EVALUATION OF FASD PREVENTION AND FASD SUPPORT PROGRAMS. Participant Outcomes: Birth Control and Family Planning.

Transcription

1 EVALUATION OF FASD PREVENTION AND FASD SUPPORT PROGRAMS Participant Outcomes: Birth Control and Family Planning

2 Birth Control & Family Planning Introduction Presented below is a chart containing examples of outcomes, indicators, outputs, and data collection methods and tools related to Birth Control & Family Planning. Following this chart are examples of tools and/or survey/questionnaire items that have been used in evaluations to assess these participant outcomes. All of these tools and questions can be adapted for use in focus groups, semi- structured interview guides, questionnaires or surveys. As well, references are included for the evaluation- related resources used to create this document. We recognize that every program and every program evaluation is unique - differing as a function of a program s specific goals, setting and resources, as well as the community s context, history, and so forth. Thus, every program evaluation will have its own ideas about the outcomes, indicators, data collection methods and tools that are most appropriate and feasible and you need to decide what is best for you. 2

3 Participant Outcomes and Indicators (Please note that outcomes and outputs/indicators in bold have been used in at least two of the evaluations referenced.) Examples of program activities related to this outcome: o Motivational approach in working with participants regarding family planning/birth control Early positive response (participation, increased knowledge) Participants gain knowledge about how to use family planning methods correctly Participants work in partnership with staff in development of their health plan Participants access help if needed to obtain reliable birth control Participant Outcomes Intermediate active engagement, attitude change, behaviour change Participants actively use regular/reliable birth control measures Participants continue to access help, if needed, to obtain reliable birth control Long term desired outcome Reduced incidence of unplanned pregnancies amongst women at high risk of having a substance exposed pregnancy Outputs/Indicators #/% participants using various birth control methods at Intake and one year later Type of birth control method used at end of program Interval between births Subsequent pregnancies & substance exposed pregnancies Data Collection Methods and tools Care plan review Structured interview, conducted at multiple points in time (e.g.: Intake; 4 months; 12 months; 24 months; 36 months (see: Ernst et al, 1999) 3

4 Possible Data Collection Tools and Sample Survey/Questionnaire Items Source: Parent-Child Assistance Program Intake/Assessment (Addiction Severity Index). (2012). The Parent-Child Assistance Program: A Model of Effective Community Intervention with High-Risk Families. Seattle: University of Washington. Retrieved June 1, and- forms/manual Do you normally use some method of birth control? 0 - No 1 - Yes, regular use 2 - Yes, sporadic use What method(s) do you use? 01 - Condoms 06 - Abortion 02 - Pills 07 - Abstinence 11 - Birth Control Patch 03 - Hormonal implant 08 - Diaphragm 12 - NuvaRing 04 - Depo shot 09 - IUD 05 - Tubal ligation 10 - Other Other, specify: 00 = no method or no further method If you use condoms, do you use them every time, with every sexual partner? 0 - Not every time 1 - Every time- 8 - Never use 4

5 References Ernst, C.C., Grant, T.M., Streissguth, A.P., & Sampson, P.D. (1999). Intervention with high- risk alcohol and drug- abusing mothers: II. 3- year findings from the Seattle model of paraprofessional advocacy. Journal of Community Psychology, 27(1): Grant, T., Ernst, C., Streissguth, A., & Stark, K (2005). Preventing alcohol and drug exposed births in Washington State: Intervention findings from three Parent- Child Assistance Program sites. American Journal of Drug and Alcohol Abuse, 31(3): Parent- Child Assistance Program. (2012). The Parent-Child Assistance Program: A Model of Effective Community Intervention with High-Risk Families. Seattle: University of Washington. Retrieved June 1, and- forms/manual Funding for this project has been received from the Public Health Agency of Canada, Fetal Alcohol Spectrum Disorder (FASD) National Strategic Project Fund. The views expressed herein do not necessarily represent the views of the Public Health Agency of Canada. Suggested Citation: Nota Bene Consulting Group and BCCEWH. (2013). Participant Outcomes: Birth Control and Family Planning. In Evaluation of FASD Prevention and FASD Support Programs. Vancouver, BC: British Columbia Centre of Excellence for Women's Health. For more tools and resources related to evaluating community- based FASD prevention programs for women including pregnant women and recent mothers, supportive intervention programs for adults and older youth with FASD, and FASD programs in Aboriginal communities, please visit: 5