Jacki Witt, Project Director Pat Kelly, Co-investigator Maithe Enriquez, Co-investigator

1. Natural Family Planning Research Grant: An Exploratory Study to Enhance Understanding About the Use of Natural Family Planning Methods in Title X Settings Jacki Witt, Project Director Pat Kelly, Co-investigator Maithe Enriquez, Co-investigator

2. Supported by Grant # FDRPA006037-01-00, Office of Population Affairs, Office of Family Planning, DHHS

3. UMKC School of Nursing

4. NFP Project Staff Jacki Witt Project Director Pat Kelly Co-Investigator TBD Study Coordinator Maithe Enriquez Co-Investigator Eve McGee Facilitator Patti Abshier Facilitator Aimee Brockman Admin Asst Susie Miller Admin Asst Student Research Asst TBD

5. Aims of the Natural Family Planning Study

6. 1) Explore knowledge, attitudes & institutional & socio-cultural factors that influence the promotion, instruction or referral for natural family planning among agencies, health care providers & clients who are the beneficiaries of federal funding

7. Make recommendations which will inform policy & clinical practices related To NFP in federally funded clinics

8. The Theory of Planned Behavior

9. Study Design

10. Input from Beneficiaries

11. Design and Methodology

12. Clinical Training Center for Family Planning Trained Preceptors 9 Preceptors in Atlanta 129 Preceptors in 38 States and Washington, DC Updated 11/9/08

13. Focus Group Facilitator Guide

14. Sample Consumer Survey Questions • Is this your first visit to this clinic? • Yes • No • Geographic setting where clinic is located: • Rural • Small Town (<10,000 population) • City (10,000 – 99,999 population) • Urban (100,000-499,999population) • Metropolis (>500,000 population)

15. For the purpose of this study, we define natural family planning (NFP), also called fertility awareness methods (FAM) as family planning methods that rely on identifying potentially fertile days in each menstrual cycle when intercourse is most likely to result in a pregnancy. • Has a health care provider ever told you about natural family planning for preventing pregnancy (birth control)? • Yes • No • Has a health care provider ever told you about natural family planning for trying to get pregnant (planning a pregnancy)? • Yes • No

16. Using a seven (7) point scale where 1 means “strongly disagree” and 7 means “strongly agree” respond to the following statements about natural family planning. • I understand when the fertile time (most likely to get pregnant) of the menstrual cycle is for women who have regular cycles. 1 2 3 4 5 6 7

17. The most fertile time of the menstrual cycle (time when a woman is most likely to get pregnant) : • About 7-10 days after the first day of menstruation • About 12-14 days after the first day of menstruation • About 18-21 days after the first day of menstruation • None of the above • Don’t know or not sure

18. Qualitative Analysis Plan • Focus group proceedings will be taped and then transcribed • Loaded into Atlas • Initial codes assigned (using contructs from TPB) • Data grouped • Themes organized • Initial analysis verified by facilitators

19. Quantitative Analysis Plan • SPSS • Descriptive Statistics

20. Impact  Outcome