Martin Jilly, Slade Pauline, Sheeran Paschal, Wright Alison, Dibble Tracey
School of Health and Social Care, Oxford Brookes University, Oxford, UK.
J Fam Plann Reprod Health Care. 2011 Apr;37(2):85-8. doi: 10.1136/jfprhc.2010.0016.
Family planning clinicians were trained to provide one-to-one behaviour change counselling to deprived teenage women. They facilitated 'if-then' planning designed to increase adherence to contraception and to overcome potential barriers to adherence.
Reasons for consultation at the clinic were obtained from electronic records and compared before and after the intervention.
It was found that consultation for emergency contraception and pregnancy testing was reduced by 15% (49% vs 34%) after making if-then plans. This compared to a 4% reduction in a usual care comparison group. Changes in reasons for consultation before and after the intervention were also explored. Positive changes in behaviour were exhibited in 53% of the group who made if-then plans compared to 28% of the usual care comparison group. Changes in reasons for consultation over time were significant in the counselling group (n = 87, p = 0.035) but not in the comparison group (n = 79, p = 0.68).
These findings provide evidence that training clinicians in psychological behaviour change techniques such as if-then planning can be effective in influencing contraceptive consultation patterns among teenage women.
计划生育临床医生接受培训，为贫困少女提供一对一的行为改变咨询。他们推动了“如果……那么……”计划，旨在提高避孕措施的依从性并克服依从性的潜在障碍。
从电子记录中获取在诊所咨询的原因，并在干预前后进行比较。
发现制定“如果……那么……”计划后，紧急避孕和妊娠检测的咨询减少了15%（从49%降至34%）。相比之下，常规护理对照组减少了4%。还探讨了干预前后咨询原因的变化。制定“如果……那么……”计划的组中有53%表现出行为的积极变化，而常规护理对照组为28%。咨询原因随时间的变化在咨询组中具有统计学意义（n = 87，p = 0.035），而在对照组中无统计学意义（n = 79，p = 0.68）。
这些发现提供了证据，表明对临床医生进行诸如“如果……那么……”计划等心理行为改变技术的培训，可以有效地影响少女的避孕咨询模式。
