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

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Wang, Na
Allen, Jyai
Gamble, Jenny
Creedy, Debra
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2020
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Abstract

How women perceive and experience abortion impacts their subsequent psychological well-being. This systematic review evaluated non-pharmacological 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 counselling 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 non-pharmacologic 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.

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Nursing & Health Sciences
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© 2020 Wiley Publishing Asia Pty Ltd. This is the peer reviewed version of the following article: Non‐pharmacological interventions to improve the psychological well‐being of women accessing abortion services and their satisfaction with care: A systematic review, Nursing and Health Sciences, 2020, which has been published in final form at https://doi.org/10.1111/nhs.12779. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
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Subject
Nursing
Health services and systems
Public health
Health Services
Induced abortion
Mental Health
Patient Satisfaction
Psychotherapy
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Wang, N; Allen, J; Gamble, J; Creedy, D, Non-pharmacological interventions to improve the psychological well-being of women accessing abortion services and their satisfaction with care: A systematic review, Nursing & Health Sciences, 2020
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