Effect of a Brief Educational Intervention on the Attitudes of Young Women Toward the Intrauterine Device

Amy K. Whitaker, Mishka Terplan, Melanie A. Gold, Lisa M. Johnson, Mitchell D Creinin, Bryna Harwood

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Study Objective: The intrauterine device (IUD) is underused by young women, who are at high risk for unintended pregnancy. We aimed to assess the impact of a brief educational intervention on the attitudes of young women toward intrauterine contraception and to assess characteristics associated with a change in attitude. Design, Setting, and Participants: This is a planned secondary analysis of a survey of 144 women, aged 14-24 years, which assessed attitudes toward the IUD. Intervention: The analysis was planned to fully examine the impact of a 3-minute educational intervention about the IUD given during administration of the survey, which included risks and benefits of IUD use, costs, side effects, and a demonstration of the IUD insertion and removal process. Main Outcome Measure: Proportions of participants with a positive attitude toward the IUD before and after the intervention were compared using McNemar's chi-square test for paired proportions. Factors associated with a change in attitude toward the IUD were evaluated using multivariable analysis. Results: Before the educational intervention, 14.7% (21/143) had both heard of the IUD and expressed a positive attitude toward it. After the intervention, this proportion increased to 53.8% (77/143) (P < .01). The increase in proportion with a positive attitude was consistent for all subpopulations. In multivariable analysis, the only significant predictor of a positive change in attitude toward the IUD was a history of voluntary sexual activity (adjusted odds ratio 10.3, 95% confidence interval 2.0-53.1). Conclusions: A brief educational intervention significantly improves the attitude of young sexually active women toward the IUD.

Original languageEnglish (US)
Pages (from-to)116-120
Number of pages5
JournalJournal of Pediatric and Adolescent Gynecology
Volume23
Issue number2
DOIs
StatePublished - Apr 2010
Externally publishedYes

Fingerprint

Intrauterine Devices
Device Removal
High-Risk Pregnancy
Chi-Square Distribution
Contraception
Sexual Behavior
Odds Ratio
Outcome Assessment (Health Care)
Confidence Intervals
Costs and Cost Analysis

Keywords

  • Adolescent
  • Contraception
  • Contraceptive attitude
  • Contraceptive knowledge
  • Educational intervention
  • IUD (intrauterine device)

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Effect of a Brief Educational Intervention on the Attitudes of Young Women Toward the Intrauterine Device. / Whitaker, Amy K.; Terplan, Mishka; Gold, Melanie A.; Johnson, Lisa M.; Creinin, Mitchell D; Harwood, Bryna.

In: Journal of Pediatric and Adolescent Gynecology, Vol. 23, No. 2, 04.2010, p. 116-120.

Research output: Contribution to journalArticle

Whitaker, Amy K. ; Terplan, Mishka ; Gold, Melanie A. ; Johnson, Lisa M. ; Creinin, Mitchell D ; Harwood, Bryna. / Effect of a Brief Educational Intervention on the Attitudes of Young Women Toward the Intrauterine Device. In: Journal of Pediatric and Adolescent Gynecology. 2010 ; Vol. 23, No. 2. pp. 116-120.
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abstract = "Study Objective: The intrauterine device (IUD) is underused by young women, who are at high risk for unintended pregnancy. We aimed to assess the impact of a brief educational intervention on the attitudes of young women toward intrauterine contraception and to assess characteristics associated with a change in attitude. Design, Setting, and Participants: This is a planned secondary analysis of a survey of 144 women, aged 14-24 years, which assessed attitudes toward the IUD. Intervention: The analysis was planned to fully examine the impact of a 3-minute educational intervention about the IUD given during administration of the survey, which included risks and benefits of IUD use, costs, side effects, and a demonstration of the IUD insertion and removal process. Main Outcome Measure: Proportions of participants with a positive attitude toward the IUD before and after the intervention were compared using McNemar's chi-square test for paired proportions. Factors associated with a change in attitude toward the IUD were evaluated using multivariable analysis. Results: Before the educational intervention, 14.7{\%} (21/143) had both heard of the IUD and expressed a positive attitude toward it. After the intervention, this proportion increased to 53.8{\%} (77/143) (P < .01). The increase in proportion with a positive attitude was consistent for all subpopulations. In multivariable analysis, the only significant predictor of a positive change in attitude toward the IUD was a history of voluntary sexual activity (adjusted odds ratio 10.3, 95{\%} confidence interval 2.0-53.1). Conclusions: A brief educational intervention significantly improves the attitude of young sexually active women toward the IUD.",
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