Title: Developing resources to support IUC consultations and address barriers to uptake in UK General Practice
ESC Congress Library. Newton V. May 10, 2018; 208069; ESC22 Disclosure(s): The projects were funded by Bayer who manufactures several types of IUDs and IUSs. The funder played no part in the design or implementation of the research, other than requesting that we explored, in the qualitative interviews, the participants’ opinion of a new product Jaydess®. The funder has had no influence over any articles written up and submitted for publication, or on the development of the informational resources presented in the poster.
Victoria Newton
Victoria Newton
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Abstract
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Objective: This paper reports on the development of new resources to support IUC (intrauterine contraception) consultations. Design and methods: The research draws on qualitative and quantitative data from practitioners and patients in General Practice in the UK to identify any barriers to uptake of IUC. We conducted semi-structured interviews (n=13) and a survey (n=209) with practitioners. We also interviewed women patients who had never used IUC (n=30), and conducted a survey (n=873 never users). Interviews were analysed utilising thematic analysis and surveys using descriptive statistics. Through our analysis we identified educational and informational needs for both practitioners and women, which are not presently addressed. Results: Lack of knowledge about IUC was cited by practitioners as a barrier to recommending IUC, by those practitioners, (mainly nurses) who were not trained to fit. Patient data indicated that there were concerns about IUC which were not addressed in standard informational leaflets, and some myths and misapprehensions about IUC were common, for example, concerns about the longevity of the device, what happens to the device within the body, and misperceptions about the risks and method of action of the device. In seeking answers to their queries, participants often looked to informal networks as a knowledge source in addition to seeking the opinions of family and friends. In comparing the concerns of our participants with standard patient information literature, we found evidence that information for patients is not sufficiently tailored to concerns expressed by never users. In addition, practitioners report being reluctant to discuss IUC as a method because of their own lack of confidence in their knowledge. Both information for patients, and increased support for practitioners providing this information, is needed to overcome this ‘double barrier'. Conclusions/Outputs To address this issue we have developed a 10 step ‘Aide Memoire' to support IUC contraceptive consultations, and a short animated film for women to address the concerns reported by never-users in our study. Both resources were developed in collaboration with the Royal College of General Practitioners, United Kingdom. Applied social science research, involving the development of new resources which address specific patient concerns, can offer new approaches to clinical problems.
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