To assess the impact of a Shared Decision-Making (SDM) tool for fertility awareness-based methods (FABMs) of family planning.
Methods
Clinicians familiar with at least one FABM were randomly invited to participate in a prospective cross-over study to compare usual practice to the use of the SDM tool when discussing FABMs with patients. Patients completed surveys preand post-office visit and six months later. The primary outcome explored the effect of online education on use of the SDM tool on clinicians' knowledge of FABMs.
Results
Of 278 clinicians contacted, 54% could not be reached, and 15% did not provide women's health services. The 26 clinicians enrolled were experienced, with more than half recommending FABMs for ≥10 years, and 73% recommending more than one FABM to patients. Knowledge scores significantly improved after online training and use of the SDM tool (baseline mean score = 9.54 (scale of 0-12); post-training mean score = 10.73, p < 0.002).
Conclusions
Education about FABMs and training on use of the SDM tool improved knowledge scores even among an experienced cohort of clinicians. INNOVATION: The novel SDM tool can better equip clinicians to meet the rising patient interest in FABMs.
fertility awareness clinician knowledge, shared decision making FABM, fertility awareness based methods education, clinician training family planning, FABM decision making tool, contraceptive counseling knowledge, natural family planning clinician attitudes, provider education fertility awareness, family planning decision aid development, reproductive health clinician competency
PMID 37213746 37213746 DOI 10.1016/j.pecinn.2022.100061 10.1016/j.pecinn.2022.100061 Duane et al. 2023, Duane 2023
Cite this article
Duane, M., Martinez, V., Berry, M., & Manhart, M. D. (2022). Evaluation of a fertility awareness-based shared decision-making tool part 1: Study design and impact on clinician knowledge. PEC innovation, 1, 100061. https://doi.org/10.1016/j.pecinn.2022.100061
Duane M, Martinez V, Berry M, Manhart MD. Evaluation of a fertility awareness-based shared decision-making tool part 1: Study design and impact on clinician knowledge. PEC Innov. 2022;1:100061. doi:10.1016/j.pecinn.2022.100061
Duane, M., et al. "Evaluation of a fertility awareness-based shared decision-making tool part 1: Study design and impact on clinician knowledge." PEC innovation, vol. 1, 2022, pp. 100061.
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