在南非堕胎护理中通过WhatsApp进行远程医疗避孕咨询:混合方法可接受性研究
Maja Weinryb1, Lucia Knight2,3, Elin C Larsson1,4
1Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
概括
这项研究发现,基于WhatsApp的工具PlanUrFam对于寻求堕胎护理的妇女的避孕咨询非常可接受. 它支持知情决定,并增加了长效可逆避孕药 (LARC) 的使用.
科学领域:
- 生殖健康 生殖健康
- 数字健康干预措施 数字健康干预措施
- 避孕药是一种避孕药,用于避孕.
背景情况:
- 远程医疗用于避孕咨询显示了改善准入的潜力,特别是在资源较少的环境中.
- 关于远程医疗作为面对面咨询的替代品的可接受性证据有限.
- 寻求堕胎护理的妇女需要可访问和不判断的避孕信息.
研究的目的:
- 评估基于WhatsApp的避孕咨询工具PlanUrFam的可接受性.
- 评估该工具对南非寻求堕胎护理的妇女的避孕决策和方法选择的影响.
主要方法:
- 一项混合方法试点研究,涉及31名寻求堕胎护理的妇女.
- 参与者使用了PlanUrFam工具进行避孕咨询.
- 可接受性是使用可接受性的理论框架 (TFA) 来衡量的,并补充了深度访谈.
主要成果:
- 在TFA领域报告了PlanUrFam工具的高接受率 (89%).
- 定性反表明,与面对面咨询相比,使用方便,理解和判断力降低.
- 在咨询后,64%的人选择了长效可逆避孕 (LARC),96%的人选择了与以前使用的不同方法.
结论:
- 计划UrFam显示了高可接受性,并支持知情的避孕决策和LARC在堕胎护理设置的采用.
- 需要进一步的研究,包括随机对照试验,以评估与标准护理相比的有效性.
- 像PlanUrFam这样的数字工具可以在提高避孕护理获取和结果方面发挥宝贵作用.
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