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Community Education and Engagement in Family Planning: Updated Systematic Review.

ABSTRACT: CONTEXT:Community education and engagement are important for informing family planning projects. The objective of this study was to update two prior systematic reviews assessing the impact of community education and engagement interventions on family planning outcomes. EVIDENCE ACQUISITION:Sixteen electronic databases were searched for studies relevant to a priori determined inclusion/exclusion criteria in high development settings, published from March 2011 through April 2016, updating two reviews that included studies from 1985 through February 2011. EVIDENCE SYNTHESIS:Nine relevant studies were included in this updated review related to community education, in addition to 17 from the prior review. No new community engagement studies met inclusion criteria, as occurred in the prior review. Of new studies, community education modalities included mass media, print/mail, web-based, text messaging, and interpersonal interventions. One study on mass media intervention demonstrated a positive impact on reducing teen and unintended pregnancies. Three of four studies on interpersonal interventions demonstrated positive impacts on medium-term family planning outcomes, such as contraception and condom use. Three new studies demonstrated mostly positive, but inconsistent, results on short-term family planning outcomes. CONCLUSIONS:Findings from this systematic review update are in line with a previous review showing the positive impact of community education using traditional modalities on short-term family planning outcomes, identifying additional impacts on long-term outcomes, and highlighting new evidence for education using modern modalities, such as text messaging and web-based education. More research is necessary to provide a stronger evidence base for directing community education and engagement efforts in family planning contexts. THEME INFORMATION:This article is part of a theme issue entitled Updating the Systematic Reviews Used to Develop the U.S. Recommendations for Providing Quality Family Planning Services, which is sponsored by the Office of Population Affairs, U.S. Department of Health and Human Services.

SUBMITTER: Sharma AE

PROVIDER: S-EPMC6753778 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature

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Community Education and Engagement in Family Planning: Updated Systematic Review.

Sharma Anjana E AE Frederiksen Brittni N BN Malcolm Nikita M NM Rollison Julia M JM Carter Marion W MW

American journal of preventive medicine 20181101 5

<h4>Context</h4>Community education and engagement are important for informing family planning projects. The objective of this study was to update two prior systematic reviews assessing the impact of community education and engagement interventions on family planning outcomes.<h4>Evidence acquisition</h4>Sixteen electronic databases were searched for studies relevant to a priori determined inclusion/exclusion criteria in high development settings, published from March 2011 through April 2016, up ...[more]

PMID: 30342637

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Project description:Background Recognizing learners’ engagement during learning processes is important for providing personalized pedagogical support and preventing dropouts. As learning processes shift from traditional offline classrooms to distance learning, methods for automatically identifying engagement levels should be developed. Objective This article aims to present a literature review of recent developments in automatic engagement estimation, including engagement definitions, datasets, and machine learning-based methods for automation estimation. The information, figures, and tables presented in this review aim at providing new researchers with insight on automatic engagement estimation to enhance smart learning with automatic engagement recognition methods. Methods A literature search was carried out using Scopus, Mendeley references, the IEEE Xplore digital library, and ScienceDirect following the four phases of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA): identification, screening, eligibility, and inclusion. The selected studies included research articles published between 2010 and 2022 that focused on three research questions (RQs) related to the engagement definitions, datasets, and methods used in the literature. The article selection excluded books, magazines, news articles, and posters. Results Forty-seven articles were selected to address the RQs and discuss engagement definitions, datasets, and methods. First, we introduce a clear taxonomy that defines engagement according to different types and the components used to measure it. Guided by this taxonomy, we reviewed the engagement types defined in the selected articles, with emotional engagement (n = 40; 65.57%) measured by affective cues appearing most often (n = 38; 57.58%). Then, we reviewed engagement and engagement-related datasets in the literature, with most studies assessing engagement with external observations (n = 20; 43.48%) and self-reported measures (n = 9; 19.57%). Finally, we summarized machine learning (ML)-based methods, including deep learning, used in the literature. Conclusions This review examines engagement definitions, datasets and ML-based methods from forty-seven selected articles. A taxonomy and three tables are presented to address three RQs and provide researchers in this field with guidance on enhancing smart learning with automatic engagement recognition. However, several key challenges remain, including cognitive and personalized engagement and ML issues that may affect real-world implementations.

Project description:ContextEducational interventions can help individuals increase their knowledge of available contraceptive methods, enabling them to make informed decisions and use contraception correctly. This review updates a previous review of contraceptive education.Evidence acquisitionMultiple databases were searched for articles published March 2011-November 2016. Primary outcomes were knowledge, participation in and satisfaction/comfort with decision making, attitudes toward contraception, and selection of more effective methods. Secondary outcomes included contraceptive behaviors and pregnancy. Excluded articles described interventions that had no comparison group, could not be conducted feasibly in a clinic setting, or were conducted outside the U.S. or similar country.Evidence synthesisA total of 24,953 articles were identified. Combined with the original review, 37 articles met inclusion criteria and described 31 studies implementing a range of educational approaches (interactive tools, written materials, audio/videotapes, and text messages), with and without healthcare provider feedback, for a total of 36 independent interventions. Of the 31 interventions for which knowledge was assessed, 28 had a positive effect. Fewer were assessed for their effect on attitudes toward contraception, selection of more effective methods, contraceptive behaviors, or pregnancy-although increased knowledge was found to mediate additional outcomes (positive attitudes toward contraception and contraceptive continuation).ConclusionsThis systematic review is consistent with evidence from the broader healthcare field in suggesting that a range of interventions can increase knowledge. Future studies should assess what aspects are most effective, the benefits of including provider feedback, and the extent to which educational interventions can facilitate behavior change and attainment of reproductive health goals.Theme informationThis article is part of a theme issue entitled Updating the Systematic Reviews Used to Develop the U.S. Recommendations for Providing Quality Family Planning Services, which is sponsored by the Office of Population Affairs, U.S. Department of Health and Human Services.

Dataset Information

Community Education and Engagement in Family Planning: Updated Systematic Review.

Publications

Community Education and Engagement in Family Planning: Updated Systematic Review.

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