Evaluation of a patient-centred, needs-based approach to support shared decision making in contraceptive counselling: the COCO study.

Autor: Bitzer J; Department of Obstetrics and Gynaecology, University Hospital Basel, Basel, Switzerland., Oppelt PG; Department of Gynaecology, Erlangen University Hospital, University of Erlangen-Nuremberg, Erlangen, Germany., Deten A; Jenapharm GmbH & Co. KG, Jena, Germany.
Jazyk: angličtina
Zdroj: The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception [Eur J Contracept Reprod Health Care] 2021 Aug; Vol. 26 (4), pp. 326-333. Date of Electronic Publication: 2021 Apr 19.
DOI: 10.1080/13625187.2021.1908539
Abstrakt: Objectives: The Contraceptive Counselling (COCO) study tested whether a structured approach to assessing patient needs and expectations improved method choice and satisfaction with the contraceptive decision-making process.
Methods: Physicians and women were invited to complete needs-based contraceptive counselling sessions using a structured questionnaire. Physicians recorded the individual responses online; women evaluated the process using an immediate post-consultation questionnaire and then via a structured online interview 6 months later.
Results: A total of 92 gynaecologists and 1176 women participated: 951 women completed the immediate post-consultation survey and 145 took part in the 6 month online evaluation. There was a substantial increase in satisfaction with the current contraceptive method: the number of women reporting they were 'very satisfied' with their contraceptive method increased by 30%. This applied to starters and switchers as well as to women continuing with their previous method. Women were highly satisfied with the structured approach; 95% rated the counselling as 'good' or 'very good' and 'comprehensive and detailed'.
Conclusion: Using a structured approach to share information tailored to women's needs can help them choose from a broader range of methods and, in some cases, change to a method more suitable to their individual needs, and ultimately increase satisfaction with their choice.
Databáze: MEDLINE
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