Beth Sundstrom1, Andrea L DeMaria2, Merissa Ferrara3, Stephanie Meier2, Deborah Billings4. 1. Department of Communication, College of Charleston, 66 George Street, Charleston, SC, 29424, USA. BLS@cofc.edu. 2. College of Health and Human Sciences, Purdue University, 812 West State Street, West Lafayette, IN, 47907, USA. 3. Department of Communication, College of Charleston, 66 George Street, Charleston, SC, 29424, USA. 4. Health Promotion, Education, and Behavior, University of South Carolina, 921 Assembly Street, Columbia, SC, 29208, USA.
Abstract
BACKGROUND: Rural populations face unique health disparities that prevent women from accessing reproductive health care services. Telehealth initiatives offer a health care delivery tool to increase access to contraception. OBJECTIVE: To understand women's contraceptive needs and perceptions of accessing contraception through telehealth services. METHODS: Researchers conducted 52 in-depth interviews with women ages 18-44 years living in five rural counties in South Carolina from May to July 2015. Researchers employed constant comparative data analysis using HyperRESEARCH 3.7.2. RESULTS: Most participants identified as Black (62%) or White (28%). Findings suggest successful telehealth interventions should accommodate women's complex and nuanced community views, including benefits and barriers of telehealth, to improve access to contraceptive methods in rural locations. In addition, telehealth initiatives should frame contraception as contributing to women's overall health and well-being. CONCLUSIONS FOR PRACTICE: Telehealth initiatives may address barriers to contraceptive access in rural locations. Findings from this study offer theoretical and practical opportunities to guide telehealth interventions that support and empower women's access to contraceptive methods in rural areas.
BACKGROUND: Rural populations face unique health disparities that prevent women from accessing reproductive health care services. Telehealth initiatives offer a health care delivery tool to increase access to contraception. OBJECTIVE: To understand women's contraceptive needs and perceptions of accessing contraception through telehealth services. METHODS: Researchers conducted 52 in-depth interviews with women ages 18-44 years living in five rural counties in South Carolina from May to July 2015. Researchers employed constant comparative data analysis using HyperRESEARCH 3.7.2. RESULTS: Most participants identified as Black (62%) or White (28%). Findings suggest successful telehealth interventions should accommodate women's complex and nuanced community views, including benefits and barriers of telehealth, to improve access to contraceptive methods in rural locations. In addition, telehealth initiatives should frame contraception as contributing to women's overall health and well-being. CONCLUSIONS FOR PRACTICE: Telehealth initiatives may address barriers to contraceptive access in rural locations. Findings from this study offer theoretical and practical opportunities to guide telehealth interventions that support and empower women's access to contraceptive methods in rural areas.
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