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The effectiveness of a digital shared decision-making tool in hormonal contraception during clinical assessment: study protocol of a randomized controlled trial in Spain

2019Journal article Open access
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dc.contributor.authorde Molina-Férnandez, Maria Inmaculada
dc.contributor.authorRaigal-Aran, Laia
dc.contributor.authorde la Flor-Lopez, Miriam
dc.contributor.authorPrata, Ana Paula
dc.contributor.authorFont-Jimenez, Isabel
dc.contributor.authorValls-Fonayet, Francesc
dc.contributor.authorMarch-Jardi, Gemma
dc.contributor.authorEscuriet-Peiro, Ramon
dc.contributor.authorRubio-Rico, Lourdes
dc.date.accessioned2020-05-19T15:31:28Z
dc.date.available2020-05-19T15:31:28Z
dc.date.issued2019
dc.description.abstractDecision-making tools represent a paradigm shift in the relationship between the clinician and the user/patient. Some of their advantages include patient commitment, the promotion of preferences and values, and increased treatment adherence. This study protocol aims to assess the effectiveness of a decision-making tool in contraception (SHARECONTRACEPT) concerning: a) Improvement in counselling on hormonal contraception at the medical consultation, measured in terms of decreasing decisional conflict and improving knowledge of available contraceptive options; b) Improvement in adherence to treatment measured in terms of: persistence in the chosen treatment, compliance with dose or procedure of use, and ability to deal with incidents related to the use of the contraceptive method; and decreasing unwanted pregnancies and voluntary interruption of pregnancy. The SHARECONTRACEPT tool, developed by previous phases of this project, is available at: http://decisionscompartides.gencat.cat/en/decidir-sobre/anticoncepcio_hormonal/ METHODS/DESIGN: A longitudinal, prospective-type, randomized, controlled community clinical trial, carried out in the clinical contraceptive counselling units of 6 autonomous regions in Spain, with an experimental group and a control group. Description of the intervention: The health professionals participating will be randomly assigned to one of the two groups. Clinicians assigned to the experimental group will perform contraceptive counselling assisted by SHARECONTRACEPT, and those of the control group will follow the conventional contraceptive counselling provided in their clinical unit. It is planned to study 1708 users (control group n = 854 and intervention group n = 854), recruited from women who attend the consultations of the health professionals. The selected users will be followed up for one year. The data will be collected through ad-hoc questionnaires, and validated instruments for measuring decisional conflict and adherence to treatment.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMolina-Férnandez et al. BMC Public Health (2019) 19:1224pt_PT
dc.identifier.doi10.1186/s12889-019-7572-9pt_PT
dc.identifier.eissn1471-2458
dc.identifier.urihttp://hdl.handle.net/10400.26/32327
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.relation.publisherversionhttps://bmcpublichealth.biomedcentral.com/pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectAdolescentpt_PT
dc.subjectAdultpt_PT
dc.subjectClinical Decision-Makingpt_PT
dc.subjectFemalept_PT
dc.subjectHormonal Contraceptionpt_PT
dc.subjectHumanspt_PT
dc.subjectLongitudinal Studiespt_PT
dc.subjectMiddle Agedpt_PT
dc.subjectPregnancypt_PT
dc.subjectProspective Studiespt_PT
dc.subjectResearch Designpt_PT
dc.subjectSpainpt_PT
dc.subjectYoung Adultpt_PT
dc.subjectDecision Making, Sharedpt_PT
dc.subjectPhysician-Patient Relationspt_PT
dc.titleThe effectiveness of a digital shared decision-making tool in hormonal contraception during clinical assessment: study protocol of a randomized controlled trial in Spainpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.startPage1224pt_PT
oaire.citation.titleBMC Public Healthpt_PT
oaire.citation.volume19pt_PT
person.familyNamePrata
person.givenNameAna Paula
person.identifier.ciencia-id8B13-14CE-A6F3
person.identifier.orcid0000-0001-7552-9716
person.identifier.ridT-4597-2017
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication03a10676-39b0-4aec-aaf9-2a6c5556ed64
relation.isAuthorOfPublication.latestForDiscovery03a10676-39b0-4aec-aaf9-2a6c5556ed64

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