassondra; Kandahari, Nazineen; Raine‐Bennett, Tina

doi:10.1016/j.contraception.2017.10.004

Cited by 37 publications

(35 citation statements)

References 24 publications

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“…Qualitative studies suggested the importance of factual information that describes the contraceptive methods for young married women in developing countries since most of them are married at an early age with limited knowledge of contraception. 48,49 In line with the previous literature, inaccessibility to FP information was significantly associated with increased prevalence of young married women unmet need for contraception compared to those who had access to FP information. This may be related to less emphasis given to young women in disseminating FP information by health service providers.…”

Section: Discussionsupporting

confidence: 82%

<p>Unmet Need for Contraception Among Young Married Women in Eastern Ethiopia</p>

Dingeta

Oljira

Worku

et al. 2019

OAJC

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Purpose: Addressing the contraceptive needs of young married women is critical to improve their health and well-being. In patriarchal societies, young married women are under intense pressure to demonstrate their fecundity. Therefore, research that specifically address the needs for contraception of young married women have been generally given less emphasis in Ethiopia. This study assessed the extent of unmet needs for contraception and its associated factors among young married women in Eastern Ethiopia. Methods: A community-based cross-sectional study was conducted among young married women (14-24 years of age) in Eastern Ethiopia. Data were collected using a structured questionnaire. The prevalence ratio (PR) with 95% confidence intervals (CIs) was calculated, and factors associated with unmet needs for contraception were identified using log-binomial regression statistical model. Results: Among 2933 young women interviewed, the unmet need for contraception was 1014 (34.6%; 95% CI, 32.9%-36.4%). The prevalence of unmet needs for contraception decreased with increased young women's household decision-making autonomy score (APR= 0. 76; CI=0.62-0.94). Exposure to family planning (FP) information during the last 12 months (APR= 1.24; CI=1.1-1.42), age 18 or more years (APR=1.25; CI=1.04-1.5), multiparty (APR= 1. 9; CI=1.7-2.1) and desire to have 5 children or lesser than 5 children (APR= 1. 2; CI=1.06-1.32) were associated with higher prevalence of unmet needs for contraception. Conclusion: One-third of married young women had unmet needs for contraception. More efforts to empower women to make decisions that affect their own life and providing appropriate family planning information are necessary to reduce the burden of unmet needs among young married women in rural settings in Ethiopia.

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Section: Discussionsupporting

confidence: 82%

<p>Unmet Need for Contraception Among Young Married Women in Eastern Ethiopia</p>

Dingeta

Oljira

Worku

et al. 2019

OAJC

View full text Add to dashboard Cite

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“…30,35,40,47 Emotions were related to a new or progressing condition ( n = 4; 9%) 40,46,60,61 or fear of the unknown regarding outcomes of the options ( n = 4; 9%). 52,55,62,63 Four studies reported the need to tailor decision support according to patients’ health status ( n = 4; 9%). 30,47,55,56…”

Section: Resultsmentioning

confidence: 99%

“…People also want access to information about other's experiences. More specifically, they described the need for vicariously imagining the experiences of options regarding breast cancer treatment, 60 location for postacute care, 43 renal replacement therapies, 30 contraception methods, 63 and implantable cardiac devices. 42,47 Vicarious experience helps people judge how they value the features of options.…”

Section: Discussionmentioning

confidence: 99%

20th Anniversary Update of the Ottawa Decision Support Framework Part 1: A Systematic Review of the Decisional Needs of People Making Health or Social Decisions

et al. 2020

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Background. The Ottawa Decision Support Framework (ODSF) has been used for 20 years to assess and address people’s decisional needs. The evidence regarding ODSF decisional needs has not been synthesized. Objectives. To synthesize evidence from ODSF-based decisional needs studies, identify new decisional needs, and validate current ODSF decisional needs. Methods. A mixed-studies systematic review. Nine electronic databases were searched. Inclusion criteria: studies of people’s decisional needs when making health or social decisions for themselves, a child, or a mentally incapable person, as reported by themselves, families, or practitioners. Two independent authors screened eligibility, extracted data, and quality appraised studies using the Mixed Methods Appraisal Tool. Data were analyzed using narrative synthesis. Results. Of 4532 citations, 45 studies from 7 countries were eligible. People’s needs for 101 unique decisions (85 health, 16 social) were reported by 2857 patient decision makers ( n = 36 studies), 92 parent decision makers ( n = 6), 81 family members ( n = 5), and 523 practitioners ( n = 21). Current ODSF decisional needs were reported in 2 to 40 studies. For 6 decisional needs, there were 11 new (manifestations): 1) information (overload, inadequacy regarding others’ experiences with options), 2) difficult decisional roles (practitioner, family involvement, or deliberations), 3) unrealistic expectations (difficulty believing outcome probabilities apply to them), 4) personal needs (religion/spirituality), 5) difficult decision timing (unpredictable), and 6) unreceptive decisional stage (difficulty accepting condition/need for treatment, powerful emotions limiting information processing, lacking motivation to consider delayed/unpredictable decisions). Limitations. Possible publication bias (only peer-reviewed journals included). Possible missed needs (non-ODSF studies, patient decision aid development studies, 3 ODSF needs added in 2006). Conclusion. We validated current decisional needs, identified 11 new manifestations of 6 decisional needs, and recommended ODSF revisions.

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“…Vicarious experiences may also address patients’ needs regarding inadequate information about others’ experiences of procedures, side effects, and outcomes (e.g., breast cancer treatment, 43 location for postacute care, 44 renal replacement therapies, 45 contraception methods, 46 implantable cardiac devices 42,47 ). Vicarious experiences are used to help patients who have difficulty valuing outcomes that are unfamiliar.…”

Section: Resultsmentioning

confidence: 99%

20th Anniversary Ottawa Decision Support Framework: Part 3 Overview of Systematic Reviews and Updated Framework

et al. 2020

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Introduction. The Ottawa Decision Support Framework (ODSF) has guided practitioners and patients facing difficult decisions for 20 years. It asserts that decision support interventions that address patients’ decisional needs improve decision quality. Purpose. To update the ODSF based on a synthesis of evidence. Methods. We conducted an overview of systematic reviews, searching 9 electronic databases. Eligible reviews included decisional needs assessments, decision support interventions, and decisional outcome measures guided by the ODSF. We extracted data and synthesized results narratively. Eight ODSF developers/expert users from 4 disciplines revised the ODSF. Results. Of 4656 citations, we identified 4 eligible reviews (>250 studies, >100 different decisions, >50,000 patients, 18 countries, 5 continents). They reported current ODSF decisional needs and their most frequent manifestations in the areas of inadequate knowledge/information, unclear values, decisional conflict/uncertainty, and inadequate support. They uncovered 11 new manifestations of 6 decisional needs. Using the Decisional Conflict Scale (DCS) to assess decisional needs, average scores were elevated at baseline and declined shortly after decision making, even without information interventions. Patient decision aids were superior to usual care in reducing total DCS scores and improving decision quality. We revised the ODSF by refining definitions of 6 decisional needs and adding new interventions to address 4 needs. We added a decision process outcome and eliminated secondary outcomes unlikely to improve across a range of decisions, retaining the implementation/continuance of the chosen option and appropriate use/costs of health services. Conclusions. We updated the ODSF to reflect the current evidence and identified implications for practice and further research.

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Exploring young women's decisional needs for contraceptive method choice: a qualitative study

Cited by 37 publications

References 24 publications

<p>Unmet Need for Contraception Among Young Married Women in Eastern Ethiopia</p>

<p>Unmet Need for Contraception Among Young Married Women in Eastern Ethiopia</p>

20th Anniversary Update of the Ottawa Decision Support Framework Part 1: A Systematic Review of the Decisional Needs of People Making Health or Social Decisions

20th Anniversary Ottawa Decision Support Framework: Part 3 Overview of Systematic Reviews and Updated Framework

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