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Decision-Making Regarding the Continuation of Contraceptive Implant within 1 Year of Childbirth: A Comparison between Adolescents Receiving Individual Counseling through Print Media and Adolescents Receiving Video-Based Group Counseling |
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| รหัสดีโอไอ | |
| Creator | Teerapan Seehanantawong |
| Title | Decision-Making Regarding the Continuation of Contraceptive Implant within 1 Year of Childbirth: A Comparison between Adolescents Receiving Individual Counseling through Print Media and Adolescents Receiving Video-Based Group Counseling |
| Contributor | Siriya Kitiyodom |
| Publisher | PIMDEE Co., Ltd. |
| Publication Year | 2564 |
| Journal Title | Thai Journal of Obstetrics and Gynaecology |
| Journal Vol. | 29 |
| Journal No. | 1 |
| Page no. | 17-25 |
| Keyword | contraceptive implant, adolescents, continuation, video |
| URL Website | https://tci-thaijo.org/index.php/tjog/index |
| Website title | www.tci-thaijo.org |
| ISSN | 2673-0871 |
| Abstract | Objectives: To compare the continuation rates of contraceptive implant within 1 year of childbirth between adolescents receiving individual counseling through educational brochures and adolescents receiving video-based group counseling.Materials and Methods: This research was a prospective study of non-inferior trials in 272 postpartum adolescent mothers which compared between individual counseling and video-based group counseling. The video was created with introductory content about all methods of contraception including their advantages and side effects. The decision-making regarding the continuation of contraceptive implant usage would then be followed-up within 1 year. Criterion for non-inferiority was at a lower limit of < -7% for the 95% confidence interval (CI). Results: The adolescent mothers in this study were at the average age of 17 years old, and most of them were living with their husbands. The follow-up found that the decision rates of continuing the use of contraceptive implants comparing between those who received video-based group counseling and individual counseling at 6 months were 77% and 72.8% (95% CI = -5.8, 14.2), at 1 year were 69.4% and 65.0% (95% CI = -6.4, 15.3), with the lower confidence limit being inside the non-inferiority limit of -7%. It can be interpreted that video-based group counseling was not less effective than individual counseling at 6 months and 1 year.Conclusion: Evidence of non-inferiority was noted comparing individual counseling and video-based group counseling. The systematic and complete provision of information would facilitate the decision-making of adolescents, hence increasing the continuation rate of contraceptive implant. |
