Department of Psychology, Texas Christian University, Fort Worth, Texas, USA.
Uniq Health Ltd, Cambridge, UK.
Ann Behav Med. 2024 Jun 18;58(7):463-473. doi: 10.1093/abm/kaae024.
Nearly 40% of unplanned pregnancies in the USA are the result of inconsistent or incorrect contraceptive use. Finding ways to increase women's comfort and satisfaction with contraceptive use is therefore critical to public health. One promising pathway for improving patient outcomes is through the use of digital decision aids that assist women and their physicians in choosing a contraceptive option that women are comfortable with. Testing the ability of these aids to improve patient outcomes is therefore a necessary first step toward incorporating this technology into traditional physician appointments.
To evaluate the effectiveness of a novel contraceptive decision aid at minimizing decisional conflict and increasing comfort with contraception among adult women.
In total, 310 adult women were assigned to use either the Tuune contraceptive decision aid or a control aid modeled after a leading online contraceptive prescriber's patient intake form. Participants then completed self-report measures of decisional conflict, contraceptive expectations, satisfaction, and contraceptive use intentions. Individual between-subjects analysis of variance (ANOVA) models were used to examine these outcomes.
Women using the Tuune decision aid (vs. those using the control aid) reported lower decisional conflict, more positive contraceptive expectations, greater satisfaction with the decision aid and recommendation, and more positive contraceptive use intentions.
Use of Tuune improved each of the predicted patient outcomes relative to a control decision aid. Online decision aids, particularly when used alongside physician consultations, may be an effective tool for increasing comfort with contraceptive use.
CLINICAL TRIALS REGISTRATION #: NCT05177783, ClinicalTrials.gov, https://clinicaltrials.gov/ct2/show/NCT05177783.
美国近 40%的意外怀孕是由于避孕措施使用不当或不规律导致的。因此，找到提高女性对避孕措施的舒适度和满意度的方法对公共健康至关重要。改善患者治疗效果的一个有前景的途径是使用数字决策辅助工具，帮助女性及其医生选择她们感到舒适的避孕方案。因此，测试这些辅助工具提高患者治疗效果的能力是将该技术纳入传统医生预约的必要的第一步。
评估一种新型避孕决策辅助工具在减少决策冲突和提高成年女性对避孕措施的舒适度方面的有效性。
共有 310 名成年女性被分配使用 Tuune 避孕决策辅助工具或模仿领先的在线避孕处方患者输入表单的对照辅助工具。然后，参与者完成了关于决策冲突、避孕期望、满意度和避孕使用意向的自我报告测量。使用个体受试者间方差分析（ANOVA）模型来检验这些结果。
使用 Tuune 决策辅助工具（与使用对照辅助工具相比）的女性报告的决策冲突较低，对避孕的期望更积极，对决策辅助工具和建议的满意度更高，对避孕的使用意向更积极。
与对照决策辅助工具相比，使用 Tuune 提高了预测的每个患者治疗效果。在线决策辅助工具，特别是与医生咨询一起使用时，可能是提高避孕舒适度的有效工具。
NCT05177783，ClinicalTrials.gov，https://clinicaltrials.gov/ct2/show/NCT05177783。
