Evidence map›Paper›PMID 30369408›Full record

ArticleContraception2018

Cognitive interviews to improve a patient-centered contraceptive effectiveness poster.

Seri Anderson, Megan Barry, Leah Frerichs, Stephanie B Wheeler, Carolyn Tucker Halpern, Alexander Kaysin, Kristen Hassmiller Lich

Abstract read
In one paragraph

Article in Contraception, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Seri AndersonDepartment of Health Policy and Management, University of North Carolina at Chapel Hill, 135 Dauer Drive, 1101 McGavran-Greenberg Hall, CB #7411, Chapel Hill, NC, 27599-7411, United States. Electronic address: seri.link.a@gmail.com.
Megan BarryDepartment of Maternal and Child Health, University of North Carolina at Chapel Hill, 135 Dauer Drive, 401 Rosenau Hall, CB #7445, Chapel Hill, NC 27599-7445, United States.
Leah FrerichsDepartment of Health Policy and Management, University of North Carolina at Chapel Hill, 135 Dauer Drive, 1101 McGavran-Greenberg Hall, CB #7411, Chapel Hill, NC, 27599-7411, United States.
Stephanie B WheelerDepartment of Health Policy and Management, University of North Carolina at Chapel Hill, 135 Dauer Drive, 1101 McGavran-Greenberg Hall, CB #7411, Chapel Hill, NC, 27599-7411, United States.
Carolyn Tucker HalpernDepartment of Maternal and Child Health, University of North Carolina at Chapel Hill, 135 Dauer Drive, 401 Rosenau Hall, CB #7445, Chapel Hill, NC 27599-7445, United States.
Alexander KaysinDepartment of Family Medicine, University of North Carolina at Chapel Hill, 590 Manning Drive, Chapel Hill, NC, 27599, United States.
Kristen Hassmiller LichDepartment of Health Policy and Management, University of North Carolina at Chapel Hill, 135 Dauer Drive, 1101 McGavran-Greenberg Hall, CB #7411, Chapel Hill, NC, 27599-7411, United States.

Funding

Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
NICHD NIH HHS P2C HD050924
6 · The paper itself

Abstract

objectivesTo refine the Centers for Disease Control and Prevention (CDC)'s contraceptive education poster using patient-centered design. STUDY

designWe conducted cognitive interviews with 26 women aged 18-44 living in North Carolina who spoke and read English and had ever had sex. We interviewed women about both a CDC and a patient-centered poster in alternating order. Participants were contraceptive users and non-users that we selected purposively to have a range of characteristics that might influence their perspective: age, race/ethnicity, previous births and pregnancies, contraceptive method(s) used in the past three months, pregnancy intentions, and numeracy. The initial response rate for participants was 55%. We used cognitive theory to code interviews for comprehension, relevance, and acceptability, as well as design and overall preference. We structured the 26 interviews into four rounds and revised the patient-centered poster after each round to improve these measures.

resultsBy the final round, 83% of women preferred the patient-centered poster. The majority of women favored this poster's relevance (86%), and design (100%) and ease of comprehension (86%). Women raised few concerns about the acceptability of the final version of the patient-centered poster. Women identified many issues with both posters that the researchers did not anticipate, highlighting the value of patient-centered design approaches to educational materials.

conclusionsThis study refined a patient-centered poster so that its language is clear and it addresses the informational needs of its target audience. IMPLICATIONS: The Centers for Disease Control and Prevention and the Office of Population Affairs recommend that clinicians educate women about contraception. This study developed a poster that could help clinicians follow this recommendation. Before widespread implementation, more research is needed to evaluate the poster's impact on contraceptive knowledge and behaviors.

Indexed as

Audiovisual AidsComprehensionContraceptive EffectivenessPatient-Centered CareAdolescentAdultCenters for Disease Control and Prevention, U.S.FemaleHealth EducationHumansPatient Acceptance of Health CarePosters as TopicQualitative ResearchUnited StatesYoung AdultContraceptionFamily planning educationHealth educationInterviewQualitative research

Identifiers

PMID30369408
PMCPMC6478498

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.