Evaluating the effectiveness of a tailored online educational video on the contraceptive knowledge and decision making of young women from culturally and linguistically diverse backgrounds: findings from the EXTEND-PREFER study.

IF 3.4 3区 医学 Q1 FAMILY STUDIES
Danielle Mazza, Jessica R Botfield, Jessie Zeng, Claudia Morando-Stokoe, Noushin Arefadib
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引用次数: 0

Abstract

Background: Young Australian women from culturally and linguistically diverse (CALD) backgrounds are vulnerable to unwanted pregnancy. We aimed to assess whether an online educational video, co-designed with young CALD women, can increase their contraceptive knowledge, preference for and uptake of long-acting reversible contraception (LARC).

Methods: Online advertising was used to recruit young CALD women aged 16-25 years. Participants completed the pre-video survey (S1), watched the 13-min co-designed video, then completed a survey immediately afterwards (S2) and 6 months later (S3). Outcomes were analysed using McNemar tests and multivariate logistic regression.

Results: A total of 160 participants watched the video, completed S1 and S2, and 57% of those completed S3. At S1 only 14% rated their knowledge about every contraceptive method as high. Knowledge improved at S2 for all methods (aOR 3.2, 95% CI 2.0 to 5.0) and LARC (aOR 4.7, 95% CI 2.9 to 7.5). Overall method preference for LARC increased from 2.5% (n=4) at S1 to 51% (n=82) at S2. Likelihood of using a LARC increased at S2 (aOR 3.8, 95% CI 2.6 to 5.6). The overall proportion of participants using a LARC increased from 8% at S1 to 11% at S3; however, this increase was not significant (p=0.7).

Conclusions: The significant increase in knowledge, likelihood of use, and preference for LARC underscores the potential of online video-based contraceptive education to address contraceptive knowledge gaps and challenge misconceptions about LARC held by young women. Combining contraceptive education with supports to LARC access is crucial for empowering young CALD women to make informed contraceptive decisions.

评估定制在线教育视频对来自不同文化和语言背景的年轻女性避孕知识和决策的影响:EXTEND-PREFER 研究的结果。
背景:来自不同文化和语言背景(CALD)的澳大利亚年轻女性很容易意外怀孕。我们旨在评估与年轻的 CALD 女性共同设计的在线教育视频能否增加她们的避孕知识、对长效可逆避孕药具 (LARC) 的偏好和使用率:方法:通过网络广告招募 16-25 岁的年轻 CALD 女性。参与者完成视频前调查(S1),观看 13 分钟共同设计的视频,然后立即完成调查(S2)和 6 个月后(S3)。结果采用 McNemar 检验和多变量逻辑回归进行分析:共有 160 名参与者观看了视频,完成了 S1 和 S2,其中 57% 完成了 S3。在 S1 阶段,只有 14% 的人认为自己对每种避孕方法的了解程度都很高。在 S2 阶段,所有避孕方法(aOR 3.2,95% CI 2.0 至 5.0)和 LARC(aOR 4.7,95% CI 2.9 至 7.5)的知识水平都有所提高。对 LARC 方法的总体偏好从 S1 的 2.5%(n=4)增加到 S2 的 51%(n=82)。使用 LARC 的可能性在第二次调查时有所增加(aOR 3.8,95% CI 2.6 至 5.6)。使用 LARC 的参与者总比例从 S1 阶段的 8% 上升至 S3 阶段的 11%;但这一增长并不显著(P=0.7):对 LARC 的了解、使用可能性和偏好的大幅提高,凸显了基于在线视频的避孕教育在解决避孕知识缺口和挑战年轻女性对 LARC 的误解方面的潜力。将避孕教育与对 LARC 获取的支持相结合,对于增强 CALD 年轻女性做出知情避孕决定的能力至关重要。
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来源期刊
BMJ Sexual & Reproductive Health
BMJ Sexual & Reproductive Health Medicine-Reproductive Medicine
CiteScore
5.10
自引率
6.10%
发文量
38
期刊介绍: BMJ Sexual & Reproductive Health is a multiprofessional journal that promotes sexual and reproductive health and wellbeing, and best contraceptive practice, worldwide. It publishes research, debate and comment to inform policy and practice, and recognises the importance of professional-patient partnership.
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