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

Bitzer J, Oppelt P, Deten A (2021)


Publication Type: Journal article

Publication year: 2021

Journal

DOI: 10.1080/13625187.2021.1908539

Abstract

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.

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APA:

Bitzer, J., Oppelt, P., & Deten, A. (2021). Evaluation of a patient-centred, needs-based approach to support shared decision making in contraceptive counselling: the COCO study. European Journal of Contraception and Reproductive Health Care. https://doi.org/10.1080/13625187.2021.1908539

MLA:

Bitzer, J., Patricia Oppelt, and A. Deten. "Evaluation of a patient-centred, needs-based approach to support shared decision making in contraceptive counselling: the COCO study." European Journal of Contraception and Reproductive Health Care (2021).

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