Shared Decision Aids: Increasing Patient Acceptance of Long-Acting Reversible Contraception

Healthcare

Tracy P. George³  Claire DeCristofaro¹  Bonnie P. Dumas¹  Pamela F. Murphy² 

[1] College of Nursing, Medical University of South Carolina, Charleston, SC 29425, USA; E-Mail:;Department of Behavioral Sciences, College of Health, Human Services, and Science, Ashford University, San Diego, CA 92123, USA; E-Mail:;Department of Nursing, Francis Marion University, Florence, SC 29502, USA; E-Mail:

关键词: long-acting reversible contraceptive methods (LARCs);    shared decision aids;    intrauterine devices (IUDs);    contraceptive implants;    patient education;    public health nursing;   

DOI  :  10.3390/healthcare3020205

来源: mdpi

【 摘 要 】

Unintended pregnancies are an important public health issue. Long-acting reversible contraceptive methods (LARCs) are reliable, safe, highly effective methods for most women; however they are underutilized in the United States. Shared decision aids were added to usual care in five public health family planning clinics in the Southeastern United States, staffed by advance practice nurses and registered nurses. All five sites showed an increase in the use of LARCs during the time period that shared decision aids were used (results statistically significant to p < 0.001). It is important for women to make informed choices about contraception, and shared decision aids can be utilized to support this decision making. This resource has been adopted for statewide use in all public health clinics, and implications for practice suggest that the use of shared decision aids is an effective method to support informed patient decision making and acceptance of LARC methods of contraception.

【 授权许可】

CC BY   
© 2015 by the authors; licensee MDPI, Basel, Switzerland.