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Women's Contraceptive Use: Decisional Balance

The Women's Contraceptive Use: Decisional Balance scale includes 30 items that capture the advantages, such as protection against pregnancy and diseases, and disadvantages, such as side effects and distrust, of contraceptive use.

Categories

Geographies Tested: United States of America

Populations Included: Female

Age Range: Adolescents, Adults

Items:

General contraceptive use

Pros
1. I would be safer from pregnancy.
2. I would feel more responsible.
3. I would not have to deal with the results of a pregnancy.
4. I would be free to have sex without worrying about getting pregnant.
5. My partner would not have to worry about my becoming pregnant.

Cons
6. Birth control methods can make sex feel unnatural.
7. It would be too much trouble.
8. It would cost too much.
9. It is against my beliefs.
10. Sex would be less exciting.

Condom use with main partner

Pros
11. I would be safer from disease.
12. I would feel more responsible.
13. It protects my partner as well as myself.
14. I would be safer from pregnancy.
15. It is easily available.

Cons
16. It makes sex feel unnatural.
17. It would be too much trouble.
18. My partner would be angry.
19. I would have to rely on my partner's cooperation.
20. My partner would think that I do not trust him.

Condom use with other partners

Pros
21. I would be safer from disease.
22. I would feel more responsible.
23. It protects my partner as well as myself.
24. I would be safer from pregnancy.
25. It is easily available.

Cons
26. It makes sex feel unnatural.
27. It would be too much trouble.
28. My partner would be upset.
29. My partner would think that I "play around."
30. I would have to rely on my partner's cooperation.

Response Options:
5-point Likert scale
Not at all important - 1
Very important - 5

Scoring Procedures

Items are averaged to create a total scale.

Original Citation

Galavotti, C., Cabral, R. J., Lansky, A., Grimley, D. M., Riley, G. E., & Prochaska, J. O. (1995). Validation of measures of condom and other contraceptive use among women at high risk for HIV infection and uninteded pregnancy. Health Psychology, 14(6), 570-578. https://doi.org/10.1037//0278-6133.14.6.570

Psychometric Score

Citation Frequency

Ease of Use Score

Formative Research

Qualitative Research

Existing Literature/Theoretical Framework

Field Expert Input

Cognitive Interviews / Pilot Testing

Reliability

Internal

Test-retest

Interrater

Validity

Content

Face

Criterion (gold-standard)

Construct

Ease of Use

Readability

Scoring Clarity

Length

KEY