Contraceptive counselling and care: a personalized interactive approach

Abstract

Aim: Various studies have shown deficiencies and gaps in contraceptive counselling and care (CCC) in Europe as well as globally. These deficiencies include the lack of personalized communication integrating the individual woman’s needs and her biopsychosocial profile into the interaction with the Health Care Professional (HCP).

Objective: Based on the standards summarized in the literature and based on the concept of interactive shared decision, we developed a structured approach as a proposal for CCC.

Result: Integrating principles of patient-centred communication and trustful relationship, we propose a stepwise process of interactive counselling and care allowing women to express their needs and priorities, then help the HCP by taking into the account the biopsychosocial profile of the woman to exclude methods together with the woman which do not correspond to her needs or which are contraindicated; then look for additional benefits of contraceptive methods for the individual woman to finally come to a shared transparent decision.

Conclusion: This personalized interactive counseling approach may serve as an orientation for HCPs to find their individual way to tailor contraception to the individual woman.

Chinese abstract

背景：各种研究表明, 在欧洲乃至全球范围避孕咨询和护理（CCC）存在着明显的差距和缺陷, 其中之一是缺乏与女性咨询者的个性化沟通, 即在医疗保健专业人员（HCP）与之交流的过程中, 无法综合纳入其独特的需求以及生物心理社会层面的背景。

目标：基于本文综述的标准和互动共识决策的概念, 我们制定了一个结构化的方法供CCC参考。 结果：结合以患者为中心的沟通和信任关系的原则, 我们提出了一个循序渐进的过程：首先通过互动咨询与关怀, 让女性逐渐表达自己的需求和优先考虑事项；然后帮助HCP综合该女性的生理心理社会状况, 排除不符合其需要或无法接受的方式；最后分析避孕措施对该女性的额外好处, 帮其达成清晰的共同决策。

结论：这种个性化的互动咨询模式可以为HCP提供明确方向, 帮助其寻找到独有的方法, 为女性量身定制避孕措施。

Keywords:

• Contraceptive counselling
• patient-centered communication
• shared decision making

Disclosure statement

No potential conflict of interest was reported by the authors.