数字避孕决策辅助工具对用户结果的影响:一项实验性临床试验的结果

IF 3.6 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY
Matthew Espinosa, Stephen A Butler, Summer Mengelkoch, Laura Joigneau Prieto, Emma Russell, Chris Ramshaw, Zak Rose-Reneau, Molly Remondino, Shardi Nahavandi, Sarah E Hill
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引用次数: 0

摘要

背景:在美国,近 40% 的意外怀孕是由于避孕药具使用不一致或不正确造成的。因此,找到提高妇女对避孕药具使用的舒适度和满意度的方法对公共卫生至关重要。改善患者疗效的一个可行途径是使用数字决策辅助工具,帮助妇女及其医生选择妇女感到满意的避孕方法。因此,测试这些辅助工具改善患者预后的能力是将这一技术纳入传统医生诊疗的必要第一步。目的:评估新型避孕决策辅助工具在减少成年女性决策冲突和提高避孕舒适度方面的有效性:方法:总共有 310 名成年女性被分配使用 Tuune 避孕决策辅助工具或以领先的在线避孕药具开具者的患者接收表为模型的对照辅助工具。然后,参与者完成关于决策冲突、避孕期望、满意度和避孕药具使用意向的自我报告测量。研究采用了个体间方差分析(ANOVA)模型来检验这些结果:结果:使用 Tuune 辅助决策工具的妇女(与使用对照辅助工具的妇女相比)报告的决策冲突较低、对避孕药具的期望更积极、对辅助决策工具和建议的满意度更高、使用避孕药具的意愿更积极:结论:与对照决策辅助工具相比,Tuune 的使用改善了患者的各项预期结果。在线决策辅助工具,尤其是与医生咨询同时使用时,可能是提高避孕药具使用舒适度的有效工具。临床试验注册号:NCT05177783,ClinicalTrials.gov,https://clinicaltrials.gov/ct2/show/NCT05177783。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Impact of a Digital Contraceptive Decision Aid on User Outcomes: Results of an Experimental, Clinical Trial.

Background: Nearly 40% of unplanned pregnancies in the USA are the result of inconsistent or incorrect contraceptive use. Finding ways to increase women's comfort and satisfaction with contraceptive use is therefore critical to public health. One promising pathway for improving patient outcomes is through the use of digital decision aids that assist women and their physicians in choosing a contraceptive option that women are comfortable with. Testing the ability of these aids to improve patient outcomes is therefore a necessary first step toward incorporating this technology into traditional physician appointments.

Purpose: To evaluate the effectiveness of a novel contraceptive decision aid at minimizing decisional conflict and increasing comfort with contraception among adult women.

Methods: In total, 310 adult women were assigned to use either the Tuune contraceptive decision aid or a control aid modeled after a leading online contraceptive prescriber's patient intake form. Participants then completed self-report measures of decisional conflict, contraceptive expectations, satisfaction, and contraceptive use intentions. Individual between-subjects analysis of variance (ANOVA) models were used to examine these outcomes.

Results: Women using the Tuune decision aid (vs. those using the control aid) reported lower decisional conflict, more positive contraceptive expectations, greater satisfaction with the decision aid and recommendation, and more positive contraceptive use intentions.

Conclusions: Use of Tuune improved each of the predicted patient outcomes relative to a control decision aid. Online decision aids, particularly when used alongside physician consultations, may be an effective tool for increasing comfort with contraceptive use.

Clinical trials registration #: NCT05177783, ClinicalTrials.gov, https://clinicaltrials.gov/ct2/show/NCT05177783.

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来源期刊
Annals of Behavioral Medicine
Annals of Behavioral Medicine PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
7.00
自引率
5.30%
发文量
65
期刊介绍: Annals of Behavioral Medicine aims to foster the exchange of knowledge derived from the disciplines involved in the field of behavioral medicine, and the integration of biological, psychosocial, and behavioral factors and principles as they relate to such areas as health promotion, disease prevention, risk factor modification, disease progression, adjustment and adaptation to physical disorders, and rehabilitation. To achieve these goals, much of the journal is devoted to the publication of original empirical articles including reports of randomized controlled trials, observational studies, or other basic and clinical investigations. Integrative reviews of the evidence for the application of behavioral interventions in health care will also be provided. .
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