Evidence map›Paper›PMID 37174846›Full record

ArticleHealthcare (Basel, Switzerland)2023

Medication Adherence and Contraceptive Counseling.

María Inmaculada de Molina-Fernandez, Laura Reyes-Martí, Miriam De la Flor-López, Maria Jesús Aguarón-García, Alba Roca-Biosca, Lourdes Rubio-Rico, Rosa Dolors Raventós Torner, Francesc Valls-Fonayet

Open access · goldAbstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 28% of its field
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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. Observational
  3. 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

8 authors at 1 institution in 1 country.

María Inmaculada de Molina-FernandezNursing Department, Universitat Rovira i Virgili, 43002 Tarragona, Spain.ORCID 0000-0002-1429-4455
Laura Reyes-MartíNursing Department, Universitat Rovira i Virgili, 43002 Tarragona, Spain.ORCID 0000-0002-7370-387X
Miriam De la Flor-LópezMedicine Department, Universitat Rovira i Virgili, 43002 Tarragona, Spain.
Maria Jesús Aguarón-GarcíaNursing Department, Universitat Rovira i Virgili, 43002 Tarragona, Spain.ORCID 0000-0001-6606-0194
Alba Roca-BioscaNursing Department, Universitat Rovira i Virgili, 43002 Tarragona, Spain.
Lourdes Rubio-RicoNursing Department, Universitat Rovira i Virgili, 43002 Tarragona, Spain.ORCID 0000-0002-3862-0462
Rosa Dolors Raventós TornerNursing Department, Universitat Rovira i Virgili, 43002 Tarragona, Spain.
Francesc Valls-FonayetNursing Department, Universitat Rovira i Virgili, 43002 Tarragona, Spain.ORCID 0000-0003-2801-2356
Universitat Rovira i Virgili · ES

Funding

Ministerio de Ciencia, Innovación y Universidades. Fondo de Investigaciones Sanitarias (FIS) PI18/00915
6 · The paper itself

Abstract

Combined oral contraceptives (COC) are a very popular form of birth control. Incorrect use and lack of adherence to treatment reduce the effectiveness of this method. Having a standard tool to identify poor-adherence profiles quickly and objectively can be helpful for midwives and potentially for COC users. The MMAS-4 adherence scale has been used in various medical fields, but there is little evidence of its potential in contraceptive consultation. This paper presents a piece of multicenter observational research based on a sample of 327 women who had attended contraceptive counselling in Spain and were COC users or had informed the midwife that they want to start to use this method. Two interviews were conducted: at the time of consultation and after one year. In our research, the MMAS-4 identified high-risk behaviors: during the 1-year follow-up period, COC users classified as poorly adherent had a significantly higher risk of missed contraceptive pills, more incidents and problems related to the method of contraception, as well as a lower degree of satisfaction with the contraceptive method. One case of unplanned pregnancy and two cases of emergency contraception were identified, all of them corresponding to poorly adherent women. The use of MMAS-4 in consultation can improve midwives' contraceptive counselling.

Indexed as

combined oral contraceptivehormonal contraceptionmidwiferynursing assessmenttreatment adherence and compliance

Identifiers

PMID37174846
PMCPMC10178153
OpenAlexW4376630089

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.