Group versus individual family planning counseling in Ghana: A randomized, noninferiority trial

Hilary M. Schwandt, Andreea Creanga, Kwabena A. Danso, Richard M K Adanu, Tsiri Agbenyega, Michelle J. Hindin

Research output: Contribution to journalArticle

Abstract

Background Group, rather than individual, family planning counseling has the potential to increase family planning knowledge and use through more efficient use of limited human resources. Study Design A randomized, noninferiority study design was utilized to identify whether group family planning counseling is as effective as individual family planning counseling in Ghana. Female gynecology patients were enrolled from two teaching hospitals in Ghana in June and July 2008. Patients were randomized to receive either group or individual family planning counseling. The primary outcome in this study was change in modern contraceptive method knowledge. Changes in family planning use intention before and after the intervention and intended method type were also explored. Results: Comparisons between the two study arms suggest that randomization was successful. The difference in change in modern contraceptive methods known from baseline to follow-up between the two study arms (group-individual), adjusted for study site, was - 0.21, (95% confidence interval: - 0.53 to 0.12) suggesting no difference between the two arms. Conclusions: Group family planning counseling was as effective as individual family planning counseling in increasing modern contraceptive knowledge among female gynecology patients in Ghana.

Original languageEnglish (US)
Pages (from-to)281-288
Number of pages8
JournalContraception
Volume88
Issue number2
DOIs
StatePublished - Aug 2013

Fingerprint

Ghana
Family Planning Services
Counseling
Gynecology
Contraception
Random Allocation
Contraceptive Agents
Teaching Hospitals
Outcome Assessment (Health Care)
Confidence Intervals

Keywords

  • Contraception
  • Family planning counseling
  • Ghana
  • Group Individual
  • Noninferiority trial

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Group versus individual family planning counseling in Ghana : A randomized, noninferiority trial. / Schwandt, Hilary M.; Creanga, Andreea; Danso, Kwabena A.; Adanu, Richard M K; Agbenyega, Tsiri; Hindin, Michelle J.

In: Contraception, Vol. 88, No. 2, 08.2013, p. 281-288.

Research output: Contribution to journalArticle

Schwandt, Hilary M. ; Creanga, Andreea ; Danso, Kwabena A. ; Adanu, Richard M K ; Agbenyega, Tsiri ; Hindin, Michelle J. / Group versus individual family planning counseling in Ghana : A randomized, noninferiority trial. In: Contraception. 2013 ; Vol. 88, No. 2. pp. 281-288.
@article{2a502929f7b6423ba542fd5a13a8117f,
title = "Group versus individual family planning counseling in Ghana: A randomized, noninferiority trial",
abstract = "Background Group, rather than individual, family planning counseling has the potential to increase family planning knowledge and use through more efficient use of limited human resources. Study Design A randomized, noninferiority study design was utilized to identify whether group family planning counseling is as effective as individual family planning counseling in Ghana. Female gynecology patients were enrolled from two teaching hospitals in Ghana in June and July 2008. Patients were randomized to receive either group or individual family planning counseling. The primary outcome in this study was change in modern contraceptive method knowledge. Changes in family planning use intention before and after the intervention and intended method type were also explored. Results: Comparisons between the two study arms suggest that randomization was successful. The difference in change in modern contraceptive methods known from baseline to follow-up between the two study arms (group-individual), adjusted for study site, was - 0.21, (95{\%} confidence interval: - 0.53 to 0.12) suggesting no difference between the two arms. Conclusions: Group family planning counseling was as effective as individual family planning counseling in increasing modern contraceptive knowledge among female gynecology patients in Ghana.",
keywords = "Contraception, Family planning counseling, Ghana, Group Individual, Noninferiority trial",
author = "Schwandt, {Hilary M.} and Andreea Creanga and Danso, {Kwabena A.} and Adanu, {Richard M K} and Tsiri Agbenyega and Hindin, {Michelle J.}",
year = "2013",
month = "8",
doi = "10.1016/j.contraception.2013.03.008",
language = "English (US)",
volume = "88",
pages = "281--288",
journal = "Contraception",
issn = "0010-7824",
publisher = "Elsevier USA",
number = "2",

}

TY - JOUR

T1 - Group versus individual family planning counseling in Ghana

T2 - A randomized, noninferiority trial

AU - Schwandt, Hilary M.

AU - Creanga, Andreea

AU - Danso, Kwabena A.

AU - Adanu, Richard M K

AU - Agbenyega, Tsiri

AU - Hindin, Michelle J.

PY - 2013/8

Y1 - 2013/8

N2 - Background Group, rather than individual, family planning counseling has the potential to increase family planning knowledge and use through more efficient use of limited human resources. Study Design A randomized, noninferiority study design was utilized to identify whether group family planning counseling is as effective as individual family planning counseling in Ghana. Female gynecology patients were enrolled from two teaching hospitals in Ghana in June and July 2008. Patients were randomized to receive either group or individual family planning counseling. The primary outcome in this study was change in modern contraceptive method knowledge. Changes in family planning use intention before and after the intervention and intended method type were also explored. Results: Comparisons between the two study arms suggest that randomization was successful. The difference in change in modern contraceptive methods known from baseline to follow-up between the two study arms (group-individual), adjusted for study site, was - 0.21, (95% confidence interval: - 0.53 to 0.12) suggesting no difference between the two arms. Conclusions: Group family planning counseling was as effective as individual family planning counseling in increasing modern contraceptive knowledge among female gynecology patients in Ghana.

AB - Background Group, rather than individual, family planning counseling has the potential to increase family planning knowledge and use through more efficient use of limited human resources. Study Design A randomized, noninferiority study design was utilized to identify whether group family planning counseling is as effective as individual family planning counseling in Ghana. Female gynecology patients were enrolled from two teaching hospitals in Ghana in June and July 2008. Patients were randomized to receive either group or individual family planning counseling. The primary outcome in this study was change in modern contraceptive method knowledge. Changes in family planning use intention before and after the intervention and intended method type were also explored. Results: Comparisons between the two study arms suggest that randomization was successful. The difference in change in modern contraceptive methods known from baseline to follow-up between the two study arms (group-individual), adjusted for study site, was - 0.21, (95% confidence interval: - 0.53 to 0.12) suggesting no difference between the two arms. Conclusions: Group family planning counseling was as effective as individual family planning counseling in increasing modern contraceptive knowledge among female gynecology patients in Ghana.

KW - Contraception

KW - Family planning counseling

KW - Ghana

KW - Group Individual

KW - Noninferiority trial

UR - http://www.scopus.com/inward/record.url?scp=84880732724&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84880732724&partnerID=8YFLogxK

U2 - 10.1016/j.contraception.2013.03.008

DO - 10.1016/j.contraception.2013.03.008

M3 - Article

C2 - 23643154

AN - SCOPUS:84880732724

VL - 88

SP - 281

EP - 288

JO - Contraception

JF - Contraception

SN - 0010-7824

IS - 2

ER -