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Nonpharmacological interventions to improve the psychological well‐being of women accessing abortion services and their satisfaction with care: A systematic review

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  • Na Wang
  • Jyai Allen
  • Jenny Gamble
  • Debra K. Creedy

Abstract

How women perceive and experience abortion impacts their subsequent psychological well‐being. This systematic review evaluated nonpharmacological interventions designed to support women undergoing abortion services and improve their psychological well‐being and satisfaction with care. Searches were conducted in MEDLINE, CINAHL, the Cochrane Library, PsycINFO, Sociological Abstracts, Social Services Abstracts, and PTSD Pubs. All searches were limited to peer‐reviewed articles published in English from January 2010 to February 2020. Two reviewers independently assessed study eligibility. Ten studies were included, involving four types of interventions: music therapy; social support; information support; and mandated waiting and counseling requirements on abortion access. Outcome measures were divided into four categories comprised of cognitive domains, emotional and psychological well‐being, clinical symptoms, and satisfaction with care. However, there is limited evidence on intervention effects. Most studies report null or mixed intervention effects. Even though some positive effects on women's cognitive outcomes and satisfaction with care were seen, findings across studies were inconclusive. Findings also show that methodological limitations such as lack of theoretical basis, inadequate reporting and no power sample size calculation were apparent across studies. There is limited evidence about nonpharmacological interventions designed to improve women's satisfaction with abortion services or psychological outcomes subsequent to accessing abortion services. Well‐designed interventions that meet the needs of service‐users should be developed and rigorously tested.

Suggested Citation

  • Na Wang & Jyai Allen & Jenny Gamble & Debra K. Creedy, 2020. "Nonpharmacological interventions to improve the psychological well‐being of women accessing abortion services and their satisfaction with care: A systematic review," Nursing & Health Sciences, John Wiley & Sons, vol. 22(4), pages 854-867, December.
    • Handle: RePEc:wly:nuhsci:v:22:y:2020:i:4:p:854-867
    DOI: 10.1111/nhs.12779
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    References listed on IDEAS

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    1. Kenneth F Schulz & Douglas G Altman & David Moher & for the CONSORT Group, 2010. "CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomised Trials," PLOS Medicine, Public Library of Science, vol. 7(3), pages 1-7, March.
    2. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    Cited by:

    1. Na Wang & Debra K. Creedy & Mingna Zhang & Hong Lu & Elizabeth Elder & Jyai Allen & Li Guo & Qian Xiao & Jenny Gamble, 2022. "Designing a Needs-Oriented Psychological Intervention for Chinese Women Undergoing an Abortion," IJERPH, MDPI, vol. 20(1), pages 1-12, December.
    2. Na Wang & Xiu Zhu & Jenny Gamble & Elizabeth Elder & Jyai Allen & Debra K. Creedy, 2022. "The STress-And-Coping suppoRT Intervention (START) for Chinese Women Undergoing Abortion: A Randomized Controlled Trial Protocol," IJERPH, MDPI, vol. 19(11), pages 1-14, May.

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