Enabling women to access preferred methods of contraception: a rapid review and behavioural analysis

Abimbola A. Ayorinde; Felicity Boardman; Majel McGranahan; Lucy Porter; Nwamaka A. Eze; Anna Sallis; Rosanna Buck; Alison Hadley; Melissa Ludeke; Sue Mann; Oyinlola Oyebode

doi:10.1186/s12889-021-12212-7

Enabling women to access preferred methods of contraception: a rapid review and behavioural analysis

Abimbola A. Ayorinde^*, Felicity Boardman, Majel McGranahan, Lucy Porter, Nwamaka A. Eze, Anna Sallis, Rosanna Buck, Alison Hadley, Melissa Ludeke, Sue Mann, Oyinlola Oyebode

^*Corresponding author for this work

Research output: Contribution to journal › Review article › peer-review

3 Citations (Scopus)

Abstract

Background: Many pregnancies in the UK are either unplanned or ambivalent. This review aimed to (i) explore barriers and facilitators to women choosing and accessing a preferred method of contraception in the United Kingdom, and (ii) identify opportunities for behavioural interventions based on examination of interventions that are currently available nationally.

Methods: Three databases were searched, and experts contacted to identify grey literature for studies presenting barriers and facilitators to women choosing and accessing a preferred method of contraception, conducted in the UK and published between 2009 and October 2019. Information on barriers and facilitators were coded into overarching themes, which were then coded into Mechanisms of Actions (MoAs) as listed in the Theory and Techniques Tool. National interventions were identified by consulting stakeholders and coded into the Behaviour Change Wheel. The match between barriers/facilitators and intervention content was assessed using the Behaviour Change Wheel.

Results: We included 32 studies and identified 46 barrier and facilitator themes. The most cited MoA was Environmental Context and Resources, which primarily related to the services women had access to and care they received. Social Influences, Beliefs about Consequences (e.g., side effects) and Knowledge were also key. The behavioural analysis highlighted four priority intervention functions (Modelling, Enablement, Education and Environmental Restructuring) that can be targeted to support women to choose and access their preferred method of contraception. Relevant policy categories and behaviour change techniques are also highlighted.

Conclusions: This review highlights factors that influence women's choices and access to contraception and recommends opportunities that may be targeted for future interventions in order to support women to access preferred contraception.

Original language	English
Article number	2176
Number of pages	13
Journal	BMC Public Health
Volume	21
Issue number	1
DOIs	https://doi.org/10.1186/s12889-021-12212-7
Publication status	Published - 27 Nov 2021

Bibliographical note

Funding Information:
Study was funded by Public Health England.

Funding Information:
We would like to thank Samantha Johnson (Academic Support Librarian at Warwick Medical School) and Nicola Pearce-Smith (Senior Information Scientist at Public Health England) who helped to develop the search strategy. We thank Professor Susan Michie, UCL Centre for Behaviour Change for oversight of the interim mapping of the Mechanism of Action to the COM-B model of behaviour. We would also like to thank the staff at Foleshill Women?s Training (FWT), Coventry for facilitating the public engagement, the women who participated as well as the professionals who responded to our request for information. Abimbola Ayorinde is funded by the National Institute for Health Research (NIHR) Applied Research Collaboration (ARC) West Midlands. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care.

Funding Information:
We would like to thank Samantha Johnson (Academic Support Librarian at Warwick Medical School) and Nicola Pearce-Smith (Senior Information Scientist at Public Health England) who helped to develop the search strategy. We thank Professor Susan Michie, UCL Centre for Behaviour Change for oversight of the interim mapping of the Mechanism of Action to the COM-B model of behaviour. We would also like to thank the staff at Foleshill Women’s Training (FWT), Coventry for facilitating the public engagement, the women who participated as well as the professionals who responded to our request for information. Abimbola Ayorinde is funded by the National Institute for Health Research (NIHR) Applied Research Collaboration (ARC) West Midlands. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care.

Publisher Copyright:
© 2021, The Author(s).

Keywords

Access
Barriers
Choice
Contraception
Facilitators
Intervention
Women

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1186/s12889-021-12212-7

Cite this

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title = "Enabling women to access preferred methods of contraception: a rapid review and behavioural analysis",

abstract = "Background: Many pregnancies in the UK are either unplanned or ambivalent. This review aimed to (i) explore barriers and facilitators to women choosing and accessing a preferred method of contraception in the United Kingdom, and (ii) identify opportunities for behavioural interventions based on examination of interventions that are currently available nationally.Methods: Three databases were searched, and experts contacted to identify grey literature for studies presenting barriers and facilitators to women choosing and accessing a preferred method of contraception, conducted in the UK and published between 2009 and October 2019. Information on barriers and facilitators were coded into overarching themes, which were then coded into Mechanisms of Actions (MoAs) as listed in the Theory and Techniques Tool. National interventions were identified by consulting stakeholders and coded into the Behaviour Change Wheel. The match between barriers/facilitators and intervention content was assessed using the Behaviour Change Wheel.Results: We included 32 studies and identified 46 barrier and facilitator themes. The most cited MoA was Environmental Context and Resources, which primarily related to the services women had access to and care they received. Social Influences, Beliefs about Consequences (e.g., side effects) and Knowledge were also key. The behavioural analysis highlighted four priority intervention functions (Modelling, Enablement, Education and Environmental Restructuring) that can be targeted to support women to choose and access their preferred method of contraception. Relevant policy categories and behaviour change techniques are also highlighted.Conclusions: This review highlights factors that influence women's choices and access to contraception and recommends opportunities that may be targeted for future interventions in order to support women to access preferred contraception.",

keywords = "Access, Barriers, Choice, Contraception, Facilitators, Intervention, Women",

author = "Ayorinde, {Abimbola A.} and Felicity Boardman and Majel McGranahan and Lucy Porter and Eze, {Nwamaka A.} and Anna Sallis and Rosanna Buck and Alison Hadley and Melissa Ludeke and Sue Mann and Oyinlola Oyebode",

note = "Funding Information: Study was funded by Public Health England. Funding Information: We would like to thank Samantha Johnson (Academic Support Librarian at Warwick Medical School) and Nicola Pearce-Smith (Senior Information Scientist at Public Health England) who helped to develop the search strategy. We thank Professor Susan Michie, UCL Centre for Behaviour Change for oversight of the interim mapping of the Mechanism of Action to the COM-B model of behaviour. We would also like to thank the staff at Foleshill Women?s Training (FWT), Coventry for facilitating the public engagement, the women who participated as well as the professionals who responded to our request for information. Abimbola Ayorinde is funded by the National Institute for Health Research (NIHR) Applied Research Collaboration (ARC) West Midlands. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. Funding Information: We would like to thank Samantha Johnson (Academic Support Librarian at Warwick Medical School) and Nicola Pearce-Smith (Senior Information Scientist at Public Health England) who helped to develop the search strategy. We thank Professor Susan Michie, UCL Centre for Behaviour Change for oversight of the interim mapping of the Mechanism of Action to the COM-B model of behaviour. We would also like to thank the staff at Foleshill Women{\textquoteright}s Training (FWT), Coventry for facilitating the public engagement, the women who participated as well as the professionals who responded to our request for information. Abimbola Ayorinde is funded by the National Institute for Health Research (NIHR) Applied Research Collaboration (ARC) West Midlands. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. Publisher Copyright: {\textcopyright} 2021, The Author(s).",

year = "2021",

month = nov,

day = "27",

doi = "10.1186/s12889-021-12212-7",

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T1 - Enabling women to access preferred methods of contraception

T2 - a rapid review and behavioural analysis

AU - Ayorinde, Abimbola A.

AU - Boardman, Felicity

AU - McGranahan, Majel

AU - Porter, Lucy

AU - Eze, Nwamaka A.

AU - Sallis, Anna

AU - Buck, Rosanna

AU - Hadley, Alison

AU - Ludeke, Melissa

AU - Mann, Sue

AU - Oyebode, Oyinlola

N1 - Funding Information: Study was funded by Public Health England. Funding Information: We would like to thank Samantha Johnson (Academic Support Librarian at Warwick Medical School) and Nicola Pearce-Smith (Senior Information Scientist at Public Health England) who helped to develop the search strategy. We thank Professor Susan Michie, UCL Centre for Behaviour Change for oversight of the interim mapping of the Mechanism of Action to the COM-B model of behaviour. We would also like to thank the staff at Foleshill Women?s Training (FWT), Coventry for facilitating the public engagement, the women who participated as well as the professionals who responded to our request for information. Abimbola Ayorinde is funded by the National Institute for Health Research (NIHR) Applied Research Collaboration (ARC) West Midlands. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. Funding Information: We would like to thank Samantha Johnson (Academic Support Librarian at Warwick Medical School) and Nicola Pearce-Smith (Senior Information Scientist at Public Health England) who helped to develop the search strategy. We thank Professor Susan Michie, UCL Centre for Behaviour Change for oversight of the interim mapping of the Mechanism of Action to the COM-B model of behaviour. We would also like to thank the staff at Foleshill Women’s Training (FWT), Coventry for facilitating the public engagement, the women who participated as well as the professionals who responded to our request for information. Abimbola Ayorinde is funded by the National Institute for Health Research (NIHR) Applied Research Collaboration (ARC) West Midlands. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. Publisher Copyright: © 2021, The Author(s).

PY - 2021/11/27

Y1 - 2021/11/27

N2 - Background: Many pregnancies in the UK are either unplanned or ambivalent. This review aimed to (i) explore barriers and facilitators to women choosing and accessing a preferred method of contraception in the United Kingdom, and (ii) identify opportunities for behavioural interventions based on examination of interventions that are currently available nationally.Methods: Three databases were searched, and experts contacted to identify grey literature for studies presenting barriers and facilitators to women choosing and accessing a preferred method of contraception, conducted in the UK and published between 2009 and October 2019. Information on barriers and facilitators were coded into overarching themes, which were then coded into Mechanisms of Actions (MoAs) as listed in the Theory and Techniques Tool. National interventions were identified by consulting stakeholders and coded into the Behaviour Change Wheel. The match between barriers/facilitators and intervention content was assessed using the Behaviour Change Wheel.Results: We included 32 studies and identified 46 barrier and facilitator themes. The most cited MoA was Environmental Context and Resources, which primarily related to the services women had access to and care they received. Social Influences, Beliefs about Consequences (e.g., side effects) and Knowledge were also key. The behavioural analysis highlighted four priority intervention functions (Modelling, Enablement, Education and Environmental Restructuring) that can be targeted to support women to choose and access their preferred method of contraception. Relevant policy categories and behaviour change techniques are also highlighted.Conclusions: This review highlights factors that influence women's choices and access to contraception and recommends opportunities that may be targeted for future interventions in order to support women to access preferred contraception.

AB - Background: Many pregnancies in the UK are either unplanned or ambivalent. This review aimed to (i) explore barriers and facilitators to women choosing and accessing a preferred method of contraception in the United Kingdom, and (ii) identify opportunities for behavioural interventions based on examination of interventions that are currently available nationally.Methods: Three databases were searched, and experts contacted to identify grey literature for studies presenting barriers and facilitators to women choosing and accessing a preferred method of contraception, conducted in the UK and published between 2009 and October 2019. Information on barriers and facilitators were coded into overarching themes, which were then coded into Mechanisms of Actions (MoAs) as listed in the Theory and Techniques Tool. National interventions were identified by consulting stakeholders and coded into the Behaviour Change Wheel. The match between barriers/facilitators and intervention content was assessed using the Behaviour Change Wheel.Results: We included 32 studies and identified 46 barrier and facilitator themes. The most cited MoA was Environmental Context and Resources, which primarily related to the services women had access to and care they received. Social Influences, Beliefs about Consequences (e.g., side effects) and Knowledge were also key. The behavioural analysis highlighted four priority intervention functions (Modelling, Enablement, Education and Environmental Restructuring) that can be targeted to support women to choose and access their preferred method of contraception. Relevant policy categories and behaviour change techniques are also highlighted.Conclusions: This review highlights factors that influence women's choices and access to contraception and recommends opportunities that may be targeted for future interventions in order to support women to access preferred contraception.

KW - Access

KW - Barriers

KW - Choice

KW - Contraception

KW - Facilitators

KW - Intervention

KW - Women

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DO - 10.1186/s12889-021-12212-7

M3 - Review article

AN - SCOPUS:85119975957

SN - 1471-2458

VL - 21

JO - BMC Public Health

JF - BMC Public Health

IS - 1

M1 - 2176

ER -

Enabling women to access preferred methods of contraception: a rapid review and behavioural analysis

Abstract

Bibliographical note

Keywords

UN SDGs

Access to Document

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