A Decision Aid for Postpartum Adolescent Family Planning: A Quasi-Experimental Study in Tanzania
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design, Setting, and Participants
2.2. Sampling, Training, and Sample Size
2.3. Ethical Considerations
2.4. Intervention
2.4.1. Development of the Postpartum “Green Star” Family Planning Decision Aid
2.4.2. Intervention Group
2.4.3. Control Group
2.5. Data Collection Methods
2.5.1. Primary Outcome
2.5.2. Secondary Outcomes
2.5.3. Demographic Data
2.6. Data Analysis
3. Results
3.1. Flow of This Study
3.2. Sociodemographic Characteristics of the Study Participants
3.3. Decisional Conflict
3.4. Multiple Linear Regression for Predicting DCS Score
3.5. Contraceptive Knowledge, Satisfaction, and Uptake
3.6. Logistic Regression Analysis for Long-Acting Reversible Contraception Uptake
4. Discussion
4.1. Decisional Conflict for Pregnant Adolescents
4.2. Knowledge, Satisfaction, and Uptake of Long-Acting Reversible Contraception for Pregnant Adolescents
4.3. Strengths and Limitations
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Intervention Group (n = 32) | Control Group (n = 32) | t | x2 | p-Value | |
---|---|---|---|---|---|
Age (years) | 17.5 (SD 1.29) | 18.0 (SD 0.71) | −2.15 | 0.03 | |
mean (SD) | |||||
Marital status | |||||
Single | 23 (71.9%) | 7 (21.9%) | 19 | <0.001 | |
Married | 9 (28.1%) | 17 (53.1%) | |||
Cohabiting | 0 (0.0%) | 8 (25.0%) | |||
Gravidity | |||||
1 | 31 (96.9%) | 29 (90.6%) | 1.07 | 0.302 | |
2 | 1 (3.1%) | 3 (9.4%) | |||
Highest education level | |||||
Primary | 27 (84.4%) | 27 (84.4%) | 0.48 | 0.788 | |
Secondary | 3 (9.4%) | 4 (12.5%) | |||
None | 2 (6.2%) | 1 (3.1%) | |||
Occupation | |||||
Employee | 27 (84.4%) | 9 (28.1%) | 45.87 | <0.001 | |
Housewife | 1 (3.1%) | 20 (62.5%) | |||
Do not work | 4 (12.5%) | 3 (9.4%) |
Intervention Group (n = 32) | Control Group (n = 32) | t | p-Value | |||
---|---|---|---|---|---|---|
Mean (SD) | Mean (SD) | |||||
Time 1 | Total | DCS (0–100) | 65.00 (SD 19.1) | 77.80 (SD 18.4) | −2.72 | 0.008 |
Subscale | Informed | 65.6 (SD 23.9) | 86.9 (SD 21.0) | −3.79 | < 0.001 | |
Clarity | 72.6 (SD 21.4) | 91.4 (SD 21.6) | −3.48 | 0.001 | ||
Support | 54.6 (SD 23.2) | 16.7 (SD 23.5) | −0.36 | 0.723 | ||
Uncertainty | 85.9 (SD 15.4) | 88.2 (SD 15.5) | −0.60 | 0.548 | ||
Time 4 | Total | DCS (0–100) | 3.13 (SD 4.70) | 48.5 (SD 29.6) | −8.55 | <0.001 |
Informed | 4.17 (SD 8.46) | 49.4 (SD 31.5) | −7.85 | < 0.001 | ||
Subscale | Clarity | 8.59 (SD 13.6) | 53.1 (SD 39.5) | −6.02 | < 0.001 | |
Support | 0.52 (SD 2.9) | 47.9(SD 27.6) | −9.63 | < 0.001 | ||
Uncertainty | 0.00(SD 0.00) | 43.7(SD 37.0) | −6.68 | < 0.001 | ||
Differences Time 4−Time 1 | Total | Differences | −24.7 (SD 7.99) | −11.6 (SD 10.9) | −5.53 | <0.001 |
Subscale | Informed | −7.00 (SD 3.07) | −4.00 (SD 4.03) | −3.21 | 0.002 | |
Clarity | −6.00 (SD 2.09) | −4.00 (SD 3.21) | −3.04 | 0.004 | ||
Support | −7.00 (SD2.78) | 0.00 (SD 2.83) | −7.76 | < 0.001 | ||
Uncertainty | −6.00 (SD2.20) | −2.00 (SD 2.87) | −5.71 | < 0.001 |
Study Arms | Items | Beta | p-Value | |
---|---|---|---|---|
Time 1 | Intervention group | Age | 0.292 | 0.12 |
Occupation (dummy) | −0.115 | 0.532 | ||
Control group | Age | 0.455 | 0.015 | |
Occupation (dummy) | −0.308 | 0.09 | ||
Time 4 | Intervention group | Age | −0.227 | 0.217 |
Occupation (dummy) | 0.305 | 0.099 | ||
Control group | Age | 0.506 | 0.006 | |
Occupation (dummy) | −0.092 | 0.597 | ||
Time 4-Time 1 | Intervention group | Age | −0.333 | 0.073 |
Occupation (dummy) | 0.182 | 0.317 | ||
Control group | Age | 0.240 | 0.211 | |
Occupation (dummy) | 0.108 | 0.572 |
Study Arms | Item | Beta | p-Value | Odds | 95% CI | |
---|---|---|---|---|---|---|
Lower | Upper | |||||
Intervention group | Age | −0.56 | 0.45 | 0.57 | 0.13 | 2.5 |
Marital status | −19.52 | 1.00 | 0.00 | 0.00 | ||
Occupation | −20.22 | 1.00 | 0.00 | 0.00 | ||
Control group | Age | −1.55 | 0.03 | 0.21 | 0.05 | 0.84 |
Marital status | −0.62 | 0.32 | 0.53 | 0.16 | 1.82 | |
Occupation | 0.08 | 0.87 | 1.09 | 0.38 | 3.17 |
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Mushy, S.E.; Horiuchi, S.; Shishido, E. A Decision Aid for Postpartum Adolescent Family Planning: A Quasi-Experimental Study in Tanzania. Int. J. Environ. Res. Public Health 2023, 20, 4904. https://doi.org/10.3390/ijerph20064904
Mushy SE, Horiuchi S, Shishido E. A Decision Aid for Postpartum Adolescent Family Planning: A Quasi-Experimental Study in Tanzania. International Journal of Environmental Research and Public Health. 2023; 20(6):4904. https://doi.org/10.3390/ijerph20064904
Chicago/Turabian StyleMushy, Stella E., Shigeko Horiuchi, and Eri Shishido. 2023. "A Decision Aid for Postpartum Adolescent Family Planning: A Quasi-Experimental Study in Tanzania" International Journal of Environmental Research and Public Health 20, no. 6: 4904. https://doi.org/10.3390/ijerph20064904