Dr Victoria Newton

Unintended pregnancy remains a Public Health concern, yet we still do not know enough about the influences on women's contraceptive choices. Existing research calls for more insight about the influences of women's informal social networks on contraceptive choice. That is - stories, anecdotes, 'friend of a friend' tales, rumour, personal experience narratives and other informal communications. This project is highly significant in that it explores vernacular knowledge about the reproductive body and contraception through drawing together folklore studies and health research. An approach which is uniquely innovative and novel - there is at present no existing study on the topic in the UK and only very limited international focus. The project addresses the question: How does vernacular knowledge influence women's contraceptive choices and mediate their experiences of reproductive control? It has a number of aims: 1) To explore and document the greatest possible range of vernacular knowledge about the reproductive body and contraception 2) To offer an interpretation of this data, analysing and theorising how vernacular knowledge about contraception is transmitted between friendship and kinship groups, and how it may influence attitudes, behaviour, and experience 3) To engage with policy and practice and to enhance practitioner understandings about women's vernacular knowledge of the reproductive body, and to make appropriate suggestions for improving services. In seeking to address these aims a multistrand approach comprising two Work Packages and a dissemination stage will be employed. Work Package 1 will involve re-analysis of project data from a number of previous studies Victoria Newton (PI) and Lesley Hoggart (Co-I) have undertaken on women's contraceptive use and reproductive control (as listed in the case for support). This re-analysis will inform the development of the topic guides for the gathering of new qualitative data in WP2. In this way, the new research will be firmly grounded in research undertaken in the UK since 2010. It will provide a solid platform from which to develop robust and informed research tools (the 'prompt topics') for WP2. Work Package 2 is a placement for the PI (VN) at Public Health England (PHE). This strand involves participatory research and will involve consulting with, including and working together with up to 20 lay researchers, who will be recruited via PHE's networks. Volunteer researchers will undertake interviews and focus groups among their own friendship/kinship and social networks. They will also search for media/social media stories stories. Data from this strand will be made available digitally via the Open University's Open Access Data Archive (ORDO).The placement will also involve sharing findings and implications for practice via 6-8 focus groups with clinicians at clinic sites across the UK. WP2 will culminate in a one-day symposium at The Folklore Society. Dissemination: The project will culminate in a Public Engagement exhibition co-hosted in a public space in London - the geographic location of project partners (Public Health England and The Folklore Society). The exhibition will be designed and curated by The Liminal Space. The Reproductive Bodylore exhibition will be interactive and visitors will be invited to contribute their own thoughts and stories about contraception around the theme of 'I heard that....' The aim of the exhibition will be to demystify stories of contraception and invite engagement. The exhibition will also be showcased at sexual health practitioner conferences - eg, FIAPAC and RCOG to promote debate around informal communication, misinformation and individual contraceptive choice.

Developing resources to support IUC consultations and address barriers to uptake in UK General Practice. Design and methods: The research draws on qualitative and quantitative data from practitioners and patients in General Practice in the UK to identify any barriers to uptake of IUC. We conducted semi-structured interviews (n=13) and a survey (n=209) with practitioners. We also interviewed women patients who had never used IUC (n=30), and conducted a survey (n=873 never users). Interviews were analysed utilising thematic analysis and surveys using descriptive statistics. Through our analysis we identified educational and informational needs for both practitioners and women, which are not presently addressed. Results: Lack of knowledge about IUC was cited by practitioners as a barrier to recommending IUC, by those practitioners, (mainly nurses) who were not trained to fit. Patient data indicated that there were concerns about IUC which were not addressed in standard informational leaflets, and some myths and misapprehensions about IUC were common, for example, concerns about the longevity of the device, what happens to the device within the body, and misperceptions about the risks and method of action of the device. In seeking answers to their queries, participants often looked to informal networks as a knowledge source in addition to seeking the opinions of family and friends. In comparing the concerns of our participants with standard patient information literature, we found evidence that information for patients is not sufficiently tailored to concerns expressed by never users. In addition, practitioners report being reluctant to discuss IUC as a method because of their own lack of confidence in their knowledge. Both information for patients, and increased support for practitioners providing this information, is needed to overcome this ‘double barrier’. Conclusions/Outputs To address this issue we have developed a 10 step ‘Aide Memoire’ to support IUC contraceptive consultations, and a short film for women to address the concerns reported by never-users in our study.