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. 2019 Nov 8;14(11):e0224898. doi: 10.1371/journal.pone.0224898

Table 1. Sekhon acceptability model constructs and systematic review operationalization.

Construct Operationalization Corresponding outcomes
Affective attitude Feelings about the intervention Acceptability, liking or recommending; finding physical attributes acceptable
Burden Perceived effort required to engage in intervention Ease of use; ease of insertion and removal; cognitive and emotional burden of use
Ethicality Intervention fit with an individual’s value system; normative fit Disclosure of use; use without partner/family knowledge; partner/family approval
Intervention coherence Understanding of the intervention We did not include studies reporting intervention coherence
Opportunity costs Extent to which benefits, profits, or values must be given up engaging in the intervention Impacts on sexual intercourse; vaginal discharge/irritation; expulsions; discomfort; and foreign body sensation
Perceived effectiveness Extent to which the intervention is perceived to achieve its purpose Perceived ability to prevent pregnancy/infectious disease/other VR outcomes; reduced risk of certain cancers
Self-efficacy Confidence to perform the behaviors required for the intervention Ability to support use