TY  - JOUR
AU  - Goueth, Rose
AU  - Darney, Blair
AU  - Hoffman, Aubri
AU  - Eden, Karen B
PY  - 2023
DA  - 2023/10/3
TI  - Evaluating the Acceptability and Feasibility of a Sexual Health–Focused Contraceptive Decision Aid for Diverse Young Adults: User-Centered Usability Study
JO  - JMIR Form Res
SP  - e44170
VL  - 7
KW  - decision aid
KW  - contraception
KW  - decision-making
KW  - user-centered design
KW  - young adults
KW  - pilot study
KW  - feasibility
KW  - acceptability
KW  - development
KW  - support
KW  - tool
KW  - survey
KW  - sexual health
AB  - 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. 
SN  - 2561-326X
UR  - https://formative.jmir.org/2023/1/e44170
UR  - https://doi.org/10.2196/44170
UR  - http://www.ncbi.nlm.nih.gov/pubmed/37788070
DO  - 10.2196/44170
ID  - info:doi/10.2196/44170
ER  -