Priority 4 from the Contraception PSP

UNCERTAINTY: What models of care increase access and support decision-making for vulnerable groups (such as young people, people who don't speak or read English)? (JLA PSP Priority 4)
Overall ranking 4
JLA question ID 0049/4
Explanatory note Systematic reviews of randomised control trials and non- random studies provide moderate level evidence that educational interventions and behavioural interventions such as motivational interviewing can improve effective use of contraception and reduce unwanted pregnancy. The cost of providing these services such as skilled staff may limit their use in clinical practice. Cost effective methods of supporting use of effective contraception for all women and those who are vulnerable are needed.
Evidence

Brief educational strategies for improving contraception use in young people.  Laureen M Lopez, Thomas W Grey, Elizabeth E. Tolley, Mario Chen. March 2016  
Health Research Classification System category Reproductive Health and Childbirth
Extra information provided by this PSP
Original uncertainty examples

“I think it's quite hard for young people to obtain contraception  1 because they are unaware that it's available, 2 because they're unaware of where they can obtain it and 3 because they're simply not educated on it! “(Patient)  ~  “How do I access Info if English is not my first language?  How do I access contraception if I can't read? (HCP)
Submitted by Healthcare Professionals x 15~Patients x 5~Both x 9
PSP information
PSP unique ID 0049
PSP name Contraception
Total number of uncertainties identified by this PSP. 57  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 21 April 2017