教育干预可以帮助个人增加对可用避孕方法的了解,使他们能够做出明智的决定并正确使用避孕药具。本评论更新了以前对避孕教育的评论。
在多个数据库中搜索了2011年3月至2016年11月发表的文章。主要结果是知识,参与和满意/舒适的决策,对避孕的态度,选择更有效的方法。次要结果包括避孕行为和妊娠。排除的文章描述了没有比较组的干预措施,不能在诊所中可行地进行,或在美国或类似国家以外进行。
总共确定了24,953篇文章。结合原审,37篇文章符合纳入标准,并描述了31项实施一系列教育方法的研究(互动工具,书面材料,音频/录像带,和短信),有和没有医疗保健提供者的反馈,共36项独立干预措施。在评估知识的31项干预措施中,28产生了积极的影响。较少评估它们对避孕态度的影响,选择更有效的方法,避孕行为,或妊娠-尽管发现知识的增加可以介导其他结局(对避孕和继续避孕的积极态度)。
本系统评价与更广泛的医疗保健领域的证据一致,表明一系列干预措施可以增加知识。未来的研究应该评估哪些方面最有效,包括提供者反馈的好处,以及教育干预在多大程度上可以促进行为改变和实现生殖健康目标。
本文是题为“更新用于制定美国提供优质计划生育服务建议的系统评论”的主题问题的一部分,由人口事务办公室赞助,美国卫生与人类服务部。
Educational interventions can help individuals increase their knowledge of available contraceptive methods, enabling them to make informed decisions and use contraception correctly. This
review updates a previous
review of contraceptive education.
Multiple databases were searched for articles published March 2011-November 2016. Primary outcomes were knowledge, participation in and satisfaction/comfort with decision making, attitudes toward contraception, and selection of more effective methods. Secondary outcomes included contraceptive behaviors and pregnancy. Excluded articles described interventions that had no comparison group, could not be conducted feasibly in a clinic setting, or were conducted outside the U.S. or similar country.
A total of 24,953 articles were identified. Combined with the original
review, 37 articles met inclusion criteria and described 31 studies implementing a range of educational approaches (interactive tools, written materials, audio/videotapes, and text messages), with and without healthcare provider feedback, for a total of 36 independent interventions. Of the 31 interventions for which knowledge was assessed, 28 had a positive effect. Fewer were assessed for their effect on attitudes toward contraception, selection of more effective methods, contraceptive behaviors, or pregnancy-although increased knowledge was found to mediate additional outcomes (positive attitudes toward contraception and contraceptive continuation).
This systematic
review is consistent with evidence from the broader healthcare field in suggesting that a range of interventions can increase knowledge. Future studies should assess what aspects are most effective, the benefits of including provider feedback, and the extent to which educational interventions can facilitate behavior change and attainment of reproductive health goals.
This article is part of a theme issue entitled Updating the Systematic Reviews Used to Develop the U.S. Recommendations for Providing Quality Family Planning Services, which is sponsored by the Office of Population Affairs, U.S. Department of Health and Human Services.