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.
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.
Authors: Nupur D Kittur; Gina M Secura; Jeffrey F Peipert; Tessa Madden; Lawrence B Finer; Jenifer E Allsworth Journal: Contraception Date: 2010-11-23 Impact factor: 3.375
Authors: Judith Stephenson; Julia V Bailey; Ann Blandford; Nataliya Brima; Andrew Copas; Preethy D'Souza; Anasztazia Gubijev; Rachael Hunter; Jill Shawe; Greta Rait; Sandy Oliver Journal: Health Technol Assess Date: 2020-11 Impact factor: 4.014
Authors: Sarah F Lindsay; Elisabeth J Woodhams; Katharine O White; Mari-Lynn Drainoni; Natrina L Johnson; Leanne Yinusa-Nyahkoon Journal: J Adolesc Young Adult Oncol Date: 2019-10-21 Impact factor: 2.223