Effect of Contraceptive Education Materials on Efficiency and Patient-Centered Outcomes of Clinic Visits [ID 1218]

INTRODUCTION: Patients consider many factors when selecting a contraceptive method, but it can be challenging to provide comprehensive counseling during time-restricted visits. Decision aids have been explored in other areas of medicine to improve shared decision-making. METHODS: We recruited patients interested in discussing contraception during their family planning visit. We randomized participants to one of two tablet-based educational materials prior to physician counseling: a menu-based option (Bedsider.com method finder) or a quiz-based option (myACT, a newly designed tool). Participants completed surveys after viewing the material and after physician counseling. Physicians completed a post-visit survey. We compared feedback on materials and overall experience using Student t-tests and chi-squared tests, in Stata SE. We planned to enroll 49 participants per group and set significance at P <.05. RESULTS: Of 141 completed participants, 56 (39.7%) viewed the quiz-based method and 47 (33.3%) viewed the menu-based option, with the remainder having unknown allocation. There were no significant differences between materials regarding feedback, contraceptive choices, or overall satisfaction. Participants resoundingly appreciated the education, with 98.5% saying it helped them talk to the doctor, 91.1% saying it helped them choose a method, and 89–90% selecting “excellent” for each measure of patient-centered care. Physicians reported contraceptive counseling was easier (65%) and took less time (50%) than usual. CONCLUSIONS/IMPLICATIONS: Regardless of quiz-based versus menu-based format, patients and clinicians find great value in contraceptive education tools prior to clinic visits. Further research is needed to determine potential benefits of such tools accessed outside of a clinic setting.