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Evaluating the quality and communicative aspects of contraceptive decision aids
Bonnie H Bowie1, Bridget Hiedemann2, Erin Vernon2
1Seattle University, College of Nursing, Seattle, WA, United States.
Objective:
This study assesses the quality and communicative aspects of electronic, publicly available, interactive contraceptive decision aids.
Study Design:
We searched MEDLINE, CINAHL, and the Ottawa Decision Aid Library Inventory. We also accessed decision aids from Google, Android and IOS phone applications available in April 2024. We compiled a list of decision aids from these sources for potential inclusion in our study. We included free, interactive English language decision aids available online and/or as mobile applications. We assessed each decision aid using the International Patient Decision Aid Standards (IPDAS) checklist and a modified version of a communicative aspects checklist used in prior research.
Results:
Most decision aids (8/13) provide patients with a step-by-step way to make a decision. While 11 of 13 (85%) address efficacy and/or effectiveness in preventing pregnancy, only three of 13 (23%) present both sets of probabilities. Most decision aids (8/13) acknowledge at least one contraindication and all but one (12/13) address possible side effects.
Conclusions:
Decision aids vary in their overall quality, effectiveness of presenting relevant information, and personalization. Many neglect to communicate both efficacy and effectiveness or thoroughly communicate contraindications. Current and future contraceptive decision aids should strive to better include these aspects to improve the patient's decision-making experience.
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