Evidence map›Paper›PMID 31286989›Full record

ArticleReproductive health2019

Acceptability, feasibility and utility of a Mobile health family planning decision aid for postpartum women in Kenya.

Rubee Dev, Nancy F Woods, Jennifer A Unger, John Kinuthia, Daniel Matemo, Shiza Farid, Emily R Begnel, Pamela Kohler, Alison L Drake

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Reproductive health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07251569 (The Effect of Mobile Application Deveoped for Postpartum Contraception Counseling on Contraception Method Choice and Use), which is not on this map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
9.6field-weighted citation impact, top 2% of its field
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.

NCT07251569 nacompletednot on this mapstarted 2025, after this paper: background citation

The Effect of Mobile Application Deveoped for Postpartum Contraception Counseling on Contraception Method Choice and Use

TypeinterventionalSponsorBurcu Dişli OktarRan2025 to 2025Enrolled97ConditionsContraception UseArmsRoutine postpartum care, Face-to-face contraception counseling, Contraceptive counseling via mobile application
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 57 citations in OpenAlex.

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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

9 authors at 3 institutions in 3 countries.

Rubee DevDhulikhel Hospital, Kathmandu University Hospital, Kavre, Nepal. meetrubss@hotmail.com.ORCID http://orcid.org/0000-0003-1853-9728
Nancy F WoodsDepartment of Biobehavioral Nursing and Health Informatics, University of Washington, Seattle, WA, USA.
Jennifer A UngerDepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA.
John KinuthiaDepartment of Research and Programs, Kenyatta National Hospital, Nairobi, Kenya.
Daniel MatemoDepartment of Research and Programs, Kenyatta National Hospital, Nairobi, Kenya.
Shiza FaridDepartment of Global Health, University of Washington, Seattle, WA, USA.
Emily R BegnelDepartment of Global Health, University of Washington, Seattle, WA, USA.
Pamela KohlerDepartment of Psychosocial and Community Health & Department of Global Health, University of Washington, Seattle, WA, USA.
Alison L DrakeDepartment of Global Health, University of Washington, Seattle, WA, USA.
University of Washington · USKenyatta National Hospital · KEDhulikhel Hospital · NP

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI CONNIE L CELUM · 1988 to 2026
$104.9M
Optimizing repeat HIV testing during pregnancy and postpartum for PMTCTK01AI116298 · NIAID · UNIVERSITY OF WASHINGTON · PI DRAKE, ALISON L · 2015 to 2019
$632k
Center for AIDS Research, University of Washington NIH/NIAID P30-AI027757NIAID NIH HHS K01 AI116298NIAID NIH HHS P30 AI027757School of Nursing, University of Washington Department of Global Health (Global Opportunity Health Fellowship)School of Nursing, University of Washington Hester McLaws GrantSchool of Nursing, University of Washington Sigma Theta Tau International (STTI), Psi-at-Large Chapter
6 · The paper itself

Abstract

backgroundUnmet need for contraception is high during the postpartum period, increasing the risk of unintended subsequent pregnancy. We developed a client facing mobile phone-based family planning (FP) decision aid and assessed acceptability, feasibility, and utility of the tool among health care providers and postpartum women.

methodsSemi-structured in-depth interviews (IDIs) were conducted among postpartum women (n = 25) and FP providers (n = 17) at 4 Kenyan maternal and child health clinics, 2 in the Nyanza region (Kisumu and Siaya Counties) and 2 in Nairobi. Stratified purposive sampling was used to enroll postpartum women and FP providers. Data were analyzed using an inductive content analysis approach by 3 independent coders, with consensual validation.

resultsFP providers stated that the Interactive Mobile Application for Contraceptive Choice (iMACC) tool contained the necessary information about contraceptive methods for postpartum women and believed that it would be a useful tool to help women make informed, voluntary decisions. Most women valued the decision aid content, and described it as being useful in helping to dispel myths and misconceptions, setting realistic expectations about potential side effects and maintaining confidentiality. Both women and providers expressed concerns about literacy and lack of familiarity with smart phones or tablets and suggested inclusion of interactive multimedia such as audio or videos to optimize the effectiveness of the tool.

conclusionsThe iMACC decision aid was perceived to be an acceptable tool to deliver client-centered FP counseling by both women and providers. Counseling tools that can support FP providers to help postpartum women make informed and individualized FP decisions in resource-limited settings may help improve FP counseling and contraceptive use in the postpartum period.

Indexed as

Decision Support TechniquesHealth Knowledge, Attitudes, PracticeSex EducationTelemedicineAdolescentAdultContraception BehaviorCounselingCross-Sectional StudiesFamily Planning ServicesFeasibility StudiesFemaleHealth PersonnelHumansPostpartum PeriodPregnancyContraceptive counselingDecision aidFamily planningPostpartum

Identifiers

PMID31286989
PMCPMC6615081
OpenAlexW2954243029

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.