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Observational, prospective, multicentre study to evaluate the effects of counselling on the choice of combined hormonal contraceptives in Italy—the ECOS (Educational COunselling effectS) study

Overview of attention for article published in BMC Women's Health, September 2015
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Title
Observational, prospective, multicentre study to evaluate the effects of counselling on the choice of combined hormonal contraceptives in Italy—the ECOS (Educational COunselling effectS) study
Published in
BMC Women's Health, September 2015
DOI 10.1186/s12905-015-0226-x
Pubmed ID
Authors

Alessandro Gambera, Fedela Corda, Rosetta Papa, Carlo Bastianelli, Sandra Bucciantini, Salvatore Dessole, Pasquale Scagliola, Nadia Bernardini, Daniela de Feo, Fabiola Beligotti

Abstract

Adequate counselling on contraceptive methods can help users choose the most appropriate method. The aim of this study was to assess the effects of structured counselling provided by gynaecologists on selection of a combined hormonal contraception method. Women aged 18-40 years (n = 1871) who were considering the use of a combined hormonal contraception method (pill, transdermal patch or vaginal ring) underwent a structured counselling session in which gynaecologists provided comprehensive information. Pre- and post-counselling questionnaires on combined hormonal contraception choice were completed by participants. After counselling, many women (38 %) selected a combined hormonal contraception method that was different from the originally intended one. Preferences for the transdermal patch approximately doubled (from 3.2 % pre-counselling to 7 %; p < 0.0001) and those for the vaginal ring increased four-fold (from 5.2 to 21.2 %; p < 0.0001), while preference for the pill remained unchanged (from 64.5 % [pre-] to 64.1 % [post-counselling]). The proportion of undecided women decreased from 18 to 2.1 % (p < 0.0001). The main reasons for choosing a method were related to ease of use (all methods), and preferences for administration frequency (daily, weekly or monthly). The number of patients requiring post-counselling contact with the physician's office was low (5.1-6.9 %), as was the incidence of adverse events (1.8-3.1 %). Counselling has a significant impact on women's choice of combined hormonal contraception and encourages them to consider alternative methods to combined oral contraceptives. Moreover, it also enables women to use their chosen method with confidence. NCT01181778 , Trial registration date: August 12, 2010.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 43 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 43 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 10 23%
Researcher 8 19%
Other 5 12%
Student > Doctoral Student 2 5%
Student > Bachelor 2 5%
Other 5 12%
Unknown 11 26%
Readers by discipline Count As %
Medicine and Dentistry 14 33%
Social Sciences 7 16%
Nursing and Health Professions 5 12%
Biochemistry, Genetics and Molecular Biology 2 5%
Arts and Humanities 1 2%
Other 2 5%
Unknown 12 28%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 October 2015.
All research outputs
#13,447,737
of 22,829,083 outputs
Outputs from BMC Women's Health
#969
of 1,816 outputs
Outputs of similar age
#126,176
of 267,078 outputs
Outputs of similar age from BMC Women's Health
#17
of 28 outputs
Altmetric has tracked 22,829,083 research outputs across all sources so far. This one is in the 39th percentile – i.e., 39% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,816 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.6. This one is in the 44th percentile – i.e., 44% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 267,078 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 51% of its contemporaries.
We're also able to compare this research output to 28 others from the same source and published within six weeks on either side of this one. This one is in the 35th percentile – i.e., 35% of its contemporaries scored the same or lower than it.