ArticleReproductive health2017
Relationship between self-efficacy and patient knowledge on adherence to oral contraceptives using the Morisky Medication Adherence Scale (MMAS-8).
Article in Reproductive health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05973071 (Clinical Use of a Contraceptive Decision Aid and Patient Outcomes), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Clinical Use of a Contraceptive Decision Aid and Patient Outcomes: An Experimental Clinical Trial
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Strategies to improve adherence and continuation of shorter-term hormonal methods of contraception.The Cochrane database of systematic reviews · 2019Pooled it
- Family Planning Reminder Systems: An Updated Systematic Review.American journal of preventive medicine · 2018Pooled it
- Oral Contraceptive Knowledge Among Adolescents and Young Women.Pharmacy (Basel, Switzerland) · 2026Article
- Reproductive Health Literacy and Knowledge Among Female Refugees: A Scoping Review of Measurement Methodologies and Effect on Health Behavior.International journal of environmental research and public health · 2025Article
- Relationship between experiencing a challenge or delay accessing contraception and contraceptive self-efficacy: Data from a 2022 nationally representative online survey.Reproductive health · 2025Article
- Adherence to oral and topical medications among dermatology patients.Archives of dermatological research · 2025Article
- Association between knowledge and use of contraceptive among women of reproductive age in sub-Saharan Africa.Health science reports · 2024Article
- Validation of a family planning self-efficacy measure with married women in Bihar, India: Findings from the Bihar Integrated Family Planning Survey.Contraception: X · 2024Article
- Development and validation of a perceived abortion self-efficacy scale: results from Bolivia, Nepal and Nigeria.Sexual and reproductive health matters · 2023Article
- Assessing the Effectiveness of the Respecting the Circle of Life Project on Condom and Contraception Self-efficacy Among American Indian Youth.Prevention science : the official journal of the Society for Prevention Research · 2023Review
- Review
- Medication Adherence and Contraceptive Counseling.Healthcare (Basel, Switzerland) · 2023Article
- SPUR: psychometric properties of a patient-reported outcome measure of medication adherence in type 2 diabetes.BMJ open · 2022Article
- Exploring Readiness for Birth Control in Improving Women Health Status: Factors Influencing the Adoption of Modern Contraceptives Methods for Family Planning Practices.International journal of environmental research and public health · 2021Article
- Adherence to the oral contraceptive pill: the roles of health literacy and knowledge.Health psychology and behavioral medicine · 2020Article
- Associations Among HIV Risk Perception, Sexual Health Efficacy, and Intent to Use PrEP Among Women: An Application of the Risk Perception Attitude Framework.AIDS education and prevention : official publication of the International Society for AIDS Education · 2020Article
- Design and pilot testing of a church-based intervention to address interpersonal and intrapersonal barriers to uptake of family planning in rural Tanzania: a qualitative implementation study.BMJ sexual & reproductive health · 2020Article
- Abortion experience and self-efficacy: exploring socioeconomic profiles of GHANAIAN women.Reproductive health · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPreconception care, including family planning, is a vital component of healthcare for women of reproductive age. An average female spends the majority of her reproductive life trying to prevent a pregnancy. In order to prevent unintended pregnancy, women often rely on the use of hormonal contraceptives. In the United States, the majority of hormonal contraceptive users are prescribed oral contraceptive pills (OCPs). Reduced adherence to OCPs decreases their ability to prevent pregnancy. The study aimed to measure OCP adherence among female college students, and explore the relationship between OCP adherence, knowledge, and self-efficacy.
methodsThis cross-sectional study recruited a random sample of female college students to participate in an online survey. OCP adherence was based on the 8-item Morisky Medication Adherence Scale (MMAS-8). Secondary reporting of medication adherence included participant reports of the number of missed OCP doses in the previous month and typical month of use.
resultsOf the 5000 invited, 1559 (31.3%) completed the survey. Of those responding, 670 (41.3%) reported use of OCPs. A total of 293 (44.3%) OCP users met criteria for low adherence, 241 (36.4%) met criteria for medium adherence, and 128 (19.3%) met criteria for high adherence. Those with high adherence had higher self-efficacy (P < 0.001) and perceived knowledge (p < 0.001). After controlling for other factors, self-efficacy (b = .37) and perceived knowledge (b = .09) remained associated with OCP adherence.
conclusionLess than 20% of respondents met the criteria for high adherence to OCPs. Self-efficacy and knowledge were associated with higher OCP adherence. Targeted interventions from healthcare providers, health educators, and other adherence related media to increase the knowledge and self-efficacy of patients using OCPs may improve adherence rates. Additional research is needed to evaluate the impact of innovative interventions focused on social and behavioral patient factors, like knowledge and self-efficacy, on adherence to OCPs.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.