Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
Contraception. 2013 Aug;88(2):281-8. doi: 10.1016/j.contraception.2013.03.008. Epub 2013 Mar 22.
Group, rather than individual, family planning counseling has the potential to increase family planning knowledge and use through more efficient use of limited human resources.
A randomized, noninferiority study design was utilized to identify whether group family planning counseling is as effective as individual family planning counseling in Ghana. Female gynecology patients were enrolled from two teaching hospitals in Ghana in June and July 2008. Patients were randomized to receive either group or individual family planning counseling. The primary outcome in this study was change in modern contraceptive method knowledge. Changes in family planning use intention before and after the intervention and intended method type were also explored.
Comparisons between the two study arms suggest that randomization was successful. The difference in change in modern contraceptive methods known from baseline to follow-up between the two study arms (group-individual), adjusted for study site, was -0.21, (95% confidence interval: -0.53 to 0.12) suggesting no difference between the two arms.
Group family planning counseling was as effective as individual family planning counseling in increasing modern contraceptive knowledge among female gynecology patients in Ghana.
群体计划生育咨询比个体计划生育咨询更具潜力，能够通过更有效地利用有限的人力资源来增加计划生育知识和使用率。
采用随机、非劣效性研究设计，以确定群体计划生育咨询在加纳是否与个体计划生育咨询同样有效。2008 年 6 月至 7 月，从加纳的两家教学医院招募了女性妇科患者。患者被随机分配接受群体或个体计划生育咨询。本研究的主要结果是现代避孕方法知识的变化。还探讨了干预前后计划生育使用意向的变化和预期的方法类型。
两个研究组之间的比较表明，随机化是成功的。两个研究组（群体-个体）之间从基线到随访的现代避孕方法知识变化的差异为-0.21（95%置信区间：-0.53 至 0.12），表明两组之间没有差异。
群体计划生育咨询在加纳女性妇科患者中增加现代避孕知识方面与个体计划生育咨询同样有效。
