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Research Triangle Park, North Carolina, Family Health International [FHI], 1989 Nov. , 4,  p.Under contract with the U.S. Agency for International Development (USAID), Family Health International compared 2 brands of condoms for acceptability in Mali, Sri Lanka, and the Dominican Republic. Lifestyle 3, 3.4 mils thick, was compared with Prime, 2.6 mils, to determine whether the thicker of the 2 could be potentially distributed by USAID in developing countries. 65 current condom users, sexually active, and free of STDs for the past year were provided with the Lifestyle 3 condoms, informed that they were thicker, and then interviewed after 1 month of use. 8 condoms were given to each user in the Dominican Republic, and 15 for each in Sri Lanka and Mali. No study data was available for Sri Lanka due to political unrest. Lifestyle 3 was, however, well-accepted in Mali and the Dominican Republic, with additional strength and security cited as extremely desirable factors by over 1/2 of the study participants. Greater protection against both pregnancy and AIDS was considered important. Almost all who were interested in buying the stronger condoms said that they would pay more for them. Lifestyle 3 condoms were also reported to be more comfortable with sensitivity comparable to Prime. The breakage rate for the stronger condom was 1:143, comparable to Consumer Report's March, 1989, study results of 1:140. The Lifestyle 3's labelless silver foil packaging was also found to be overwhelmingly preferred to the standard plastic packaging of other brands. Addition studies of both breakage rates and consumer preference for condom packaging are encouraged. Limited market introduction of Lifestyle 3 is also suggested.
IMAGE - THE JOURNAL OF NURSING SCHOLARSHIP. 1990 Spring; 22(2):96-100.The readability of contraceptive package inserts appears to be a critical factors in ensuring proper use of the method. The patient package inserts prepared by commercial manufacturing generally require a reading level above 8th grade to be adequately comprehended, which places functionally illiterate and poorly educated acceptors at high risk of noncompliance. To remedy this situation, family planning service providers in many areas have developed their own generic instructions geared to the populations they serve. In this study, readability levels were analyzed for 26 sets of patient package inserts included with commercially distributed contraceptives and 24 sets of generic instructions prepared by health care agencies in Northern California. 6 standardized readability formulas were applied to data on 4 types of contraceptives: jellies, foams, creams, and vaginal sponge; diaphragms; oral contraceptives (OCs); and condoms. The mean readability of the 4 groups of contraceptive patient package inserts was grade 10.21, while that for the generic inserts was grade 8.17. There was a significant difference between the readability scores of commercially and locally prepared inserts for 3 (diaphragm, OCs, and condoms) of the 4 product categories studied. The lowest readability score (grade 5.5) was found in a generic leaflet accompanying OC, while the highest score (grade 13.6) was obtained for a condom package insert. These findings indicate that the commercial patient package inserts, whose mean readability score is always beyond the 10th grade level, may be too difficult to comprehend for most individuals at risk of unwanted pregnancies. Continued development of generic inserts is urged, as is research on the use of pictures, posters, audio and videotapes, anatomical models, and computer-assisted instruction for those with low literacy skills.