Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia.
Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia.
Am J Prev Med. 2018 Nov;55(5):703-715. doi: 10.1016/j.amepre.2018.07.012.
Educational interventions can help individuals increase their knowledge of available contraceptive methods, enabling them to make informed decisions and use contraception correctly. This review updates a previous review of contraceptive education.
Multiple databases were searched for articles published March 2011-November 2016. Primary outcomes were knowledge, participation in and satisfaction/comfort with decision making, attitudes toward contraception, and selection of more effective methods. Secondary outcomes included contraceptive behaviors and pregnancy. Excluded articles described interventions that had no comparison group, could not be conducted feasibly in a clinic setting, or were conducted outside the U.S. or similar country.
A total of 24,953 articles were identified. Combined with the original review, 37 articles met inclusion criteria and described 31 studies implementing a range of educational approaches (interactive tools, written materials, audio/videotapes, and text messages), with and without healthcare provider feedback, for a total of 36 independent interventions. Of the 31 interventions for which knowledge was assessed, 28 had a positive effect. Fewer were assessed for their effect on attitudes toward contraception, selection of more effective methods, contraceptive behaviors, or pregnancy-although increased knowledge was found to mediate additional outcomes (positive attitudes toward contraception and contraceptive continuation).
This systematic review is consistent with evidence from the broader healthcare field in suggesting that a range of interventions can increase knowledge. Future studies should assess what aspects are most effective, the benefits of including provider feedback, and the extent to which educational interventions can facilitate behavior change and attainment of reproductive health goals.
This article is part of a theme issue entitled Updating the Systematic Reviews Used to Develop the U.S. Recommendations for Providing Quality Family Planning Services, which is sponsored by the Office of Population Affairs, U.S. Department of Health and Human Services.
教育干预可以帮助个人增加对现有避孕方法的了解，使他们能够做出明智的决定并正确使用避孕措施。本综述更新了之前关于避孕教育的综述。
多个数据库搜索了 2011 年 3 月至 2016 年 11 月发表的文章。主要结果是知识、参与和决策的满意度/舒适度、对避孕的态度以及选择更有效的方法。次要结果包括避孕行为和怀孕。排除的文章描述了没有对照组的干预措施、在诊所环境中无法进行的干预措施或在美国或类似国家以外进行的干预措施。
共确定了 24953 篇文章。加上原始综述，有 37 篇文章符合纳入标准，描述了 31 项实施了一系列教育方法（互动工具、书面材料、音频/视频带和短信）的研究，其中包括和不包括医疗保健提供者的反馈，共有 36 个独立的干预措施。在 31 项评估知识的干预措施中，有 28 项具有积极影响。对其对避孕态度、选择更有效的方法、避孕行为或怀孕的影响评估较少-尽管增加知识被发现可以调解其他结果（对避孕的积极态度和避孕的持续）。
本系统综述与更广泛的医疗保健领域的证据一致，表明一系列干预措施可以增加知识。未来的研究应该评估哪些方面最有效、包括提供者反馈的益处以及教育干预在多大程度上可以促进行为改变和实现生殖健康目标。
本文是题为“更新用于制定美国提供优质计划生育服务建议的系统综述”主题问题的一部分，该主题问题由美国人口事务办公室赞助，美国卫生与公众服务部。
