Articles producció científicaInfermeria

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

  • Dades identificatives

    Identificador:  imarina:9241174
    Autors:  Reyes-Marti, Laura; Rubio-Rico, Lourdes; Ortega-Sanz, Laura; Raigal-Aran, Laia; De la Flor-Lopez, Miriam; Roca-Biosca, Alba; Valls-Fonayet, Francesc; Moharra-Frances, Montse; Escuriet-Peiro, Ramon; Inmaculada De Molina-Fernandez, Maria
    Resum:
    Plain English summary In Spain, individuals can use a variety of contraceptive methods. Professionals involved in contraceptive counselling should help users to choose and properly use the method that best suits their preferences, personal situation and health status. However, there is a high number of unplanned pregnancies and the population feels dissatisfied with the counselling received. In the context of creating a website dealing with contraceptive methods, we wished to find out how counselling was taking place, giving voice those directly concerned. A qualitative study was proposed to explore the experiences and needs of users and professionals during counselling. Ten focus groups were conducted involving 64 users and 19 professionals from Tarragona (Spain). The results were ordered based on the Quality on Contraceptive Counseling (QCC) framework, created by experts, which determines what the relationship between user and professional should be like during the counselling process. Our analysis highlighted users' little knowledge and false beliefs concerning contraception who, moreover, complained of receiving little information during counselling. They expressed their discontent with methods being imposed on them by the professional without exploring their preferences or needs. Meanwhile, the professionals argued that they often prescribe the method with which they are most familiar due to the lack of time during consultations at their office and/or because they are unfamiliar with other methods. These results, among others, offer the possibility of improving contraceptive counselling in Spain, if solutions to the difficulties and/or barriers detected are posed and implemented.Background The 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/design Qualitative 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. Results In 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. Conclusions Users 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.
  • Altres:

    Enllaç font original: https://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978-021-01254-0
    Referència de l'ítem segons les normes APA: Reyes-Marti, Laura; Rubio-Rico, Lourdes; Ortega-Sanz, Laura; Raigal-Aran, Laia; De la Flor-Lopez, Miriam; Roca-Biosca, Alba; Valls-Fonayet, Francesc; (2021). Contraceptive counselling experiences in Spain in the process of creating a web-based contraceptive decision support tool: a qualitative study. Reproductive Health, 18(1), 237-. DOI: 10.1186/s12978-021-01254-0
    Referència a l'article segons font original: Reproductive Health. 18 (1): 237-
    DOI de l'article: 10.1186/s12978-021-01254-0
    Any de publicació de la revista: 2021
    Entitat: Universitat Rovira i Virgili
    Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
    Data d'alta del registre: 2025-01-28
    Autor/s de la URV: Alkhoury, Nadine / De Molina Fernandez, Maria Inmaculada / Ortega Sanz, Laura / RAIGAL ARAN, LAIA / Roca Biosca, Maria Alba / Rubio Rico, Maria Lourdes / Valls Fonayet, Francesc
    Departament: Infermeria
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    Tipus de publicació: Journal Publications
    Autor segons l'article: Reyes-Marti, Laura; Rubio-Rico, Lourdes; Ortega-Sanz, Laura; Raigal-Aran, Laia; De la Flor-Lopez, Miriam; Roca-Biosca, Alba; Valls-Fonayet, Francesc; Moharra-Frances, Montse; Escuriet-Peiro, Ramon; Inmaculada De Molina-Fernandez, Maria
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    Àrees temàtiques: Sociologia i política, Serviço social, Saúde coletiva, Reproductive medicine, Public, environmental & occupational health, Odontología, Obstetrics and gynecology, Nutrição, Medicina iii, Medicina ii, Medicina i, Interdisciplinar, General o multidisciplinar, Engenharias iv, Enfermagem, Ciencias sociales, Ciências biológicas iii, Ciências biológicas ii
    Adreça de correu electrònic de l'autor: francesc.valls@urv.cat, laura.ortega@urv.cat, nadine.alkhoury@estudiants.urv.cat, nadine.alkhoury@estudiants.urv.cat, nadine.alkhoury@estudiants.urv.cat, nadine.alkhoury@estudiants.urv.cat, inmaculada.demolina@urv.cat, inmaculada.demolina@urv.cat, lourdes.rubio@urv.cat, lourdes.rubio@urv.cat, alba.roca@urv.cat, alba.roca@urv.cat
  • Paraules clau:

    Women
    Web based contraceptive decision support tool
    Thematic analysis
    Spain
    Shared decision support tools
    Quality on contraceptive counseling framework
    Qualitative research methods
    Qualitative research
    Qualitative analysis
    Perceptions
    Male
    Major clinical study
    Internet
    Humans
    Human
    Health status
    Health care planning
    Health care need
    Female
    Family planning
    Empathy
    Demography
    Decision support system
    Counseling
    Controlled study
    Contraceptive counselling
    Contraceptive agents
    Contraception
    Conceptual framework
    Communication
    Clinical protocol
    Clinical decision support system
    Choice
    Attitudes
    Article
    Adult
    Adherence
    Obstetrics and Gynecology
    Public
    Environmental & Occupational Health
    Reproductive Medicine
    Sociologia i política
    Serviço social
    Saúde coletiva
    Odontología
    Nutrição
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    General o multidisciplinar
    Engenharias iv
    Enfermagem
    Ciencias sociales
    Ciências biológicas iii
    Ciências biológicas ii
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