Assessing motivating factors for IUD self-removal through focus groups and simulation

Area of Science:

• Reproductive Health
• Patient Autonomy
• Healthcare Access

Background:

• Intrauterine devices (IUDs) are common contraceptives.
• Some users may wish to discontinue IUD use outside of clinical settings.
• Understanding motivations for IUD self-removal is crucial for patient-centered care.

Purpose of the Study:

• To explore motivating factors behind IUD self-removal among users.
• To assess the impact of simulated IUD removal on decision-making and self-efficacy.
• To identify potential resources and support systems for facilitating IUD self-removal.

Main Methods:

• Three semi-structured focus groups were conducted with IUD ever-users.
• The Theory of Planned Behavior guided the investigation of perceptions and promoters of self-removal.
• Thematic analysis was used to interpret focus group transcripts and simulation experiences.

Main Results:

• Participants desired information and resources to support IUD self-removal.
• Self-removal was viewed positively for managing side effects and mitigating negative healthcare experiences.
• IUD removal simulation reduced fear and enhanced participants' sense of control.

Conclusions:

• IUD self-removal is a desired but underutilized method for discontinuing IUD use.
• Patient desire for control, especially against systemic and clinician barriers, drives interest in self-removal.
• Clinicians can empower patients by offering self-removal instruction and simulation practice.