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Immediate recall of oral contraceptive instructions: implications for providers
V I Rickert1, A B Berenson, A J Williamson
1Departments of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, USA.
Objective:
The object of the study was to determine the patient characteristics associated with inadequate recall of oral contraceptive pill-taking instructions.
Study Design:
Sexually active women aged 13 to 40 years (n = 150) attending university-based family planning clinics completed anonymous self-report measures that assessed demographic and reproductive characteristics, understanding of pill-taking instructions, and contraceptive compliance. Logistic regression was used to determine factors associated with inadequate recall for the sample, stratified by minority versus nonminority women.
Results:
Minority women with inadequate recall were almost 6 times more likely than minority women with adequate recall not to know the name of the prescribed oral contraceptive and were 3 times more likely to have less than a high school education. In addition there were 1-fold and 2-fold increases in likelihood of inadequate recall as certainty of pill-taking instructions and general oral contraceptive knowledge, respectively, decreased. Inadequate recall was associated with poor compliance.
Conclusion:
Women with inadequate recall may be identified at the conclusion of their visit so that interventions to enhance their pill-taking skills can be provided.