Evaluation of a patient-centred, needs-based approach to support shared decision making in contraceptive counselling: the COCO study

Eur J Contracept Reprod Health Care. 2021 Aug;26(4):326-333. doi: 10.1080/13625187.2021.1908539. Epub 2021 Apr 19.

Abstract

Objectives: The Contraceptive Counselling (COCO) study tested whether a structured approach to assessing patient needs and expectations improved method choice and satisfaction with the contraceptive decision-making process.

Methods: Physicians and women were invited to complete needs-based contraceptive counselling sessions using a structured questionnaire. Physicians recorded the individual responses online; women evaluated the process using an immediate post-consultation questionnaire and then via a structured online interview 6 months later.

Results: A total of 92 gynaecologists and 1176 women participated: 951 women completed the immediate post-consultation survey and 145 took part in the 6 month online evaluation. There was a substantial increase in satisfaction with the current contraceptive method: the number of women reporting they were 'very satisfied' with their contraceptive method increased by 30%. This applied to starters and switchers as well as to women continuing with their previous method. Women were highly satisfied with the structured approach; 95% rated the counselling as 'good' or 'very good' and 'comprehensive and detailed'.

Conclusion: Using a structured approach to share information tailored to women's needs can help them choose from a broader range of methods and, in some cases, change to a method more suitable to their individual needs, and ultimately increase satisfaction with their choice.

Keywords: Contraception; counselling; needs-based counselling; patient-centred care; shared decision making.

MeSH terms

  • Adult
  • Contraception*
  • Contraceptive Agents
  • Contraceptive Devices
  • Counseling / methods*
  • Decision Making
  • Decision Making, Shared*
  • Female
  • Gynecology
  • Humans
  • Middle Aged
  • Patient Participation*
  • Patient Preference
  • Patient-Centered Care*
  • Physicians / psychology*

Substances

  • Contraceptive Agents