Nobili MP, Piergrossi S, Brusati V, Moja EA.(1212 Nobili MP, Piergrossi S, Brusati V, Moja EA. The effect of patient-centred contraceptive counseling in women who undergo a voluntary termination of pregnancy. Patient Educ Couns. 2007;65(3):361-368. https://doi.org/10.1016/j.pec.2006.09.004
https://doi.org/10.1016/j.pec.2006.09.00...
) |
2007
Italy |
To evaluate a patient-centered contraceptive counseling intervention on knowledge, attitudes, and contraceptive use in a group of Italian women who requested termination of pregnancy. |
Randomized controlled Prospective study
41 women |
The effect of an intervention centered on the patient that explores women’s feelings, attitudes, and beliefs about contraception --addressing it cooperatively -- allowed women to adopt more favorable attitudes while choosing an effective contraceptive method and presented a positive adherence towards it. |
Level 2 |
Dehlendorf C, Diedrich J, Drey E, Postone A, Steinauer J.(1313 Dehlendorf C, Diedrich J, Drey E, Postone A, Steinauer J. Preferences for decision-making about contraception and general health care among reproductive age women at an abortion clinic. Patient Educ Couns. 2010;81(3):343-348. https://doi.org/10.1016/j.pec.2010.06.021
https://doi.org/10.1016/j.pec.2010.06.02...
) |
2010
EUA |
Provide information on women’s experiences and preferences regarding contraceptive counseling, including whether demographic characteristics are associated with the decision-making style. |
Cross-sectional Prospective study
257 women |
Demographic characteristics did not correlate strongly with decision-making preferences. The experiences of women receiving contraceptive counseling were associated with preferences: those who prefer autonomous decision-making reported higher levels of satisfaction with their contraceptive method and less influence from health care providers on their decision. |
Level 4 |
Dehlendorf C, Levy K, Kelley A, Grumbach K, Steinauer J.(1414 Dehlendorf C, Levy K, Kelley A, Grumbach K, Steinauer J. Women’s preferences for contraceptive counseling and decision making. Contraception. 2012;88(2):250-6. https://doi.org/10.1016/j.contraception.2012.10.012
https://doi.org/10.1016/j.contraception....
) |
2013
EUA |
Assess patients’ preferences for birth control counseling, focusing on the decision-making process, to inform future efforts to conceive interventions of counseling to improve contraceptive use. |
Qualitative Prospective study
42 women |
A model of contraceptive counseling more consistent with the shared decision-making, in which the provider can be involved within limits, favors the encouragement of contraceptive use and adherence. In the family planning field, with a young patient population related to medical assistance areas and the need to consider personal and sensitive issues, patients may be particularly interested in personal involvement with their specialists. |
Level 6 |
Dehlendorf C, Kimport K, Levy K, Steinauer J.(1515 Dehlendorf C, Kimport K, Levy K, Steinauer J. A qualitative analysis of approaches to contraceptive counseling. Perspect Sex Reprod Health. 2014;46(4):233-240. https://doi.org/10.1363/46e2114
https://doi.org/10.1363/46e2114...
) |
2014
EUA |
To report results from a qualitative analysis of contraceptive counseling visits at clinics in the San Francisco Bay Area and describe providers’ approaches to counseling and contraceptive patterns in their use. |
Qualitative Prospective study
342 women 25 professionals |
Three main communication approaches were revealed: closed, uninformed choice, and shared decision-making. Women advised to follow uninformed or closed choice approaches had a little discussion about what they valued in a method, and their experts did not participate in the decision-making process. Visits characterized by shared decision-making emphasized collaborative decision-making, including relationship building and active facilitation of the decision-making process to identify a method that best fit the woman’s expressed needs. |
Level 6 |
Dehlendorf C, Henderson JT, Vittinghoff E, Grumbach K, Levy K, Schmittdiel J, et al.(1616 Dehlendorf C, Henderson JT, Vittinghoff E, Grumbach K. Association of the quality of interpersonal care during family planning counseling with contraceptive use. Am J Obstet Gynecol. 2016;215(1):78.E1-78.E9. https://doi.org/10.1016/j.agog.2016.01.173
https://doi.org/10.1016/j.agog.2016.01.1...
) |
2016
EUA |
Determine whether the interpersonal quality assistance during contraceptive counseling is associated with their use over time. |
Prospective longitudinal study
316 women 38 professionals |
The quality of interpersonal assistance influences contraceptive use. In family planning treatment specifically, objective and quality measures of interpersonal assistance reported by patients predicted better contraceptive use, stressing the importance of interaction for contraceptive counseling. A defining characteristic of patient-centered assistance is emphasizing the treatment of patients as individuals, including their needs and preferences |
Level 4 |
Carvajal DN, Gioia D, Mudafort ER, Brown PB, Barnet B.(1717 Carvajal DN, Gioia D, Mudafort ER, Brown PB, Barnet B. How can primary care physicians best support contraceptive decision making? A qualitative study exploring the perspectives of Baltimore Latinas. Women’s Health Inssues. 2017;27(2):158-66. https://doi.org/10.1016/j.whi.2016.09.015
https://doi.org/10.1016/j.whi.2016.09.01...
) |
2017
EUA |
Identify factors influencing contraceptive decision-making among Latin American women in Baltimore. |
Qualitative Prospective study
16 women |
Participants strongly emphasized that effective communication and trust with professionals are crucial for decision-making. Women pointed out the support in informed decision-making over which contraceptive method was best for them, not which methods professionals thought were best for them, highlighting their autonomy of choice. |
Level 6 |
Fox E, Reyna A, Malcolm NM, Rosmarin RB, Zapata LB, Frederiksen BN, et al.(1818 Fox E, Reyna A, Malcolm NM, Rosmarin RB, Zapata LB, Frederiksen BN, et al. Client preferences for contraceptive counseling: a systematic review. Am J Prev Med. 2018,55(5):691-702. https://doi.org/10.1016/j.amepre.2018.06.006
https://doi.org/10.1016/j.amepre.2018.06...
) |
2018
EUA |
Summarize evidence over which preferences clients have for the contraceptive counseling they receive. |
Systematic Review Retrospective
26 articles (10 database) |
This review included 26 articles describing 25 studies related to client preferences for contraceptive counseling. An increasing number of studies have addressed this topic since 2011, maintaining a growing focus on patient-centeredness in healthcare in general and family planning specifically. This evidence suggests that to improve the patient-centeredness of counseling, providers can use customized approaches to elicit what information is most valuable to patients and offer personalized counseling. |
Level 5 |
Chen M, Lindley A, Kimport K, Dehlendorf C.(1919 Chen M, Lindley A, Kimport K, Dehlendorf C. An in-depth analysis of the use of shared decision making in contraceptive counseling. Contraception. 2018;99(3):187-191. https://doi.org/10.1016/j.contraception.2018.11.009
https://doi.org/10.1016/j.contraception....
) |
2019
EUA |
Explore and describe how to apply shared decision making in the context of contraceptive counseling. |
Transversal derived from a cohort Prospective
40 women 24 professionals |
In contraceptive counseling, the stages of sharing and deliberation of information were largely integrated. By leading with questions about preferences, providers can explicitly acknowledge those preferences, build rapport with the patient, and move more efficiently through the collaborative decision-making process. |
Level 4 |
Dehlendorf C, Fitzpatrick J, Fox E, Holt K, Vittinghoff E, Reed R, et al.(2020 Dehlendorf C, Fitzpatrick J, Fox E, Holt K, Vittinghoff E, Reed R, et al. Cluster randomized trial of a patient-centred contraceptive decision support tool, My Birth Control. Am J Obstet Gynecol. 2019;220(6):565.E1-565.E-12. https://doi.org/10.1016/j.ajog.2019.02.015
https://doi.org/10.1016/j.ajog.2019.02.0...
) |
2019
EUA |
To evaluate the effect of My Birth Control on the preventative continuation of the contraceptive treatment experience and quality of decision making. |
Cluster Controlled Randomized Prospective
758 women 28 professionals |
There was no observation of an effect of My Birth Control on the primary outcome of contraceptive continuation or outcomes related to a method of choice and unintended pregnancy. However, a positive impact of this decision support tool was documented on several patient-centered outcomes, including experiences in contraceptive counseling, decision quality, and knowledge of contraceptive options. |
Level 2 |
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Source: Moher et al.(