Evidence map›Paper›PMID 34838040›Full record

ArticleReproductive health2021

Contraceptive counselling experiences in Spain in the process of creating a web-based contraceptive decision support tool: a qualitative study.

Laura Reyes-Martí, Lourdes Rubio-Rico, Laura Ortega-Sanz, Laia Raigal-Aran, Miriam de la Flor-López, Alba Roca-Biosca, Francesc Valls-Fonayet, Montse Moharra-Francés, Ramon Escuriet-Peiro, María Inmaculada de Molina-Fernández

Abstract read
In one paragraph

Article in Reproductive health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. The Decline of Abortion in Spain Over the Last Decade.Perspectives on sexual and reproductive health · 2025
    Article
  3. Article
  4. Article
  5. Medication Adherence and Contraceptive Counseling.Healthcare (Basel, Switzerland) · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Laura Reyes-MartíNursing Department, Universitat Rovira i Virgili, Av/Catalunya, 35, 43002, Tarragona, Spain.ORCID https://orcid.org/0000-0002-7370-387X
Lourdes Rubio-RicoNursing Department, Universitat Rovira i Virgili, Av/Catalunya, 35, 43002, Tarragona, Spain. lourdes.rubio@urv.cat.ORCID https://orcid.org/0000-0002-3862-0462
Laura Ortega-SanzNursing Department, Universitat Rovira i Virgili, Av/Catalunya, 35, 43002, Tarragona, Spain.ORCID https://orcid.org/0000-0003-2476-7700
Laia Raigal-AranNursing Department, Universitat Rovira i Virgili, Av/Catalunya, 35, 43002, Tarragona, Spain.ORCID https://orcid.org/0000-0003-3308-0572
Miriam de la Flor-LópezMedicine Department, Universitat Rovira i Virgili, C/Dr. Mallafrè Guasch, 4, 43005, Tarragona, Spain.ORCID https://orcid.org/0000-0002-6232-7266
Alba Roca-BioscaNursing Department, Universitat Rovira i Virgili, Av/Catalunya, 35, 43002, Tarragona, Spain.ORCID https://orcid.org/0000-0003-3962-1587
Francesc Valls-FonayetNursing Department, Universitat Rovira i Virgili, Av/Catalunya, 35, 43002, Tarragona, Spain.ORCID https://orcid.org/0000-0003-2801-2356
Montse Moharra-FrancésAgency for Health Quality and Assessment of Catalonia (AQuAS) of the Catalan Ministry of Health, Carrer de Roc Boronat, 81, 08005, Barcelona, Spain.
Ramon Escuriet-PeiroCatalan Health Service of the Catalan Ministry of Health, Travessera de Les Corts, 131-159 - Edifici Olímpia. Població, 08028, Barcelona, Spain.
María Inmaculada de Molina-FernándezNursing Department, Universitat Rovira i Virgili, Av/Catalunya, 35, 43002, Tarragona, Spain.ORCID https://orcid.org/0000-0002-1429-4455

Funding

Agència de Qualitat i Avaluació Sanitàries de Catalunya Contracte R+D+i (T16154S)Agència de Qualitat i Avaluació Sanitàries de Catalunya R+D+i (T17186S)Servei Català de la Salut Public Agreement (SCS-2020-316)
6 · The paper itself

Abstract

backgroundThe choice of contraceptive method is a complex decision, and professionals should offer counselling based on the preferences, values and personal situation of the user(s). Some users are unsatisfied with the counselling received, which may, among other consequences, adversely affect method use adherence. In view of this situation, we propose exploring the experiences and needs of users and professionals for contraceptive counselling, in the context of creating a web-based contraceptive decision support tool. METHODS/

designQualitative research was conducted through focus group discussions (64 users split into eight groups, and 19 professionals in two groups, in Tarragona, Spain) to explore the subjects' experiences and needs. The data were categorized and the categories were defined and classified based on the three-step protocol or framework for Quality on Contraceptive Counseling (QCC), created by experts, which reviews the quality of interactions between user and professional during the counselling process.

resultsIn counselling, users demand more information about the different methods, in an environment of erroneous knowledge and misinformation, which lead to false beliefs and myths in the population that are not contrasted by the professional in counselling. They complain that the method is imposed on them and that their views regarding the decision are not considered. Professionals are concerned that their lack of training leads to counselling directed towards the methods they know best. They acknowledge that a paternalistic paradigm persists in the healthcare they provide, and decision support tools may help to improve the situation.

conclusionsUsers feel unsatisfied and/or demand more information and a warmer, more caring approach. Professionals are reluctant to assume a process of shared decision-making. The use of a contraception DST website may solve some shortcomings in counselling detected in our environment.

Indexed as

ContraceptionContraceptive AgentsCounselingHumansInternetQualitative ResearchSpainContraceptive AgentsAdherenceContraceptionContraceptive counsellingFamily planningQualitative research methodsShared decision support tools

Identifiers

PMID34838040
PMCPMC8626746

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.