Pregnancy intention screening tools: a randomized trial to assess perceived helpfulness with communication about reproductive goals.

Autor: Baldwin MK; 1Department of Obstetrics & Gynecology, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239 USA., Overcarsh P; 1Department of Obstetrics & Gynecology, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239 USA., Patel A; 2Division of Family Planning, Department of Obstetrics and Gynecology, John H Stroger Jr., Hospital of Cook County, 1969 Ogden Ave, Chicago, IL 60612 USA., Zimmerman L; 2Division of Family Planning, Department of Obstetrics and Gynecology, John H Stroger Jr., Hospital of Cook County, 1969 Ogden Ave, Chicago, IL 60612 USA., Edelman A; 1Department of Obstetrics & Gynecology, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239 USA.
Jazyk: angličtina
Zdroj: Contraception and reproductive medicine [Contracept Reprod Med] 2018 Dec 17; Vol. 3, pp. 21. Date of Electronic Publication: 2018 Dec 17 (Print Publication: 2018).
DOI: 10.1186/s40834-018-0074-9
Abstrakt: Background: Federal and clinical guidelines support integration of reproductive life planning in the care of female patients to aid in the reduction of unplanned pregnancies. A multitude of tools have been created to help in the counseling component, but further research is needed regarding how and whether they facilitate patient-provider communication.
Research: We performed a randomized controlled trial to evaluate if patients report whether a detailed or simple pregnancy intention screening tool is helpful for communication of reproductive life plans. We compared a novel reproductive counseling aid, the Family Planning Quotient (FPQ), to a simple tool based on the One Key Question® (OKQ). Providers also evaluated whether they thought the tool used at the visit was helpful. We randomized 93 patients to complete a survey including identical demographic questions and either the FPQ or OKQ reproductive counseling tool. We did not provide further instructions to either the patient or provider. Following the visits, we collected 84 subject evaluations and 79 provider evaluations. A similar proportion of subjects using either reproductive counseling tool found it helpful in communicating their reproductive life plans to their providers (approximately 66%), but there was no difference between the two tools studied. Less than half of providers reported that the FPQ tool was helpful (FPQ: 16/43, 37.2% versus OKQ: 18/36, 50%; p  = 0.25).
Conclusion: Two-thirds of patients reported either a detailed or simple reproductive plan screening tool was helpful to facilitate communication with their provider, but only half of providers found either tool helpful. Use of reproductive screening tools should be followed by patient-centered counseling to help patients meet their reproductive life goals.
Competing Interests: The OHSU Institutional Review Board approved the study protocol, approved this study for a Waiver of Authorization and did not require written consent.Not applicable.The authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Databáze: MEDLINE
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