@Article{info:doi/10.2196/44170,
author="Goueth, Rose
and Darney, Blair
and Hoffman, Aubri
and Eden, Karen B",
title="Evaluating the Acceptability and Feasibility of a Sexual Health--Focused Contraceptive Decision Aid for Diverse Young Adults: User-Centered Usability Study",
journal="JMIR Form Res",
year="2023",
month="Oct",
day="3",
volume="7",
pages="e44170",
keywords="decision aid; contraception; decision-making; user-centered design; young adults; pilot study; feasibility; acceptability; development; support; tool; survey; sexual health",
abstract="Background: Young adults with low sexual health literacy levels may find it difficult to make informed decisions about contraceptive methods. We developed and pilot-tested a web-based decision aid---Healthy Sex Choices---designed to support diverse young adults with their contraceptive decision-making. Objective: This pilot study aimed to evaluate whether the Healthy Sex Choices decision aid is acceptable and feasible to patients and clinicians. Methods: We used the Ottawa Decision Support Framework and the International Patient Decision Aid Standards to develop and pilot the decision tool. We first conducted a needs assessment with our advisory panel (5 clinicians and 2 patients) that informed decision aid development. All panelists participated in semistructured interviews about their experience with contraceptive counseling. Clinicians also completed a focus group session centered around the development of sex education content for the tool. Before commencing the pilot study, 5 participants from ResearchMatch (Vanderbilt University Medical Center) assessed the tool and suggested improvements. Results: Participants were satisfied with the tool, rating the acceptability as ``good.'' Interviewees revealed that the tool made contraceptive decision-making easier and would recommend the tool to a family member or friend. Participants had a nonsignificant change in knowledge scores (53{\%} before vs 45{\%} after; P=.99). Overall, decisional conflict scores significantly decreased (16.1 before vs 2.8 after; P<.001) with the informed subscale (patients feeling more informed) having the greatest decline (23.1 vs 4.7; mean difference 19.0, SD 27.1). Subanalyses of contraceptive knowledge and decisional conflict illustrated that participants of color had lower knowledge scores (48{\%} vs 55{\%}) and higher decisional conflict (20.0 vs 14.5) at baseline than their white counterparts. Conclusions: Participants found Healthy Sex Choices to be acceptable and reported reduced decisional conflict after using the tool. The development and pilot phases of this study provided a foundation for creating reproductive health decision aids that acknowledge and provide guidance for diverse patient populations. ",
issn="2561-326X",
doi="10.2196/44170",
url="https://formative.jmir.org/2023/1/e44170",
url="https://doi.org/10.2196/44170",
url="http://www.ncbi.nlm.nih.gov/pubmed/37788070"
}