Document Detail

Pilot evaluation of an internet-based natural family planning education and service program.
MedLine Citation:
PMID:  21488954     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the efficacy, knowledge of fertility, and acceptability of a web-based natural family planning (NFP) education and service program.
DESIGN: A 6-month repeated measure longitudinal evaluation pilot study.
SETTING: A university based online website.
PARTICIPANTS: The website was piloted with 468 volunteer women seeking NFP services. Of these participants, 222 used the automatic online fertility charting system to avoid pregnancy. The 222 charting participants had a mean age of 29.9 years (SD=5.6), 2.2 children (SD=1.9), 37% were postpartum, and 47% had regular menstrual cycle lengths.
INTERVENTION: Nurse-managed web-based NFP education and service program.
OUTCOMES: Pregnancies were confirmed by an online self-assessed pregnancy evaluation form. A 10-item fertility quiz and 10-item acceptability survey was administered online.
RESULTS: Among the 222 users avoiding pregnancy, at 6 months of use, there were two correct-use unintended pregnancies that provided a pregnancy rate of 2% and seven total unintended pregnancies providing a typical use pregnancy rate of 7%. Mean knowledge of fertility increased significantly from time of registration (8.96, SD=1.10) to 1 month of use (9.46, SD=.10), t=4.60, p<.001). Acceptability increased nonsignificantly from 1 month of use (45.6; SD=8.98) to 6 months of use (48.4; SD=8.77).
CONCLUSION: The nurse-managed online NFP system seems to provide adequate knowledge of fertility and help participants meet pregnancy intentions. Acceptability of such a system of NFP is still in question.
Richard Jerome Fehring; Mary Schneider; Kathleen Raviele
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2011-04-13
Journal Detail:
Title:  Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG     Volume:  40     ISSN:  1552-6909     ISO Abbreviation:  J Obstet Gynecol Neonatal Nurs     Publication Date:    2011 May-Jun
Date Detail:
Created Date:  2011-05-18     Completed Date:  2011-09-20     Revised Date:  2012-03-02    
Medline Journal Info:
Nlm Unique ID:  8503123     Medline TA:  J Obstet Gynecol Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  281-91     Citation Subset:  IM; N    
Copyright Information:
© 2011 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.
College of Nursing, Marquette University, Milwaukee, WI 53201-1881, USA.
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MeSH Terms
Family Planning Services / methods*
Health Knowledge, Attitudes, Practice
Internet / utilization*
Longitudinal Studies
Natural Family Planning Methods / methods*
Nurse's Role
Patient Education as Topic / methods
Patient Participation / statistics & numerical data*
Pilot Projects
Preconception Care / methods*
Pregnancy Outcome / epidemiology*
Women's Health
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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