Background

Contraceptive decision aids may support adolescents and young adults (AYA) in choosing contraceptive methods that fit their unique reproductive health needs.

Objective

To provide a systematic review of studies examining the effectiveness of contraceptive decision aids in AYA.

Materials and Methods

A systematic search was conducted of studies published between January 1, 2011, and March 31, 2021 using PubMed, Cochrane, and ClinicalTrials.gov. Studies were included if a contraceptive decision aid (ie, paper handout, mobile application, website, or video) was evaluated in AYA populations (age ≤30 years) in the United States. The primary outcome was decision aid effectiveness (ie, change in contraceptive knowledge, interest in contraception, contraceptive use, unintended pregnancies, and satisfaction with the decision aid).

Results

Seven randomized controlled trials and 3 pre−post studies, reporting on 3725 AYA (range, 11-30 years), met inclusion criteria. No studies were excluded due to risk of bias. The methodologies and results were heterogeneous, but most consistently demonstrated increased contraceptive knowledge.

Conclusion

Ten studies evaluated a range of contraceptive decision aid formats for AYA. Decision aids appear to be effective at increasing contraceptive knowledge temporarily, but their effect on other contraceptive outcomes is unclear. Future research should evaluate decision aids specifically in adolescents.

中文翻译：

---

青少年和年轻人避孕决策辅助工具的有效性：系统评价

背景

避孕决策辅助工具可以支持青少年和年轻人 (AYA) 选择适合其独特生殖健康需求的避孕方法。

客观的

对检查 AYA 中避孕决策辅助的有效性的研究进行系统评价。

材料和方法

使用 PubMed、Cochrane 和 ClinicalTrials.gov 对 2011 年 1 月 1 日至 2021 年 3 月 31 日期间发表的研究进行了系统搜索。如果在美国 AYA 人群（年龄≤30 岁）中评估避孕决策辅助工具（即纸质讲义、移动应用程序、网站或视频），则纳入研究。主要结果是决策辅助的有效性（即避孕知识的变化、对避孕的兴趣、避孕药的使用、意外怀孕和对决策辅助的满意度）。

结果

7 个随机对照试验和 3 个前后研究，报告了 3725 个 AYA（范围，11-30 岁），符合纳入标准。由于存在偏倚风险，没有排除任何研究。方法和结果各不相同，但最一致地表明避孕知识有所增加。

结论

十项研究评估了 AYA 的一系列避孕决策辅助格式。决策辅助似乎在暂时增加避孕知识方面是有效的，但它们对其他避孕结果的影响尚不清楚。未来的研究应该专门评估青少年的决策辅助。