Duane Marguerite, Martinez Virginia, Berry Meghan, Gilpatrick Sarah, Manhart Michael D
FACTS, 1020 Kearny St NE, Washington, DC 20017, USA.
Fertility Science Institute, Couple to Couple League International, 5440 Moeller Avenue Suite 149, Cincinnati, OH 45212, USA.
PEC Innov. 2023 May 23;2:100169. doi: 10.1016/j.pecinn.2023.100169. eCollection 2023 Dec.
To assess patient experiences using a Shared Decision-Making (SDM) Tool for fertility awareness-based methods (FABMs) of family planning.
The study employed a prospective crossover design to evaluate impact of the SDM tool compared to usual practice when discussing FABMs with patients. Patients completed pre- and post-office visit surveys and an online survey six months later. The primary outcomes evaluated the effect of the SDM tool on patient satisfaction and FABM continuity of use rates.
There was no significant difference in likelihood of changing family planning methods immediately after the office visit; however, by six months a significantly larger proportion of patients had started or changed FABMs in the experimental group (52%, 34/66) compared to the control group (36%, 24/66) ( = 0.04). Significantly more patients who used the tool and changed their FABM after their visit reported increased satisfaction with their FABM compared to control (50% vs. 17%, = 0.022).
Use of the SDM tool increased persistent use of and satisfaction with chosen FABMs at six months.
The novel SDM tool can enhance patients' understanding and facilitate the selection of a more suitable method leading to increased satisfaction.
评估患者使用基于生育力意识的计划生育方法（FABMs）的共同决策（SDM）工具的体验。
本研究采用前瞻性交叉设计，在与患者讨论FABMs时，评估SDM工具与常规做法相比的影响。患者在就诊前和就诊后完成调查问卷，并在六个月后完成在线调查。主要结局评估SDM工具对患者满意度和FABMs持续使用率的影响。
就诊后立即改变计划生育方法的可能性没有显著差异；然而，到六个月时，与对照组（36%，24/66）相比，实验组（52%，34/66）中有显著更多的患者开始或改变了FABMs（P = 0.04）。与对照组相比，使用该工具并在就诊后改变其FABM的患者对其FABM的满意度显著更高（50%对17%，P = 0.022）。
使用SDM工具可在六个月时提高对所选FABMs的持续使用率和满意度。
新型SDM工具可增强患者的理解，并有助于选择更合适的方法，从而提高满意度。
