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Designing a Needs-Oriented Psychological Intervention for Chinese Women Undergoing an Abortion

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Listed:
  • Na Wang

    (School of Nursing, Capital Medical University, 10 Xitoutiao Road, Fengtai District, Beijing 100069, China
    School of Nursing and Midwifery, Gold Coast Campus, Griffith University, Parklands Drive, Southport, Gold Coast, QLD 4215, Australia)

  • Debra K. Creedy

    (School of Nursing and Midwifery, Logan Campus, Griffith University, University Drive, Meadowbrook, Brisbane, QLD 4131, Australia)

  • Mingna Zhang

    (School of Nursing, Capital Medical University, 10 Xitoutiao Road, Fengtai District, Beijing 100069, China)

  • Hong Lu

    (School of Nursing, Peking University, 38 Xueyuan Road, Haidian District, Beijing 100191, China)

  • Elizabeth Elder

    (School of Nursing and Midwifery, Gold Coast Campus, Griffith University, Parklands Drive, Southport, Gold Coast, QLD 4215, Australia)

  • Jyai Allen

    (School of Nursing and Midwifery, Logan Campus, Griffith University, University Drive, Meadowbrook, Brisbane, QLD 4131, Australia)

  • Li Guo

    (School of Nursing, Capital Medical University, 10 Xitoutiao Road, Fengtai District, Beijing 100069, China)

  • Qian Xiao

    (School of Nursing, Capital Medical University, 10 Xitoutiao Road, Fengtai District, Beijing 100069, China)

  • Jenny Gamble

    (School of Nursing and Midwifery, Logan Campus, Griffith University, University Drive, Meadowbrook, Brisbane, QLD 4131, Australia)

Abstract

Accessing good quality abortion care is a fundamental human right and contributes to achieving Sustainable Development Goals. However, well-designed abortion care that meets women’s needs is limited. This study aims to systematically develop an intervention to promote the psychological well-being of Chinese women undergoing an abortion. A five-step iterative approach informed by intervention mapping was undertaken to determine the intervention design. Step 1 used in-depth interviews with 14 Chinese women undergoing an abortion to assess real-life stressors and support needs. We identified eight stressors and found women’s support needs varied with the time trajectory of the abortion. Step 2 used a focus group discussion with care providers to select modifiable stressors that impact negative psychological outcomes. In Step 3 and Step 4, we determined and integrated the exact strategies to eliminate or mitigate possible modifiable stressors by incorporating information from in-depth interviews and the Transactional Model of Stress and Coping. The integrated strategies were instructional support, informational support, and timely communication. In Step 5, we composed the detailed intervention design according to the best available evidence and, to confirm content validity, consulted 10 women who had undergone abortion in the previous 2–6 weeks. The intervention was titled STress-And-coping suppoRT (START), which included four interacting components: (1) a face-to-face consultation at the first appointment; (2) a printed booklet with information on abortion, self-care, and managing emotions and intimate relationships; (3) a WeChat-based online public profile page offering the same information as the booklet; (4) a telephone hotline. This study paves the way for a new approach to addressing the psychological needs of women experiencing abortion in China. The rigorous process provides an example of developing tailored health promotion interventions.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:782-:d:1021711
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    References listed on IDEAS

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    1. Pallitto, Christina C. & O'Campo, Patricia, 2005. "Community level effects of gender inequality on intimate partner violence and unintended pregnancy in Colombia: testing the feminist perspective," Social Science & Medicine, Elsevier, vol. 60(10), pages 2205-2216, May.
    2. Xing Wang & Junqing Wu & Yuyan Li & Ying Zhou & Yiran Li & Rui Zhao & Qi Tong & Mingzhong Luo, 2019. "Changes in the Prevalence of Induced Abortion in the Floating Population in Major Cities of China 2007–2014," IJERPH, MDPI, vol. 16(18), pages 1-12, September.
    3. Foster, D.G. & Biggs, M.A. & Ralph, L. & Gerdts, C. & Roberts, S. & Glymour, M.M., 2018. "Socioeconomic outcomes of women who receive and women who are denied wanted abortions in the United States," American Journal of Public Health, American Public Health Association, vol. 108(3), pages 407-413.
    4. Jessica Gurevitch & Julia Koricheva & Shinichi Nakagawa & Gavin Stewart, 2018. "Meta-analysis and the science of research synthesis," Nature, Nature, vol. 555(7695), pages 175-182, March.
    5. 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.
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