Department of Nursing and Health Sciences, Faculty of Health and Social Sciences, University of South - Eastern Norway , Kjølnes ring 56, Porsgrunn, N3918, Norway.
Ottawa Hospital, Ottawa, Canada.
BMC Womens Health. 2024 Jun 8;24(1):336. doi: 10.1186/s12905-024-03172-2.
Although women face a wide range of contraceptive options, globally, young women are at risk of unintended pregnancies. Our umbrella review aimed to determine the decisional needs of nulligravida women aged 11 to 30 considering contraceptive options and identify effective interventions to support their involvement in making decisions about contraceptive use.
We followed Joanna Briggs Institute methods for umbrella reviews, theoretically guided by the Ottawa Decision Support Framework. We searched six electronic databases. Two reviewers independently screened citations, extracted data, and appraised quality using AMSTAR2. We analysed findings descriptively.
Of 124 citations, we identified 11 reviews of variable quality (critically low to moderate quality): Six reported decisional needs and 5 reported on interventions. Decisional needs of young women were: (a) information needs about contraceptive options (e.g., mechanism of actions, eligibility, administration, side effects); (b) unclear values (concerns about hormone use) and features of different options (based on their religious values); and (c) need for support and resources (support from society and need for privacy). Compared to controls, decision support interventions including patient decision aids and patient education material increased knowledge and improved discussion of options with their clinicians.
Young women making contraceptive decisions experience unmet decisional needs. Effective interventions such as patient decision aids and general patient education materials may address their decisional needs and enhance their level of participation in making contraception decisions. Implications and contribution to the field: Young women's decisional needs when considering contraceptive use are informational needs, unclear values (including religious influences), need for support and resources when facing this decision. Interventions, such as patient decision aid and patient education material can, address decisional needs by improving young women's knowledge about contraceptive options.
尽管女性有多种避孕选择，但全球范围内，年轻女性仍面临意外怀孕的风险。我们的综述旨在确定考虑避孕选择的 11 至 30 岁的初产妇的决策需求，并确定有效的干预措施，以支持她们参与避孕决策。
我们遵循循证卫生保健国际合作组织的伞状评价方法，理论上以渥太华决策支持框架为指导。我们搜索了六个电子数据库。两名审查员独立筛选引文、提取数据，并使用 AMSTAR2 评估质量。我们对发现进行了描述性分析。
在 124 条引文，我们确定了 11 条质量不同的综述（批判性低至中等质量）：6 条报告了决策需求，5 条报告了干预措施。年轻女性的决策需求包括：（a）对避孕选择的信息需求（例如，作用机制、资格、管理、副作用）；（b）价值观不明确（对激素使用的担忧）和不同选择的特征（基于其宗教价值观）；（c）支持和资源的需求（来自社会的支持和隐私的需求）。与对照组相比，决策支持干预措施，包括患者决策辅助工具和患者教育材料，增加了知识，改善了与临床医生讨论选择的情况。
做出避孕决策的年轻女性存在未满足的决策需求。有效的干预措施，如患者决策辅助工具和一般患者教育材料，可以满足他们的决策需求，提高他们参与避孕决策的程度。对该领域的影响和贡献：年轻女性在考虑使用避孕措施时的决策需求包括信息需求、价值观不明确（包括宗教影响）、在面临这一决策时需要支持和资源。患者决策辅助工具和患者教育材料等干预措施可以通过提高年轻女性对避孕选择的了解来满足决策需求。
