{"doi":"10.1016/j.ajog.2022.06.050","title":"Effects of technology-based contraceptive decision aids: a systematic review and meta-analysis","abstract":null,"journal":"American Journal of Obstetrics and Gynecology","year":2022,"id":637177,"datarank":0.5050943744979712,"base_score":3.367295829986474,"endowment":3.367295829986474,"self_citation_contribution":0.5050943744979712,"citation_network_contribution":0.0,"self_endowment_contribution":0.5050943744979712,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":28,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1038187,"name":"Kristin G. Maki","orcid":"0000-0003-2980-7118","position":1,"is_corresponding":false},{"id":1654267,"name":"Ayo Babatunde","orcid":null,"position":2,"is_corresponding":false},{"id":1654269,"name":"Karen B. Eden","orcid":null,"position":3,"is_corresponding":false},{"id":308488,"name":"Blair G. Darney","orcid":"0000-0001-8120-028X","position":4,"is_corresponding":false},{"id":1140819,"name":"Rose Goueth","orcid":"0000-0003-0827-5159","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Effects of technology-based contraceptive decision aids: a systematic review and meta-analysis","abstract":"OBJECTIVE: This study aimed to conduct a systematic review and meta-analysis of the effects of technology-based decision aids on contraceptive use, continuation, and patient-reported and decision-making outcomes.\nDATA SOURCES: A systematic search was conducted in OVID MEDLINE, Cochrane Database of Systematic Reviews, CENTRAL, CINAHL, Embase, PsycINFO, and SocINDEX databases from January 2005 to April 2022. Eligible references from a concurrent systematic review evaluating contraceptive care were also included for review.\nSTUDY ELIGIBILITY CRITERIA: Studies were included if a contraceptive decision aid was technology-based (ie, mobile/tablet application, web, or computer-based) and assessed contraceptive use and/or continuation or patient-reported outcomes (knowledge, self-efficacy, feasibility/acceptability/usability, decisional conflict). The protocol was registered under the International Prospective Register of Systematic Reviews (CRD42021240755).\nMETHODS: Three reviewers independently performed data abstraction and quality appraisal. Dichotomous outcomes (use and continuation) were evaluated with an odds ratio, whereas continuous outcomes (knowledge and self-efficacy) were evaluated with the mean difference. Subgroup analyses were performed for the mode of delivery (mobile and tablet applications vs web and computer-based) and follow-up time (immediate vs >1 month).\nRESULTS: This review included 18 studies evaluating 21 decision aids. Overall, there were higher odds of contraceptive use and/or continuation among decision aid users compared with controls (odds ratio, 1.27; 95% confidence interval, [1.05-1.55]). Use of computer and web-based decision aids was associated with higher odds of contraceptive use and/or continuation (odds ratio, 1.36; 95% confidence interval, [1.08-1.72]) than mobile and tablet decision aids (odds ratio, 1.27; 95% confidence interval, [0.83-1.94]). Decision aid users also had statistically significant higher self-efficacy scores (mean difference, 0.09; 95% confidence interval, [0.05-0.13]), and knowledge scores (mean difference, 0.04; 95% confidence interval, [0.01-0.07]), with immediate measurement of knowledge having higher retention than measurement after 1 month. Other outcomes were evaluated descriptively (eg, feasibility, applicability, decisional conflict) but had little evidence to support a definite conclusion. Overall, the review provided moderate-level evidence for contraceptive use and continuation, knowledge, and self-efficacy.\nCONCLUSION: The use of technology-based contraceptive decision aids to support contraceptive decision-making has positive effects on contraceptive use and continuation, knowledge, and self-efficacy. There was insufficient evidence to support a conclusion about effects on other decision-making outcomes.","is_dataset_classified":null,"base_score":3.367295829986474,"endowment":3.367295829986474,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"35779590","pmcid":null,"openalex_id":"https://openalex.org/W4283729623","authors":[],"funders":[{"funder_name":"NLM NIH HHS","grant_id":"T15 LM007088","title":null}],"total_grants":1,"fwci":1.1735,"citation_percentile":0.75571429,"influential_citations":0,"citation_trend":[{"year":2022,"count":3},{"year":2023,"count":3},{"year":2024,"count":5},{"year":2025,"count":10},{"year":2026,"count":7}],"oa_status":"green","license":"http://www.elsevier.com/open-access/userlicense/1.0/","oa_locations":[{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9800645","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9800645","host_type":"repository"},{"url":"https://api.elsevier.com/content/article/PII:S0002937822005269?httpAccept=text/xml","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S0002937822005269?httpAccept=text/plain","host_type":"publisher"},{"url":"https://doi.org/10.1016/j.ajog.2022.06.050","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/35779590","host_type":"repository"}],"fields_of_study":["Patient-Provider Communication in Healthcare","Reproductive Health and Contraception","Palliative Care and End-of-Life Issues","Humans","Contraceptive Agents","Decision Support Techniques","Mobile Applications","Contraceptive Devices"],"mesh_terms":["Contraceptive Agents","Contraceptive Devices","Decision Support Techniques","Humans","Mobile Applications"],"keywords":["Medicine","Meta-analysis","Decision aids","Alternative medicine","Internal medicine","Pathology","clinical decision-making","contraceptive use","decision support techniques","digital health","patient-centered care","patient-reported outcome measures","reproductive health services","shared decision-making"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-06T18:28:14.011059Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}