Impact of a women's counselling programme on combined hormonal contraception in Portugal – The IMAGINE Study

Costa, Anı́bal; Palma, Fátima; Sá, José Luís; Vicente, Lisa; Bombas, Teresa; Nogueira, A.M.; Rocha, Pedro Lucas de Araújo

doi:10.3109/13625187.2011.608441

Cited by 18 publications

(12 citation statements)

References 13 publications

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“…The overall results of CHOICE confirmed the findings of TEAM-069 and IMAGINE,13 and indicated that counseling encouraged women to learn about and choose alternative forms of contraception that may be different from the method intended before consulting with their health care practitioner, including the pill, patch, and ring, as well as other methods. However, considerable differences were noted among the various countries included in CHOICE.…”

Section: Introductionsupporting

confidence: 60%

“…After counseling, the women were surveyed to ascertain the reasons for their choices. A similar study, IMAGINE (IMpacto de um programa de informAção pelos GINEcologistas na contracepção hormonal combinada, em Portugal), was performed in Portugal 13. In both studies, the pill was the most preferred method before counseling; however, after counseling, a significantly higher number of women chose other methods, eg, the patch or ring, indicating that the selected method better fit their life circumstances.…”

Section: Introductionmentioning

confidence: 99%

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Influence of structured counseling on women's selection of hormonal contraception in Israel: results of the CHOICE study

Yeshaya¹,

Ber²,

Seidman³

et al. 2014

IJWH

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BackgroundThe multinational CHOICE (Contraceptive Health Research Of Informed Choice Experience) study evaluated the effects of structured counseling on women’s contraceptive decisions, their reasons for making those decisions, and their perceptions of combined hormonal contraceptive (CHC) methods in eleven countries. The aim of this paper to present data from the 1,802 women participating in Israel’s CHOICE program.MethodsWomen (aged 17–40 years) who consulted their health care providers about contraception and who would consider a CHC method qualified to participate. After indicating their intended CHC method, the women received counseling about the daily pill, weekly patch, and monthly vaginal ring. After counseling, the women completed a questionnaire about their contraceptive decisions.ResultsBefore counseling, 67%, 6%, and 5% of women (mean age 27 years) intended to use the pill, patch, or ring, respectively. Counseling significantly influenced the women’s CHC choice, with 56%, 12%, and 23% of women selecting the pill, patch, or ring (P<0.0001 for all contraceptive methods versus before counseling). Logistic regression analysis suggested that age significantly increased the probability of switching from the pill to the ring.ConclusionAlthough the pill was the most popular choice overall, counseling appeared to influence Israeli women’s contraceptive decisions, with significantly more women selecting the patch. More than four times as many women selected the ring after counseling than before counseling.

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Section: Introductionsupporting

confidence: 60%

Section: Introductionmentioning

confidence: 99%

Influence of structured counseling on women's selection of hormonal contraception in Israel: results of the CHOICE study

Yeshaya¹,

Ber²,

Seidman³

et al. 2014

IJWH

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show abstract

“…Subsequent studies, performed in different European countries, have confirmed the preliminary data from the TEAM study, shown that the information facilitated may help women make decisions, and corroborated that the vaginal ring is a highly regarded option among users. [62][63][64][65][66][67][68] One of the parameters that measures acceptability of a contraceptive method is the continuation rate. A prospective study, with follow-up lasting 12 cycles, enrolled 3,443 women who started using a COC, patch, or ring.…”

Section: Acceptabilitymentioning

confidence: 99%

Efficacy, safety, and patient acceptability of the etonogestrel and ethinyl estradiol vaginal ring

Lete¹,

Arrilucea²,

Rodríguez³

et al. 2014

OAJC

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Abstract:The contraceptive vaginal ring (CVR) is a combined hormonal contraceptive method, containing ethinyl estradiol and etonogestrel, that works by inhibiting ovulation. It differs from combined oral contraceptives (COCs) in the route of administration, which is vaginal, and the frequency of administration, which is monthly. The efficacy of the CVR is similar to that of COCs but compliance appears to be better in typical users. The CVR enables appropriate control of the menstrual cycle, with a similar side effect profile to COCs, while achieving good user acceptance. Different studies have established noncontraceptive beneficial effects of the CVR; for example, it can be useful for treating dysmenorrhea or excess menstrual bleeding. Recent epidemiological studies have confirmed that the risk of venous thromboembolism with the CVR is similar to that of COCs, including COCs that contain levonorgestrel.

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“…Previous research has shown that providing women with information about CHC not only improves their knowledge and awareness of risks but also allows them to make a more informed choice [8-10]. Studies have also reported that receiving information about contraception has encouraged women to opt for alternative methods than those they had initially considered [9,10].…”

Section: Introductionmentioning

confidence: 99%

Searching for Information on the Risks of Combined Hormonal Contraceptives on the Internet: A Qualitative Study Across Six European Countries

Alves¹,

Petersen²,

Stevenson³

2019

J Med Internet Res

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Background Searching for health information online is increasingly common and is an obvious source of information about oral combined hormonal contraceptives (CHCs) and their risks. However, little is known about how publicly available websites address the risks of CHCs, particularly venous thromboembolism (VTE). Objective The aim was to explore the information available to women about VTE and other risks of CHCs on websites available through commonly used search engines. Methods A qualitative study was conducted to explore whether and how websites about CHCs in Denmark, Germany, Netherlands, Slovakia, Spain, and the United Kingdom make reference to VTE and other CHC risks. A systematic search procedure was adopted across the six countries, based on relevant keywords. The search was carried out using the Google search engine by fluent/native speakers of each language. A content analysis approach was conducted to extract information from the selected websites. Results A total of 357 websites were reviewed. Nearly all (343/357, 96.1%) the websites mentioned VTE as a risk of CHCs, with approximately half referring to other side effects as well. One-fifth (92/357, 25.8%) of the websites provided suggestions about the best contraceptive method to use, and only a minority (23/357, 6.4%) recommended women discuss CHCs with their health professionals. Sites were generally run by the media (110/357 30.8%) or medical services from nongovernmental organizations (140/357, 39.2%). Only a minority of websites referred to organizations such as the European Medicines Agency (11/357, 3.1%). Conclusions Despite the large number of websites containing information about oral CHCs and their risks, particularly VTE, only a limited number referred to information from accredited health agency sources. We argue this is a missed opportunity for accredited health agencies to share high-quality information to assist women using CHCs to make informed decisions about contraception.

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Impact of a women's counselling programme on combined hormonal contraception in Portugal – The IMAGINE Study

Abstract: The implementation of a counselling programme significantly affected contraceptive choices leading in a number of cases to the selection of alternatives better suited to women's lifestyle. Age and educational level are socio-demographic factors which play an important role.

Cited by 18 publications

References 13 publications

Influence of structured counseling on women's selection of hormonal contraception in Israel: results of the CHOICE study

Influence of structured counseling on women's selection of hormonal contraception in Israel: results of the CHOICE study

Efficacy, safety, and patient acceptability of the etonogestrel and ethinyl estradiol vaginal ring

Searching for Information on the Risks of Combined Hormonal Contraceptives on the Internet: A Qualitative Study Across Six European Countries

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Impact of a women's counselling programme on combined hormonal contraception in Portugal – The IMAGINE Study

Abstract: The implementation of a counselling programme significantly affected contraceptive choices leading in a number of cases to the selection of alternatives better suited to women's lifestyle. Age and educational level are socio-demographic factors which play an important role.

Cited by 18 publications

References 13 publications

Influence of structured counseling on women&#39;s selection of hormonal contraception in Israel: results of the CHOICE study

Influence of structured counseling on women&#39;s selection of hormonal contraception in Israel: results of the CHOICE study

Efficacy, safety, and patient acceptability of the etonogestrel and ethinyl estradiol vaginal ring

Searching for Information on the Risks of Combined Hormonal Contraceptives on the Internet: A Qualitative Study Across Six European Countries

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Influence of structured counseling on women's selection of hormonal contraception in Israel: results of the CHOICE study

Influence of structured counseling on women's selection of hormonal contraception in Israel: results of the CHOICE study