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.
Geographies Tested: United States of America
Populations Included: Female
Age Range: Adolescents, Adults
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
Items are averaged to create a total scale.
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
Ease of Use Score
Qualitative Research
Existing Literature/Theoretical Framework
Field Expert Input
Cognitive Interviews / Pilot Testing
Internal
Test-retest
Interrater
Content
Face
Criterion (gold-standard)
Construct
Readability
Scoring Clarity
Length
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