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Master Thesis

Étude pilote du projet OPTIMEGE, Oubli de Pilule et ouTil d'Information en MEdecine GEnérale, concernant l'intérêt de la carte INPES intitulée "Que faire en cas d'oubli de pilule ?"

Abstract : Introduction: 23% of unwanted pregnancies occur amongst women on the pill, 60% of the time this is linked to a case of missed pills. There is a frequent ignorance of required attitude after forgetting to take the pill. The OPTIMEGE project aims to evaluate the interest of a card, created by INPES in 2011 "What to do in case of missed pills?" in order to improve the patient's behaviour when faced with a missed pill. The main objective of this study is to test the feasibility of OPTIMEGE. Methods: Pilot study of the "Before-after" type, led on May 6th to October 6th 2013 in Savoie/Haute Savoie and Auvergne. Results: 20 general practitioners accepted to participate in the study. 158 patients were included at M0. 22.4% of the patients declared that they had forgotten to take the pill at least once a month. 42.4% of the patients had a pregnancy-risk attitude after the last missed pill. After 3 months, 80 patients and 4 general practitioners were lost of sight. The majority of the general practitioners and the patients have a positive opinion on the study and on the card. 12 patients went from a pregnancy-risk attitude at M0 to a conform attitude at HAS to M3 after their last missed pill. The majority of the patients kept the card but few used it after missing a pill. Conclusion: The feasibility of this study on a larger scale seems established after some adjustments. The study confirms some gaps in patients' compliance with pill and the bad attitude when they forget to take a pill. We will have to wait for the results of OPTIMEGE in order to establish a link between the delivery of this card and the improvement of the patients' behaviour when faced with a missed pill.
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Submitted on : Thursday, January 30, 2014 - 3:10:36 PM
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Elodie Pignard. Étude pilote du projet OPTIMEGE, Oubli de Pilule et ouTil d'Information en MEdecine GEnérale, concernant l'intérêt de la carte INPES intitulée "Que faire en cas d'oubli de pilule ?". Médecine humaine et pathologie. 2014. ⟨dumas-00939281⟩

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