Emergency contraception counseling: an opportunity for pharmacists

J Am Pharm Assoc (2003). 2011 Nov-Dec;51(6):756-61. doi: 10.1331/JAPhA.2011.10157.

Abstract

Objective: To determine the impact of pharmacist counseling on patients' knowledge of emergency contraception (EC).

Design: Single-group, repeated-measures analysis.

Setting: Academic medical center women's clinic in Little Rock, AR, between January and July 2010.

Participants: 116 women 18 years or older.

Intervention: 10-minute education session provided by a pharmacist or trained student pharmacist.

Main outcome measures: Change in participants' test scores (range 0 [lowest possible] to 13 [highest possible]) at three assessment periods (pretest, posttest, and follow-up) using 12 knowledge questions.

Results: 116 participants with a mean (±SD) age of 25 ± 5.9 years participated in this study. Mean knowledge scores were 5.3 ± 4.1 for the pretest and 10.7 ± 1.4 for the posttest (P < 0.001). The least-squares mean EC knowledge test score (adjusted for demographics) was 5.86 at pretest, 10.75 at posttest, and 10.75 at follow-up. A nonsignificant small change in scores from posttest to follow-up was detected after the Tukey-Kramer adjustment. A higher education level was associated with higher knowledge scores in this population.

Conclusion: Brief pharmacist-driven counseling sessions provided in a clinic setting are feasible and have a positive impact on immediate EC knowledge and long-term knowledge retention.

MeSH terms

  • Academic Medical Centers
  • Adolescent
  • Adult
  • Arkansas
  • Contraception, Postcoital / methods*
  • Educational Status
  • Feasibility Studies
  • Female
  • Follow-Up Studies
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Least-Squares Analysis
  • Patient Education as Topic / methods*
  • Pharmaceutical Services / organization & administration
  • Pharmacists / organization & administration*
  • Students, Pharmacy
  • Young Adult