Department of Family & Community Medicine, University of California, San Francisco; Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco; Department of Epidemiology & Biostatistics, University of California, San Francisco.
Department of Family & Community Medicine, University of California, San Francisco.
Contraception. 2019 Nov;100(5):420-423. doi: 10.1016/j.contraception.2019.08.001. Epub 2019 Aug 9.
Barriers to the provision of patient-centered contraceptive counseling include time limitations, frequent misconceptions and misinformation about methods among patients, and the availability of numerous contraceptive options, which increases the complexity of contraceptive decision making. Decision support tools are interventions designed to facilitate quality decision making in preference-sensitive decisions. We evaluated the impact of a contraceptive decision support tool, My Birth Control, on providers' experience with contraceptive counseling.
We interviewed 15 providers who participated in the intervention arm of a cluster randomized controlled trial of My Birth Control to obtain their impressions of their patients' interactions with the tool. We analyzed the interviews using thematic analysis, compared appointment lengths of patients in each arm (n=749) and assessed provider burnout in each arm (n=28).
Providers reported that incorporating My Birth Control into their practice helped them allocate time more efficiently, enabling them to hone in on patients' areas of interest. They also reported that patients who interacted with the tool appeared more informed about contraception options and features, and took a more active role in method selection. All providers described using the tool as acceptable and feasible, and indicated they would like to incorporate it into their practice. There was no difference in provider burnout scores comparing before and after the trial of My Birth Control.
Providers had a positive impression of the impact of My Birth Control on contraceptive counseling, including the quality of counseling, and perceived the tool to be a feasible intervention to use in the clinical setting.
Family planning clinics should consider incorporating My Birth Control into their clinical services as a means of improving contraceptive care and provider experience of counseling.
提供以患者为中心的避孕咨询的障碍包括时间限制、患者对方法的频繁误解和错误信息，以及众多避孕选择的可用性，这增加了避孕决策的复杂性。决策支持工具是旨在促进在偏好敏感决策中做出高质量决策的干预措施。我们评估了避孕决策支持工具“My Birth Control”对提供者进行避孕咨询的体验的影响。
我们采访了 15 名参与“My Birth Control”的干预组的参与者，以了解他们对患者与该工具互动的印象。我们使用主题分析对访谈进行了分析，比较了每个手臂（n=749）的预约长度，并评估了每个手臂（n=28）的提供者倦怠情况。
提供者报告说，将“My Birth Control”纳入他们的实践有助于他们更有效地分配时间，使他们能够专注于患者感兴趣的领域。他们还报告说，与工具互动的患者似乎对避孕选择和功能有更多的了解，并在方法选择中发挥更积极的作用。所有提供者都表示使用该工具是可以接受和可行的，并表示希望将其纳入他们的实践。在使用“My Birth Control”前后，提供者的倦怠评分没有差异。
提供者对“My Birth Control”对避孕咨询的影响有积极的印象，包括咨询的质量，并认为该工具是在临床环境中使用的可行干预措施。
计划生育诊所应考虑将“My Birth Control”纳入他们的临床服务，作为改善避孕护理和提供者咨询体验的一种手段。
