Related Experiment Video
Updated: Dec 12, 2025
06:28
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.7K
Evaluation of a computerized contraceptive decision aid: A randomized controlled trial
Tessa Madden1, Jessica Holttum2, Ragini Maddipati3
1Divisions of Family Planning & Clinical Research, Department of Obstetrics and Gynecology, Washington University in St. Louis School of Medicine, 4901 Forest Park Avenue, Mailstop: 8064-37-1005, St. Louis, MO 63110, USA.
Contraception
|August 11, 2020
Summary
A computer-based contraceptive decision aid did not reduce decisional conflict for women seeking reversible contraception. The tool also did not impact contraceptive method choice or patient satisfaction.
Area of Science:
- Reproductive Health
- Medical Decision Making
- Health Services Research
Background:
- Decisional conflict can impact contraceptive choices.
- Decision aids aim to reduce conflict and improve outcomes.
- Effectiveness of digital tools in reproductive health counseling requires evaluation.
Purpose of the Study:
- To assess if a computer-based contraceptive decision aid reduces decisional conflict.
- To evaluate the aid's impact on contraceptive method selection.
- To determine the effect on patient satisfaction with healthcare visits.
Main Methods:
- Randomized trial comparing a decision aid to a control group.
- 253 women seeking reversible contraception were enrolled.
- Decisional Conflict Scale used pre- and post-visit; secondary outcomes included method choice and satisfaction.
Main Results:
- Baseline decisional conflict was low in both groups (median 15 vs. 10).
- No significant difference in conflict reduction between the decision aid and control groups (median -10 in both).
- Contraceptive method choice and satisfaction with care did not differ between groups.
Conclusions:
- A computerized contraceptive decision aid did not reduce decisional conflict among women seeking reversible contraception.
- The decision aid did not influence contraceptive method choice or patient satisfaction.
- Further research could explore decision aid utility in settings with limited contraceptive counseling resources.
Related Concept Videos
01:23Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
309
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
309
01:22Birth Control Methods
5.6K
Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although...
5.6K
01:20Bioequivalence Experimental Study Designs: Completely Randomized and Randomized Block Designs
131
Body:Bioequivalence experimental study designs are crucial methodologies used in evaluating and comparing the bioavailability of different drug products. These designs are categorized into various types: completely randomized, randomized block, repeated measures, cross and carry-over, and Latin square designs.Completely randomized designs involve randomly allocating treatments to all subjects participating in the experiment. This allocation is achieved by assigning unique random numbers to...
131
01:28Dosage Regimens: Designs and Approaches
173
Designing a dosage regimen, which refers to the manner of drug administration, is a complex process involving the selection of drug dose, route, and frequency. This process is underpinned by pharmacokinetic parameters derived from tests and population averages. These parameters are then tailored to patient-specific variables such as diagnosis, demographics, and allergy status. Once therapy commences, therapeutic response monitoring is critical and achieved through clinical and physical...
173
01:11Blinding
3.7K
Blinding is a commonly used method of not telling participants which treatment a subject is receiving. Blinding is a critical part of a randomized control trial or RCT. It reduces the bias that affects the results. In an RCT, blinding is used in the form of a placebo. A placebo effect occurs when untreated subjects falsely believe they have received the treatment and report improved symptoms. A placebo or a dummy treatment is administered to subjects to negate the bias caused by such an effect.
3.7K
01:11Clinical Trials: Overview
4.4K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
4.4K