Knowledge, attitude and practice of puerperal adolescents after an educational intervention on the mini contraceptive pill.
Claudionete Abreu Costa, Ana Karina Bezerra Pinheiro, Lena Maria Barros Fonseca and 3 others
PMID 39476136WHAT IT FOUND
After nurse-led flipchart teaching, adolescent mothers knew more about the mini-pill and reported better planned use, but fewer said they intended to use it correctly.
The single-group before-after design cannot prove the album changed behavior.
Key findings
01In the 139 adolescents analysed, before the educational intervention adequate knowledge was 33.81%, adequate attitude was 15.82%, and adequate practice was 19.42%.
02After the intervention, adequate knowledge was 64.74% and adequate practice was 36.69%, while adequate attitude was 9.35% and inadequate attitude was 90.64%.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study had no control group, so the album's effect cannot be separated from normal postpartum care, repeated testing, or the passage of time. Participants were recruited by consecutive non-probabilistic sampling from four maternity hospitals in one Brazilian region, so the results may not apply elsewhere. Twelve of the 151 adolescents who took the pre-test were lost before the post-test. The post-test was by telephone up to 6 weeks after birth, and practice was based on what the participants said they would do, not observed use. The attitude domain worsened after the intervention, which makes the conclusion that the album changed contraceptive decisions uncertain.
Declared interests
Funded by Programa Nacional de Cooperação Acadêmica na Amazônia, Grant # 88881.200531/2018-01, Brazil. The article does not report commercial sponsorship or author conflicts of interest.
The easy way to misread this
Do not conclude that the serial album caused better contraceptive behaviour. This was a single-group before-and-after study with no control group, and the attitude domain worsened, so the observed changes may reflect repeated testing, usual postpartum care, or self-report rather than a proven effect.