Barriers, Facilitators and Strategies in Parental Communication About Contraception

2.50
Hdl Handle:
http://hdl.handle.net/10755/157573
Type:
Presentation
Title:
Barriers, Facilitators and Strategies in Parental Communication About Contraception
Abstract:
Barriers, Facilitators and Strategies in Parental Communication About Contraception
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:Noone, Joanne, PhD, RN, FNP
P.I. Institution Name:Oregon Health and Science University, School of Nursing - Ashland Campus
Title:Assistant Professor
Contact Address:1250 Siskiyou Boulevard, Ashland, OR, 97520, USA
Contact Telephone:541-552-8453
Co-Authors:Heather M. Young, PhD, RN, FAAN, Associate Vice Chancellor of Nursing
Purpose: This study was conducted to explore rural mothers' experiences and perceptions of their parenting role in talking with daughters about pregnancy prevention. Specific aims include the identification of mothers' perceptions of facilitators and barriers to discussing pregnancy prevention with their adolescent daughters as well as the specific strategies mothers used. Rationale/Background/Conceptual Framework: The United States continues to have the highest rate of adolescent childbearing among developed countries. Lack of access and disadvantage contribute to this problem which disproportionately impacts rural women. Given the increased difficulty to contraceptive access that rural young women face, parental communication and support play an even more vital role in assisting young women to navigate decisions about and access to contraception. The conceptual framework for this study focuses on parent-teen communication and the influence of rurality on issues surrounding pregnancy prevention and parent-child communication regarding pregnancy prevention. Methods: The design of this exploratory study is qualitative, using open-ended interviews of mothers of adolescent women. A semi-structured interview guide was used based upon the concepts that emerged from the literature review and the conceptual framework. The sample included thirty mothers from three rural counties in southern Oregon. Thematic analysis within and across interviews using constant comparative analysis was used to explore barriers, facilitators, and strategies mothers identified in talking with their daughters about contraception. Mothers were selected as the parental focus as most parent-child communication surrounding birth control occurs through the mother and more adolescents prefer to talk to their mothers about how to prevent pregnancy than their fathers. In rural families, traditional gender roles are emphasized and the mother is often the traditional healthcare gatekeeper in the family. Results: Barriers and facilitators to communications included characteristics and behaviors of the daughter and of the mother as well as contextual issues related to the topic and the environment. Specific strategies mothers used were grouped into the categories of setting the stage to talk, delivering the message, and empowering. Implications: The context of living in a rural environment may present unique barriers to facilitate parent-child communication when discussing intimate topics. The design of interventions needs to take into consideration these issues particularly when attempting to serve hard-to-reach populations. Specific suggestions for intervention design will be presented. This study will inform intervention studies designed to help parents communicate with adolescents about sexuality and pregnancy prevention in rural settings and will improve the fit of an intervention through understanding their specific needs.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleBarriers, Facilitators and Strategies in Parental Communication About Contraceptionen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157573-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Barriers, Facilitators and Strategies in Parental Communication About Contraception</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Noone, Joanne, PhD, RN, FNP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Oregon Health and Science University, School of Nursing - Ashland Campus</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1250 Siskiyou Boulevard, Ashland, OR, 97520, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">541-552-8453</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">noonej@ohsu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Heather M. Young, PhD, RN, FAAN, Associate Vice Chancellor of Nursing</td></tr><tr><td colspan="2" class="item-abstract">Purpose: This study was conducted to explore rural mothers' experiences and perceptions of their parenting role in talking with daughters about pregnancy prevention. Specific aims include the identification of mothers' perceptions of facilitators and barriers to discussing pregnancy prevention with their adolescent daughters as well as the specific strategies mothers used. Rationale/Background/Conceptual Framework: The United States continues to have the highest rate of adolescent childbearing among developed countries. Lack of access and disadvantage contribute to this problem which disproportionately impacts rural women. Given the increased difficulty to contraceptive access that rural young women face, parental communication and support play an even more vital role in assisting young women to navigate decisions about and access to contraception. The conceptual framework for this study focuses on parent-teen communication and the influence of rurality on issues surrounding pregnancy prevention and parent-child communication regarding pregnancy prevention. Methods: The design of this exploratory study is qualitative, using open-ended interviews of mothers of adolescent women. A semi-structured interview guide was used based upon the concepts that emerged from the literature review and the conceptual framework. The sample included thirty mothers from three rural counties in southern Oregon. Thematic analysis within and across interviews using constant comparative analysis was used to explore barriers, facilitators, and strategies mothers identified in talking with their daughters about contraception. Mothers were selected as the parental focus as most parent-child communication surrounding birth control occurs through the mother and more adolescents prefer to talk to their mothers about how to prevent pregnancy than their fathers. In rural families, traditional gender roles are emphasized and the mother is often the traditional healthcare gatekeeper in the family. Results: Barriers and facilitators to communications included characteristics and behaviors of the daughter and of the mother as well as contextual issues related to the topic and the environment. Specific strategies mothers used were grouped into the categories of setting the stage to talk, delivering the message, and empowering. Implications: The context of living in a rural environment may present unique barriers to facilitate parent-child communication when discussing intimate topics. The design of interventions needs to take into consideration these issues particularly when attempting to serve hard-to-reach populations. Specific suggestions for intervention design will be presented. This study will inform intervention studies designed to help parents communicate with adolescents about sexuality and pregnancy prevention in rural settings and will improve the fit of an intervention through understanding their specific needs.</td></tr></table>en_GB
dc.date.available2011-10-26T19:59:49Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T19:59:49Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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