Kennedy Caitlin E, Yeh Ping Teresa, Gaffield Mary E
Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, USA.
Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, USA.
Contraception. 2020 Feb;101(2):69-73. doi: 10.1016/j.contraception.2018.05.006. Epub 2019 Jun 4.
Values and preferences of end users are critical considerations for any health guidelines. We sought to examine the literature about values and preferences for contraceptive methods to inform the World Health Organization (WHO) Medical eligibility criteria (MEC) and Selected practice recommendations (SPR) for contraception use. In this article, we present a detailed protocol and methods for this systematic review.
We searched 10 electronic databases for articles published in a peer-reviewed journal from January 1, 2005 through December 31, 2017. Articles had to present qualitative or quantitative information about patients' and providers' values and preferences for contraceptive methods covered under the MEC and SPR guidelines. There were no language or study location restrictions. Citations were screened in duplicate and included articles underwent data abstraction using standardized forms. Study rigor was assessed using an 8-item measure developed by the Evidence Project for quantitative studies and an adapted CASP checklist for qualitative studies.
We defined "values and preferences" broadly and designed our search and data extraction strategies accordingly. While this approach has strengths and limitations, we believe it captures the wide range of values and preferences of contraceptive end users and family planning providers that should be considered by WHO in guideline development. We anticipate findings will be useful to inform future research, programmatic, and policy decisions.
对于任何健康指南而言，终端用户的价值观和偏好都是至关重要的考量因素。我们试图审视关于避孕方法的价值观和偏好的文献，以为世界卫生组织（WHO）的避孕医学适用标准（MEC）和避孕使用的特定实践建议（SPR）提供参考。在本文中，我们介绍了这项系统评价的详细方案和方法。
我们检索了10个电子数据库，以查找2005年1月1日至2017年12月31日期间发表在同行评审期刊上的文章。文章必须呈现关于患者和提供者对MEC和SPR指南涵盖的避孕方法的价值观和偏好的定性或定量信息。没有语言或研究地点限制。对文献引用进行了重复筛选，纳入的文章使用标准化表格进行数据提取。使用由证据项目开发的8项指标对定量研究的研究严谨性进行评估，对定性研究使用改编后的CASP清单进行评估。
我们对“价值观和偏好”进行了广泛定义，并相应地设计了搜索和数据提取策略。虽然这种方法有优点和局限性，但我们认为它涵盖了避孕终端用户和计划生育提供者的广泛价值观和偏好，世卫组织在制定指南时应予以考虑。我们预计研究结果将有助于为未来的研究、规划和政策决策提供参考。
