Priority 8 from the Contraception PSP

UNCERTAINTY: What factors (advice from friends, family, professionals, beliefs, experience) influence women making decisions about contraception? (JLA PSP Priority 8)
Overall ranking	8
JLA question ID	0049/8
Explanatory note	The NICE LARC guideline research recommendations is similar “Most women will need to use contraception for more than 30 years… a woman's choice and acceptance of LARC may be influenced by potential health dis-benefits (side effects and risks) as well as non contraceptive benefits of LARC (such as alleviation of menorrhagia)” )” The short and long term effects of contraceptive choices were a frequently raised by patients and healthcare professionals. Systematic reviews of randomised control trials and non- random studies provide moderate level evidence that educational interventions and behavioural interventions such as motivational interviewing can improve effective use of contraception and reduce unwanted pregnancy. The cost of providing these services such as skilled staff may limit their use in clinical practice. Cost effective methods of supporting use of effective contraception in vulnerable groups are needed.
Evidence	Theory‐based interventions for contraception Laureen M Lopez, Thomas W Grey, Mario Chen, Elizabeth E. Tolley, Laurie L Stockton. November 2016 (SOF-mod/high quality evidence) Brief educational strategies for improving contraception use in young people. Laureen M Lopez, Thomas W Grey, Elizabeth E. Tolley, Mario Chen. March 2016
Health Research Classification System category	Reproductive Health and Childbirth

Extra information provided by this PSP
Original uncertainty examples	“What factors influence women stopping contraception / using inconsistently when they are not planning a pregnancy?” (Both) ~ “What influences women to choose a particular type of contraception? How much is related to the health care HCP giving advice ? How much web info and how much peer and family advice” (HCP), “How bad do side effects have to be before people consider switching?” (HCP)
Submitted by	Healthcare Professionals x 8~Patients x 1~Both x 4

Extra information provided by this PSP

Original uncertainty examples

“What factors influence women stopping contraception / using inconsistently when they are not planning a pregnancy?” (Both) ~ “What influences women to choose a particular type of contraception? How much is related to the health care HCP giving advice ? How much web info and how much peer and family advice” (HCP), “How bad do side effects have to be before people consider switching?” (HCP)

Submitted by

Healthcare Professionals x 8~Patients x 1~Both x 4

PSP information
PSP unique ID	0049
PSP name	Contraception
Total number of uncertainties identified by this PSP.	57 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	21 April 2017