Women's preferences for contraceptive counseling and decision making
Little is known about what women value in their interactions with family planning providers and in decision making about contraception. We conducted semistructured interviews with 42 black, white and Latina patients. Transcripts were coded using modified grounded theory. While women wanted control o...
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| Published in: | Contraception (Stoneham) Vol. 88; no. 2; pp. 250 - 256 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
New York, NY
Elsevier Inc
01.08.2013
Elsevier |
| Subjects: | |
| ISSN: | 0010-7824, 1879-0518, 1879-0518 |
| Online Access: | Get full text |
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| Abstract | Little is known about what women value in their interactions with family planning providers and in decision making about contraception.
We conducted semistructured interviews with 42 black, white and Latina patients. Transcripts were coded using modified grounded theory.
While women wanted control over the ultimate selection of a method, most also wanted their provider to participate in the decision-making process in a way that emphasized the women's values and preferences. Women desired an intimate, friend-like relationship with their providers and also wanted to receive comprehensive information about options, particularly about side effects. More black and Spanish-speaking Latinas, as compared to whites and English-speaking Latinas, felt that providers should only share their opinion if it is elicited by a patient or if they make their rationale clear to the patient.
While, in the absence of medical contraindications, decision making about contraception has often been conceptualized as a woman's autonomous decision, our data indicate that providers of contraceptive counseling can participate in the decision-making process within limits. Differences in preferences seen by race/ethnicity illustrate one example of the importance of individualizing counseling to match women's preferences. |
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| AbstractList | Background: Little is known about what women value in their interactions with family planning providers and in decision making about contraception. Little is known about what women value in their interactions with family planning providers and in decision making about contraception. We conducted semistructured interviews with 42 black, white and Latina patients. Transcripts were coded using modified grounded theory. While women wanted control over the ultimate selection of a method, most also wanted their provider to participate in the decision-making process in a way that emphasized the women's values and preferences. Women desired an intimate, friend-like relationship with their providers and also wanted to receive comprehensive information about options, particularly about side effects. More black and Spanish-speaking Latinas, as compared to whites and English-speaking Latinas, felt that providers should only share their opinion if it is elicited by a patient or if they make their rationale clear to the patient. While, in the absence of medical contraindications, decision making about contraception has often been conceptualized as a woman's autonomous decision, our data indicate that providers of contraceptive counseling can participate in the decision-making process within limits. Differences in preferences seen by race/ethnicity illustrate one example of the importance of individualizing counseling to match women's preferences. Abstract Background Little is known about what women value in their interactions with family planning providers and in decision making about contraception. Study Design We conducted semistructured interviews with 42 black, white and Latina patients. Transcripts were coded using modified grounded theory. Results While women wanted control over the ultimate selection of a method, most also wanted their provider to participate in the decision-making process in a way that emphasized the women's values and preferences. Women desired an intimate, friend-like relationship with their providers and also wanted to receive comprehensive information about options, particularly about side effects. More black and Spanish-speaking Latinas, as compared to whites and English-speaking Latinas, felt that providers should only share their opinion if it is elicited by a patient or if they make their rationale clear to the patient. Conclusion While, in the absence of medical contraindications, decision making about contraception has often been conceptualized as a woman's autonomous decision, our data indicate that providers of contraceptive counseling can participate in the decision-making process within limits. Differences in preferences seen by race/ethnicity illustrate one example of the importance of individualizing counseling to match women's preferences. Little is known about what women value in their interactions with family planning providers and in decision making about contraception.BACKGROUNDLittle is known about what women value in their interactions with family planning providers and in decision making about contraception.We conducted semistructured interviews with 42 black, white and Latina patients. Transcripts were coded using modified grounded theory.STUDY DESIGNWe conducted semistructured interviews with 42 black, white and Latina patients. Transcripts were coded using modified grounded theory.While women wanted control over the ultimate selection of a method, most also wanted their provider to participate in the decision-making process in a way that emphasized the women's values and preferences. Women desired an intimate, friend-like relationship with their providers and also wanted to receive comprehensive information about options, particularly about side effects. More black and Spanish-speaking Latinas, as compared to whites and English-speaking Latinas, felt that providers should only share their opinion if it is elicited by a patient or if they make their rationale clear to the patient.RESULTSWhile women wanted control over the ultimate selection of a method, most also wanted their provider to participate in the decision-making process in a way that emphasized the women's values and preferences. Women desired an intimate, friend-like relationship with their providers and also wanted to receive comprehensive information about options, particularly about side effects. More black and Spanish-speaking Latinas, as compared to whites and English-speaking Latinas, felt that providers should only share their opinion if it is elicited by a patient or if they make their rationale clear to the patient.While, in the absence of medical contraindications, decision making about contraception has often been conceptualized as a woman's autonomous decision, our data indicate that providers of contraceptive counseling can participate in the decision-making process within limits. Differences in preferences seen by race/ethnicity illustrate one example of the importance of individualizing counseling to match women's preferences.CONCLUSIONWhile, in the absence of medical contraindications, decision making about contraception has often been conceptualized as a woman's autonomous decision, our data indicate that providers of contraceptive counseling can participate in the decision-making process within limits. Differences in preferences seen by race/ethnicity illustrate one example of the importance of individualizing counseling to match women's preferences. |
| Author | Levy, Kira Steinauer, Jody Grumbach, Kevin Dehlendorf, Christine Kelley, Allison |
| AuthorAffiliation | d UCSF School of Medicine, San Francisco, CA 94110, USA e California Department of Public Health, Richmond, CA 94804, USA b Department of Obstetrics, Gynecology and Reproductive Sciences, Bixby Center for Global Health, UCSF, San Francisco, CA 94110, USA c Department of Epidemiology and Biostatistics, UCSF, San Francisco, CA 94110, USA a Department of Family and Community Medicine, UCSF, San Francisco, CA 94110, USA |
| AuthorAffiliation_xml | – name: e California Department of Public Health, Richmond, CA 94804, USA – name: c Department of Epidemiology and Biostatistics, UCSF, San Francisco, CA 94110, USA – name: b Department of Obstetrics, Gynecology and Reproductive Sciences, Bixby Center for Global Health, UCSF, San Francisco, CA 94110, USA – name: d UCSF School of Medicine, San Francisco, CA 94110, USA – name: a Department of Family and Community Medicine, UCSF, San Francisco, CA 94110, USA |
| Author_xml | – sequence: 1 givenname: Christine surname: Dehlendorf fullname: Dehlendorf, Christine email: cdehlendorf@fcm.ucsf.edu organization: Department of Family and Community Medicine, UCSF, San Francisco, CA 94110, USA – sequence: 2 givenname: Kira surname: Levy fullname: Levy, Kira organization: UCSF School of Medicine, San Francisco, CA 94110, USA – sequence: 3 givenname: Allison surname: Kelley fullname: Kelley, Allison organization: California Department of Public Health, Richmond, CA 94804, USA – sequence: 4 givenname: Kevin surname: Grumbach fullname: Grumbach, Kevin organization: Department of Family and Community Medicine, UCSF, San Francisco, CA 94110, USA – sequence: 5 givenname: Jody surname: Steinauer fullname: Steinauer, Jody organization: Department of Obstetrics, Gynecology and Reproductive Sciences, Bixby Center for Global Health, UCSF, San Francisco, CA 94110, USA |
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| Keywords | Patient preferences Shared decision making Contraception Race/ethnicity Counseling Human Decision making Council Ethnic group Biomedical information Preference Race Female Contraceptive Woman |
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| References_xml | – volume: 152 start-page: 1423 year: 1995 end-page: 1433 ident: bb0025 article-title: Effective physician–patient communication and health outcomes: a review publication-title: CMAJ – volume: 41 start-page: 158 year: 2009 end-page: 165 ident: bb0085 article-title: Women's perspectives on family planning service quality: an exploration of differences by race, ethnicity and language publication-title: Perspect Sex Reprod Health – volume: 322 start-page: 444 year: 2001 end-page: 445 ident: bb0120 article-title: Towards a global definition of patient centred care publication-title: BMJ – volume: 23 start-page: 527 year: 1999 end-page: 552 ident: bb0090 article-title: Informed policy making for the prevention of unwanted pregnancy. 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| Snippet | Little is known about what women value in their interactions with family planning providers and in decision making about contraception.
We conducted... Abstract Background Little is known about what women value in their interactions with family planning providers and in decision making about contraception.... Little is known about what women value in their interactions with family planning providers and in decision making about contraception.BACKGROUNDLittle is... Background: Little is known about what women value in their interactions with family planning providers and in decision making about contraception. |
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| SubjectTerms | Adult African Continental Ancestry Group Biological and medical sciences Contraception Contraception - adverse effects Contraception - methods Contraception Behavior Contraceptives Counseling Decision Making Ethnic Groups European Continental Ancestry Group Family Planning Services Female Genital system. Reproduction Gynecology. Andrology. Obstetrics Hispanic Americans Humans Medical sciences Middle Aged Obstetrics and Gynecology Patient Preference Patient preferences Pharmacology. Drug treatments Physician-Patient Relations Race/ethnicity Shared decision making Social Networking |
| Title | Women's preferences for contraceptive counseling and decision making |
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