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Shared Decision Aids: Increasing Patient Acceptance of Long-Acting Reversible Contraception
Tracy P George1,2, Claire DeCristofaro3,4, Bonnie P Dumas5
1Department of Nursing, Francis Marion University, Florence, SC 29502, USA. TGeorge@fmarion.edu.
Healthcare (Basel, Switzerland)
|July 16, 2016
Summary
Shared decision aids significantly increased the use of long-acting reversible contraceptives (LARCs) in public health clinics. These tools empower women to make informed choices about contraception, improving LARC acceptance.
Area of Science:
- Public Health
- Family Planning
- Reproductive Health
Background:
- Unintended pregnancies represent a significant public health concern in the United States.
- Long-acting reversible contraceptive methods (LARCs) are highly effective but underutilized.
- Informed patient choice is crucial for effective contraception utilization.
Purpose of the Study:
- To evaluate the impact of shared decision aids on LARC uptake in public health family planning clinics.
- To assess the effectiveness of shared decision aids in supporting informed contraceptive decision-making.
Main Methods:
- Shared decision aids were integrated into usual care across five public health family planning clinics.
- Clinics were staffed by advance practice nurses and registered nurses.
- LARC utilization rates were monitored before and after the introduction of decision aids.
Main Results:
- All five participating clinics demonstrated a statistically significant increase (p < 0.001) in LARC use.
- The introduction of shared decision aids correlated with higher acceptance rates of LARC methods.
Conclusions:
- Shared decision aids are an effective tool for enhancing informed patient decision-making regarding contraception.
- Implementing shared decision aids can significantly boost the utilization of LARC methods in public health settings.
- The statewide adoption of this resource highlights its practical implications for improving reproductive health outcomes.
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