Use of a low-literacy informed consent form to improve women's understanding of tubal sterilization

A randomized controlled trial

Nikki Zite, Lorraine S. Wallace

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Objective: To estimate whether the Medicaid-Title XIX Sterilization Consent Form (SCF) format-"standard" compared with "low-literacy"- is associated with women's understanding of tubal sterilization. Methods:This study was a randomized trial that took place in an obstetrics and gynecology residency clinic in the southeastern United States. Women, aged 21 to 45 years, were randomly allocated to receive a copy of either the standard or the low-literacy Medicaid-Title XIX SCF. A research assistant assessed women's sociodemographic characteristics, health-literacy skills, and understanding of sterilization using items from the Postpartum Tubal Sterilization Knowledge questionnaire. Women were also queried regarding their preferences for either version of the Medicaid-Title XIX SCF. Rssults: We included 201 women in the study. Compared with women in the standard group (n=99), women in the low-literacy group (n=102) with no additional counseling better understood the length of time required between signing the form and undergoing sterilization (23.6% difference between groups, P<.01), the time interval until the form expired (33.7% difference between groups, P<.01), permanence of sterilization (15.7% difference between groups, P=.01), and that nonpermanent contraceptive options as effective as sterilization are available (8.2% difference between groups, P=.02). When given the choice to select either Medicaid-Title XIX SCF, 189 (94%) preferred the low-literacy version. CONCLUSION:: Our results support replacing the standard Medicaid-Title XIX SCF with the low-literacy version to foster increased understanding of sterilization.

Original languageEnglish (US)
Pages (from-to)1160-1166
Number of pages7
JournalObstetrics and Gynecology
Volume117
Issue number5
DOIs
StatePublished - May 1 2011
Externally publishedYes

Fingerprint

Consent Forms
Tubal Sterilization
Randomized Controlled Trials
Medicaid
Literacy
Southeastern United States
Health Literacy
Internship and Residency
Contraceptive Agents
Gynecology
Postpartum Period
Obstetrics
Counseling

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology

Cite this

Use of a low-literacy informed consent form to improve women's understanding of tubal sterilization : A randomized controlled trial. / Zite, Nikki; Wallace, Lorraine S.

In: Obstetrics and Gynecology, Vol. 117, No. 5, 01.05.2011, p. 1160-1166.

Research output: Contribution to journalArticle

@article{0e799c07f64a4481946f683c079c38c1,
title = "Use of a low-literacy informed consent form to improve women's understanding of tubal sterilization: A randomized controlled trial",
abstract = "Objective: To estimate whether the Medicaid-Title XIX Sterilization Consent Form (SCF) format-{"}standard{"} compared with {"}low-literacy{"}- is associated with women's understanding of tubal sterilization. Methods:This study was a randomized trial that took place in an obstetrics and gynecology residency clinic in the southeastern United States. Women, aged 21 to 45 years, were randomly allocated to receive a copy of either the standard or the low-literacy Medicaid-Title XIX SCF. A research assistant assessed women's sociodemographic characteristics, health-literacy skills, and understanding of sterilization using items from the Postpartum Tubal Sterilization Knowledge questionnaire. Women were also queried regarding their preferences for either version of the Medicaid-Title XIX SCF. Rssults: We included 201 women in the study. Compared with women in the standard group (n=99), women in the low-literacy group (n=102) with no additional counseling better understood the length of time required between signing the form and undergoing sterilization (23.6{\%} difference between groups, P<.01), the time interval until the form expired (33.7{\%} difference between groups, P<.01), permanence of sterilization (15.7{\%} difference between groups, P=.01), and that nonpermanent contraceptive options as effective as sterilization are available (8.2{\%} difference between groups, P=.02). When given the choice to select either Medicaid-Title XIX SCF, 189 (94{\%}) preferred the low-literacy version. CONCLUSION:: Our results support replacing the standard Medicaid-Title XIX SCF with the low-literacy version to foster increased understanding of sterilization.",
author = "Nikki Zite and Wallace, {Lorraine S.}",
year = "2011",
month = "5",
day = "1",
doi = "10.1097/AOG.0b013e318213cbb1",
language = "English (US)",
volume = "117",
pages = "1160--1166",
journal = "Obstetrics and Gynecology",
issn = "0029-7844",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Use of a low-literacy informed consent form to improve women's understanding of tubal sterilization

T2 - A randomized controlled trial

AU - Zite, Nikki

AU - Wallace, Lorraine S.

PY - 2011/5/1

Y1 - 2011/5/1

N2 - Objective: To estimate whether the Medicaid-Title XIX Sterilization Consent Form (SCF) format-"standard" compared with "low-literacy"- is associated with women's understanding of tubal sterilization. Methods:This study was a randomized trial that took place in an obstetrics and gynecology residency clinic in the southeastern United States. Women, aged 21 to 45 years, were randomly allocated to receive a copy of either the standard or the low-literacy Medicaid-Title XIX SCF. A research assistant assessed women's sociodemographic characteristics, health-literacy skills, and understanding of sterilization using items from the Postpartum Tubal Sterilization Knowledge questionnaire. Women were also queried regarding their preferences for either version of the Medicaid-Title XIX SCF. Rssults: We included 201 women in the study. Compared with women in the standard group (n=99), women in the low-literacy group (n=102) with no additional counseling better understood the length of time required between signing the form and undergoing sterilization (23.6% difference between groups, P<.01), the time interval until the form expired (33.7% difference between groups, P<.01), permanence of sterilization (15.7% difference between groups, P=.01), and that nonpermanent contraceptive options as effective as sterilization are available (8.2% difference between groups, P=.02). When given the choice to select either Medicaid-Title XIX SCF, 189 (94%) preferred the low-literacy version. CONCLUSION:: Our results support replacing the standard Medicaid-Title XIX SCF with the low-literacy version to foster increased understanding of sterilization.

AB - Objective: To estimate whether the Medicaid-Title XIX Sterilization Consent Form (SCF) format-"standard" compared with "low-literacy"- is associated with women's understanding of tubal sterilization. Methods:This study was a randomized trial that took place in an obstetrics and gynecology residency clinic in the southeastern United States. Women, aged 21 to 45 years, were randomly allocated to receive a copy of either the standard or the low-literacy Medicaid-Title XIX SCF. A research assistant assessed women's sociodemographic characteristics, health-literacy skills, and understanding of sterilization using items from the Postpartum Tubal Sterilization Knowledge questionnaire. Women were also queried regarding their preferences for either version of the Medicaid-Title XIX SCF. Rssults: We included 201 women in the study. Compared with women in the standard group (n=99), women in the low-literacy group (n=102) with no additional counseling better understood the length of time required between signing the form and undergoing sterilization (23.6% difference between groups, P<.01), the time interval until the form expired (33.7% difference between groups, P<.01), permanence of sterilization (15.7% difference between groups, P=.01), and that nonpermanent contraceptive options as effective as sterilization are available (8.2% difference between groups, P=.02). When given the choice to select either Medicaid-Title XIX SCF, 189 (94%) preferred the low-literacy version. CONCLUSION:: Our results support replacing the standard Medicaid-Title XIX SCF with the low-literacy version to foster increased understanding of sterilization.

UR - http://www.scopus.com/inward/record.url?scp=79955545984&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79955545984&partnerID=8YFLogxK

U2 - 10.1097/AOG.0b013e318213cbb1

DO - 10.1097/AOG.0b013e318213cbb1

M3 - Article

VL - 117

SP - 1160

EP - 1166

JO - Obstetrics and Gynecology

JF - Obstetrics and Gynecology

SN - 0029-7844

IS - 5

ER -