Compliance, counseling and satisfaction with oral contraceptives: a prospective evaluation.
Fam Plann Perspect
; 30(2): 89-92, 104, 1998.
Article
em En
| MEDLINE
| ID: mdl-9561874
ABSTRACT
PIP: The Organon Contraceptive Use Study, a prospective cohort study (1994-96) of 943 US women (mean age, 25 years) recruited through private medical practices, Planned Parenthood clinics, and a health maintenance organization, examined oral contraceptive (OC) use patterns. 95% of study participants began or switched to a new OC brand at study enrollment. At follow up 2 months after enrollment, 47% of pill users reported missing 1 or more pill per cycle and 22% missed 2 or more pills in each cycle. Those who missed 1 or more pill were significantly more likely than those who did not to lack an established pill-taking routine, not to have read or understood the informational material accompanying the pill, and to have experienced spotting or heavy bleeding. 34% rated the OC as a very good method and another 30% considered it a good method. Method satisfaction was significantly higher among OC users who were aware of the pill's noncontraceptive health benefits, had a good relationship with their OC provider, had used the pill in the past, and experienced few side effects. 22% of OC recipients called their provider at least once about pill-related side effects and 9% visited at least once for this reason; these women spent US$25 and $62, respectively, to treat side effects. Recommended, to increase patient compliance and satisfaction with OCs, are measures such as counseling on potential side effects, evaluations of consistency of use at all follow-up contacts, and attention to the quality of the provider-client relationship.
Palavras-chave
Acceptors; Acceptors, New; Americas; Behavior; Clinic Activities; Cohort Analysis; Contraception; Contraceptive Methods--side effects; Counseling; Developed Countries; Family Planning; Family Planning Programs; North America; Northern America; Oral Contraceptives--side effects; Organization And Administration; Program Activities; Programs; Prospective Studies; Psychological Factors; Research Methodology; Research Report; Satisfaction--determinants; Studies; United States; User Compliance
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Base de dados:
MEDLINE
Medicinas Complementares:
Homeopatia
Assunto principal:
Cooperação do Paciente
/
Satisfação do Paciente
/
Anticoncepcionais Orais
/
Aconselhamento
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Risk_factors_studies
Idioma:
En
Revista:
Fam Plann Perspect
Ano de publicação:
1998
Tipo de documento:
Article
País de afiliação:
Estados Unidos