Implementation and Feasibility of the VALORA Checklist for Structured Anamnesis in Oral Contraceptive Counseling in...

This study aimed to evaluate the implementation of a structured anamnesis tool designed to standardize contraceptive counseling, the VALORA checklist, and to assess health care professionals' (HCPs) characteristics, and user characteristics, checklist satisfaction, ease of use, and preferred formats following training.

This observational pilot study included two online surveys completed by 30 HCPs (gynecologists and primary care physicians) across Spain before and after training on the VALORA checklist. The surveys collected data on professional characteristics, aggregated user profiles, checklist use, satisfaction, and perceptions. Comparative analyses assessed changes in checklist implementation and item-level evaluation.

Before training, checklists were reportedly used in a mean of 54.3% of consultations, increasing to 78.2% post training (median 65% vs. 92.5%; p = 0.031). The improvement in assessing family history of thrombosis (median 100 [50-100] vs. 100 [80-100]; p = 0.005) was statistically significant. Other items with lower baseline implementation, such as liver disease and cholelithiasis, also showed numerical improvement. After training, 60% of HCPs incorporated the VALORA checklist into routine practice, and overall satisfaction was high (86.7% very or totally satisfied). Ease of use was rated positively by 96.7% of HCPs, with 70% preferring an interactive digital format and expressing interest in automated risk assessment and contraceptive recommendations.

Training on the VALORA checklist increased the use of structured anamnesis during oral contraceptive counseling and improved the evaluation of underassessed risk factors. High satisfaction and a preference for digital integration suggest the potential for broader adoption. Future studies should explore long-term adherence, user-level outcomes, and digital implementation to optimize safe, individualized contraceptive care.