Exploring technology-based interventions to improve oral contraceptive pill adherence: a cross-sectional survey

Abstract

Purpose

To assess the resources that oral contraceptive pill (OCP) users currently use and wish to use after missing pills.

Materials and Methods

People 18–44 years old with a OCP prescription were emailed a cross-sectional survey to assess how they obtain information about managing missed pills, what information they would prefer to access, and whether they would use additional information if it were available. We performed a logistic regression and a dominance analysis to compare independent predictors of desire for a technological resource at the time of missed pills.

Results

We received 166 completed surveys. Nearly half of participants (47%, n = 76, 95% CI 39.0–54.4%) did not seek information about managing their missed pills. When missing a pill, more patients preferred non-technology-based information (57.1%, n = 93, 95% CI 49.3–64.5%) over technology-based information (43%, n = 70, 95% CI 35.5–50.7%). Most reported they would appreciate more information at the time of missed pills (76%, n = 124, 95% CI 68.9–82.0%). The strongest predictors for desire for technology-based information were: current use of technology, lower parity, white race, and higher educational attainment.

Conclusions

This study indicates that most OCP users would utilise additional information at the time of a missed pill if they had access to it and that they desire information in varying formats.

SHORT CONDENSATION

Patients desire more educational information at the time of missed oral contraceptive pills, and preferences are varied regarding the format of patient information. Implementation of high-quality counseling with oral contraceptive pills requires a broad range of educational materials as well as provider education.

摘要

目的：评估服用口服避孕药(OCP)者在漏服药片后目前和希望采用的资源。

材料和方法：通过电子邮件向开具了OCP处方的18-44岁者发送一份横断面调查, 以评估他们如何获取关于漏服药物的信息、她们更偏好获取哪种信息, 以及如果有其他信息她们是否会应用这些信息。我们进行了Logistic回归和显性分析, 以比较漏服药时对技术资源需求的独立预测因素。

结果：共收到166份完整问卷。近一半的参与者(47%, 76人, 95%CI 39.0-54.4%)没有寻求关于如何处理漏服药物的信息。当漏服一片药时, 更多的患者倾向于非技术信息(57.1%, n=93, 95%可信区间49.3-64.5%)而非技术信息(43%, n=70, 95%CI 35.5-50.7%)。大多数人表示, 她们希望在漏服时获得更多信息(76%, 124%, 95%CI 68.9-82.0%)。对以技术为基础的信息需求的最强预测因素是：当前技术应用、产次较少、白人种族和较高的教育程度。

结论：此项研究表明, 大多数服用OCP者会在漏服药片时应用额外的信息如果她们有机会获得信息, 且她们希望获得不同形式的信息。

简要总结

在漏服口服避孕药的时候, 患者希望获得更多的教育信息, 并且对患者信息的形式有不同的偏好。关于口服避孕药的高质量的咨询需要广泛的教育材料以及提供者的教育。

Keywords:

• Combined oral contraceptive pills
• technology
• patient education

Disclosure statement

No potential conflict of interest was reported by the author(s).