Qualitative analysis of user reviews from Nurx and Planned Parenthood Direct: what user experiences reveal about telecontraception apps
Jenna Nitkowski
A *
+ Author Affiliations
- Author Affiliations
A Medical College of Wisconsin, Center for AIDS Intervention Research, 2071 North Summit Avenue, Milwaukee, WI 53202, USA.
Sexual Health 19(5) 417-426 https://doi.org/10.1071/SH22005
Submitted: 12 January 2022 Accepted: 14 May 2022 Published: 27 June 2022
© 2022 The Author(s) (or their employer(s)). Published by CSIRO Publishing
Abstract
Background: Telecontraception is a novel method that aims to address existing barriers associated with obtaining contraception in the United States, yet research examining user experiences with these apps is lacking.
Methods: Qualitative data analysis was used to conduct a content analysis of user reviews from two major telecontraception platforms, Nurx and Planned Parenthood Direct.
Results: Access and timeliness, clinician interaction, cost and affordability, support for the idea of telecontraception, and platform experience were the main themes across both platforms. Telecontraception alleviated many barriers related to in-person visits for contraception, such as waiting months for a booked provider appointment or having to take time off from work to visit a healthcare facility. Information and education, birth control options, and largely positive interactions with clinicians indicated that telecontraception has the potential to improve user experiences of contraceptive counselling by facilitating on-demand access to clinicians and contraceptive information. Cost and affordability had mixed reviews, with varying experiences depending on insurance.
Conclusions: Similar themes across both platforms highlight shared motivations for turning to telecontraception platforms and uncover currently unmet needs in the traditional in-person reproductive healthcare system. Telecontraception platforms eradicate many barriers present in traditional in-person healthcare visits yet are limited by existing institutional frameworks such as insurance. Addressing cost and reach barriers could help ensure all women can utilise telecontraception.
Keywords: apps, contraception, health services, internet, reproductive health, telecontraception, user reviews, women.
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