Author, as appears in the article.: Inmaculada de Molina-Fernandez, Maria; Reyes-Marti, Laura; De la Flor-Lopez, Miriam; Jesus Aguaron-Garcia, Maria; Roca-Biosca, Alba; Rubio-Rico, Lourdes; Raventos Torner, Rosa Dolors; Valls-Fonayet, Francesc
Department: Infermeria
URV's Author/s: Aguarón García, María Jesús / De la Flor López, Miriam José / De Molina Fernandez, Maria Inmaculada / Raventos Torner, Rosa Dolores / Reyes Martí, Laura / Roca Biosca, Maria Alba / Rubio Rico, Maria Lourdes / Valls Fonayet, Francesc
Keywords: Treatment adherence and compliance Predictive-validity Nursing assessment Midwifery Hormonal contraception Combined oral contraceptive women treatment adherence and compliance reminders pregnancy nursing assessment hormonal contraception combined oral contraceptive choice
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.
Thematic Areas: Leadership and management Health policy & services Health policy Health information management Health informatics Health care sciences & services
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: miriamjose.delaflor@urv.cat francesc.valls@urv.cat rosa.raventos@urv.cat laura.reyes@estudiants.urv.cat laura.reyes@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 mariajesus.aguaron@urv.cat
Author identifier: 0000-0003-2801-2356 0000-0002-1429-4455 0000-0002-1429-4455 0000-0002-3862-0462 0000-0002-3862-0462 0000-0001-6606-0194
Record's date: 2024-09-07
Papper version: info:eu-repo/semantics/publishedVersion
Link to the original source: https://www.mdpi.com/2227-9032/11/9/1304
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: Healthcare (Basel). 11 (9): 1304-
APA: Inmaculada de Molina-Fernandez, Maria; Reyes-Marti, Laura; De la Flor-Lopez, Miriam; Jesus Aguaron-Garcia, Maria; Roca-Biosca, Alba; Rubio-Rico, Lourd (2023). Medication Adherence and Contraceptive Counseling. Healthcare (Basel), 11(9), 1304-. DOI: 10.3390/healthcare11091304
Article's DOI: 10.3390/healthcare11091304
Entity: Universitat Rovira i Virgili
Journal publication year: 2023
Publication Type: Journal Publications