Mapping Dual Method Use Decisions: Results from an Integrated Qualitative-Quantitative Study in Central Texas

Jason B. Smith, Family Health International
Priscilla R. Ulin, Family Health International
Carla Piedrahita, Brazos Valley Community Action Agency

The primary purpose of this study was to identify factors that contribute to decision-making regarding dual method use (DMU). The conceptual model for the study integrated qualitative, know-groups validation with the Multi-Attribute Utility Theory decision model to provide comparable information about the determinants of DMU in two groups, each objectively known to be salient for risk of either pregnancy or STI. Phase 1 conducted exploratory, open-ended interviews with approximately 50 volunteers from a population of women seeking clinic services and used text analysis to identify factors important to DMU decisions. Phase 2 (ongoing) will use approximately 150 survey interviews to determine the relative importance of Phase 1 factors, thus allowing construction of DMU hierarchy maps for each saliency group. Results of the study will suggest strategies for improving adoption and continuation of DMU, and have implications for research on DMU in other populations as risk.