Evidence map›Paper›PMID 36328094›Full record

Trial reportContraception2023

Understanding quality of contraceptive counseling in the CHARM2 gender-equity focused family planning intervention: Findings from a cluster randomized controlled trial among couples in rural India.

Sarah Averbach, Nicole E Johns, Mohan Ghule, Anvita Dixit, Shahina Begum, Madhusudana Battala, Niranjan Saggurti, Jay Silverman, Anita Raj

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Contraception, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Sarah AverbachCenter on Gender Equity and Health, University of California San Diego School of Medicine, La Jolla, CA, United States; Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Diego School of Medicine, La Jolla, CA, United States. Electronic address: saverbach@health.ucsd.edu.
Nicole E JohnsCenter on Gender Equity and Health, University of California San Diego School of Medicine, La Jolla, CA, United States.
Mohan GhuleCenter on Gender Equity and Health, University of California San Diego School of Medicine, La Jolla, CA, United States.
Anvita DixitCenter on Gender Equity and Health, University of California San Diego School of Medicine, La Jolla, CA, United States.
Shahina BegumDepartment of Biostatistics, ICMR-National Institute for Research in Reproductive and Child Health, Mumbai, India.
Madhusudana BattalaPopulation Council, Zone 5A, India Habitat Center, New Delhi, India.
Niranjan SaggurtiPopulation Council, Zone 5A, India Habitat Center, New Delhi, India.
Jay SilvermanCenter on Gender Equity and Health, University of California San Diego School of Medicine, La Jolla, CA, United States.
Anita RajCenter on Gender Equity and Health, University of California San Diego School of Medicine, La Jolla, CA, United States; Department of Education Studies, Division of Social Sciences, University of California San Diego School of Medicine, La Jolla, CA, United States.

Funding

UC San Diego Womens Reproductive Health Research ProgramK12HD001259 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CYNTHIA GYAMFI-BANNERMAN · 1999 to 2026
$9.1M
Enhancing male participation in interventions to prevent unintended pregnancyR01HD084453 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI RAJ, ANITA · 2017 to 2021
$2.8M
NICHD NIH HHS K12 HD001259NICHD NIH HHS R01 HD084453
6 · The paper itself

Abstract

objectivesThe CHARM2 (Counseling Husbands and wives to Achieve Reproductive Health and Marital Equity) intervention engages health care providers to deliver gender-equity and family planning sessions to couples using a person-centered shared decision-making approach for contraception counseling. We previously showed that the intervention improved contraceptive use at 9-month follow-up. We sought to assess whether the intervention was further associated with the quality of care reported by participants and whether the quality of care reported mediated the effect of the intervention on contraceptive use. STUDY

designThis is a planned secondary analysis of the effect of the CHARM2 intervention on 1201 married couples in rural Maharashtra, India in a cluster randomized controlled trial completed between 2018 and 2020. We assessed the effect of CHARM2 on perceived quality of care as measured by the Interpersonal Quality of Family Planning (IQFP) scale using a difference-in-differences linear regression approach including a mixed-effects model with nested random effects to account for clustering. We assessed whether the association between CHARM2 and modern contraceptive use was mediated by quality of family planning care.

resultsIntervention participants had higher mean IQFP scores than control participants at 9-month follow-up (intervention 3.2, SD 0.6 vs. control 2.3 mean, SD 0.9, p < 0.001). The quality of care reported mediated the effect of the intervention on contraceptive use (indirect effect coefficient 0.29, 95% CI 0.07-0.50).

conclusionFamily planning interventions such as CHARM2, which utilize person-centered shared decision-making contraceptive counseling approaches improve women's perceived quality of care. Effects on quality of care mediate observed effects of the intervention on contraceptive use. IMPLICATIONS: Contraceptive interventions should focus on improving person-centered outcomes, such as quality of care, rather than contraceptive use targets. By focusing on improving person-centered care, interventions will improve contraceptive use among those who desire a method while meeting the holistic reproductive health needs of clients and couples.

Indexed as

ContraceptionFamily Planning ServicesContraception BehaviorContraceptive AgentsCounselingFemaleHumansIndiaContraceptive AgentsContraceptive counselingFamily planningGender-transformativeMale engagementQuality of care

Identifiers

PMID36328094
PMCPMC10695301

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.