Evidence map›Paper›PMID 31592770›Full record

ArticleInternational perspectives on sexual and reproductive health2019

A Qualitative Systematic Review of Women's Experiences Using Contraceptive Vaginal Rings: Implications for New Technologies.

Sara E Vargas, Miriam M Midoun, Melissa Guillen, Melissa L Getz, Kristen Underhill, Caroline Kuo, Kate M Guthrie

Abstract read
In one paragraph

Article in International perspectives on sexual and reproductive health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Sara E VargasResearch scientist, Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI, svargas@lifespan.org.
Miriam M MidounGraduate student, Department of Comparative Human Development, University of Chicago.
Melissa GuillenProject director, Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI.
Melissa L GetzGraduate student, Simmons University, Boston.
Kristen UnderhillAssociate professor, Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York.
Caroline KuoAssociate professor (research), Department of Behavioral and Social Sciences, School of Public Health, Brown University, Providence, RI.
Kate M GuthrieSenior research scientist, Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI.

Funding

Advancing Reproductive Health: Qualitative Methods & Interdisciplinary MentorshipK24HD062645 · NICHD · MIRIAM HOSPITAL · PI GUTHRIE, KATE M · 2012 to 2016
$689k
NICHD NIH HHS K24 HD062645
6 · The paper itself

Abstract

contextVaginal rings are available for contraception and hormone replacement, and are being developed as HIV/STD or multipurpose prevention technologies. A comprehensive understanding of women's expectations of and experiences with rings is urgently needed to inform product development and to optimize ring use.

methodsThree databases (PubMed, Global Health and CINAHL) were searched for English-language, peer-reviewed articles published between January 1996 and November 2017 that reported qualitative data on barriers to and facilitators of use of female-controlled contraceptive methods. Data on study methods, findings and conclusions pertaining to contraceptive rings were extracted, organized and analyzed.

resultsTwenty-six articles, all published since 2008, met the inclusion criteria. Seven studies focused largely or entirely on rings (and involved current, former or potential users), while the others focused on other contraceptive methods but included ring-specific data. Familiarity with the ring was low, and women commonly had initial concerns about the method-often related to insertion and removal, cleanliness and discomfort with touching their vagina-that were typically overcome over time. Other major themes were issues related to ring use and discontinuation, the importance of ring-related properties and characteristics, and considerations related to sexual partners and health care providers.

conclusionsQualitative data have the potential to inform ring design and promotion. Future research should further explore women's expectations and experiences with the ring, the value of involving male partners in ring evaluation, and evaluation of interventions to improve patient-provider communication concerning ring choice and use.

Identifiers

PMID31592770
PMCPMC8075325

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.