High Self-Efficacy Is Associated with Prescription Contraceptive Use

Hamidi, Odessa P.; Deimling, T.; Lehman, Erik; Weisman, Carol S.; Chuang, Cynthia H.

doi:10.1016/j.whi.2018.04.006

Cited by 31 publications

(27 citation statements)

References 20 publications

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“…IQFP was also associated with self-efficacy to use FP in this population. The Social Cognitive Theory posits that self-efficacy is a key predictor of contraceptive use [ 24 ], and an association between self-efficacy and contraceptive use has been shown [ 25 ], especially for condoms [ [26] , [27] , [28] ].…”

Section: Discussionmentioning

confidence: 99%

Validation of the Interpersonal Quality of Family Planning Scale in a rural Indian setting

et al. 2020

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Objectives The provision of high-quality family planning (FP) counseling can both enhance clients' experience of care and improve their ability to make and act on their contraceptive decisions. The Interpersonal Quality of Family Planning (IQFP) scale measures FP counseling quality and has been validated in the United States. We aimed to explore whether it remains appropriate for use in a low-/middle-income country (LMIC). Study design We surveyed 1201 nonsterilized married women ages 18–29 in Maharashtra, India, between September 2018 and June 2019. Respondents rated their FP provider from “poor” (1) to “excellent” (5) across 11 IQFP items. We assessed scale reliability via Cronbach's α test and used exploratory factor analysis to evaluate unidimensionality and regression models of plausibly related outcomes to assess construct validity. Results Five hundred four women (42%) had seen an FP provider within the past year, 491 (97%) of whom answered all items. Mean IQFP score was 2.62 out of 5 (SD 0.94, range 1–5). Scale reliability was high ( α = 0.97). Exploratory factor analyses support unidimensionality (all factor loadings > 0.4). A 1-point increase in average IQFP score was associated with nearly double the odds of current modern contraceptive use (adjusted odds ratio = 1.73, 95% confidence interval = 1.36–2.19). Conclusions The IQFP scale shows good reliability and construct validity in this context, and its use in LMIC settings should be broadly considered. A higher IQFP score was associated with greater odds of contraceptive use. The reported FP counseling quality was low, so future public health efforts should aim to increase counseling quality to better meet the needs of women in low-resource settings like rural India. Measurement tools like IQFP can support success evaluation of the quality of care provided by family planning programs. Implications The Interpersonal Quality of Family Planning scale is a useful tool in rural India, a different context than the one in which it was developed. Use of the IQFP scale should be considered in other low-/middle-income countries to better measure the quality of family planning care provided.

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Section: Discussionmentioning

confidence: 99%

Validation of the Interpersonal Quality of Family Planning Scale in a rural Indian setting

et al. 2020

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“…The MyNewOptions study was a two‐year, randomized controlled trial with a three‐arm parallel group design to compare the effectiveness of RLP alone, RLP+ and a brief web‐based information‐only control in a sample of privately insured women. The detailed study protocol and other MyNewOptions analyses have been published previously …”

Section: Methodsmentioning

confidence: 99%

“…For each survey, we summed the responses, yielding possible scores ranging from eight to 40; we considered women to have high self‐efficacy at that time point if their total score was at or above the median value of 34. Measure development and test characteristics have been described separately . A woman's overall contraceptive self‐efficacy was calculated as the proportion of follow‐up periods in which she had high contraceptive self‐efficacy.…”

Section: Methodsmentioning

confidence: 99%

Reproductive Life Planning and Contraceptive Action Planning for Privately Insured Women: The MyNewOptions Study

Chuang

Weisman

Velott

et al. 2019

Perspect Sexual Reproductive

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219CONTEXT: 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.

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“…Previous studies have assessed the role of external barriers, such as inadequate access to contraceptive services, 1 and internal barriers, such as lack of motivation to avoid pregnancy, 2 dissatisfaction with contraceptive methods, 3 poor knowledge of and negative attitudes toward contraception, 4 and low self-effi cacy. 5 However, adolescents' inclinations for risk-taking have received surprisingly little attention as a possible internal barrier to contraceptive use. In particular, the relationship between young people ' s risk profi les and their use of eff ective contraceptive methods is not well understood.…”

Section: Racial and Ethnic Diff Erences In The Relationship Between Rmentioning

confidence: 99%

“…Social scientists have long been interested in the determinants of unintended and adolescent pregnancy, and have put forth multiple hypotheses to explain why sexually active adolescents use less‐effective methods or do not use contraceptives at all. Previous studies have assessed the role of external barriers, such as inadequate access to contraceptive services, 1 and internal barriers, such as lack of motivation to avoid pregnancy, 2 dissatisfaction with contraceptive methods, 3 poor knowledge of and negative attitudes toward contraception, 4 and low self‐efficacy 5 …”

mentioning

confidence: 99%

Racial and Ethnic Differences in the Relationship Between Risk‐Taking and the Effectiveness of Adolescents’ Contraceptive Use

Caudillo

Hickman

Simpson

2020

Perspect Sexual Reproductive

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High Self-Efficacy Is Associated with Prescription Contraceptive Use

Abstract: Women with high self-efficacy for contraception had an increased use of prescription contraceptive methods compared with nonprescription methods. Strategies for encouraging effective contraceptive choices in women with low contraceptive self-efficacy should be further studied.

Cited by 31 publications

References 20 publications

Validation of the Interpersonal Quality of Family Planning Scale in a rural Indian setting

Validation of the Interpersonal Quality of Family Planning Scale in a rural Indian setting

Reproductive Life Planning and Contraceptive Action Planning for Privately Insured Women: The MyNewOptions Study

Racial and Ethnic Differences in the Relationship Between Risk‐Taking and the Effectiveness of Adolescents’ Contraceptive Use

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