Googling long-acting reversible contraception: A scoping review examining the information available online about intrauterine devices and contraceptive implants

• Published in: Health promotion journal of Australia 2024-07, Vol.35 (3), p.588-595
• Main Authors: Caddy, Cassandra, Coombe, Jacqueline
• Format: Article
• Language: English
• Subjects: Birth control; Clinical decision making; Complications; Consumer Health Information - methods; Consumers; Contraception; Contraceptive Agents, Female - administration & dosage; contraceptive implant; Contraceptives; Decision making; Decisions; Drug Implants; Efficacy; Female; Health; Health care industry; Health information; Health promotion; Health risks; Health status; Humans; Implants; Information; information needs; Information services; Internet; Intrauterine contraceptives; intrauterine device; Intrauterine Devices; IUD; Long-Acting Reversible Contraception; Medical personnel; Moral and ethical aspects; online; Psychology; Reversible; Side effects; Transplants & implants
• ISSN: 1036-1073; 2201-1617
• DOI: 10.1002/hpja.806

Issue Addressed: The internet is an important source of health information, however, the quality of information about long-acting reversible contraception (LARC, including intrauterine devices (IUDs) and contraceptive implants) found online is largely unknown. Methods: A scoping review of webpages returned in a Google search was conducted. The first three pages of results were included if they were written in English and contained information about LARC. Results were critically reviewed and assessed using the DISCERN quality of health information tool. Results: Of 778 results, 306 pages met the eligibility criteria. While most webpages provided key information about LARC, including location in the body, benefits, side effects and risks, the information provided varied considerably. Only half mentioned efficacy and many webpages did not provide information about the cost of insertion and removal, how and where to access the devices or how they work. Despite side effects being mentioned in more than three-quarters of webpages, the depth and specificity of these varied considerably and were often contradictory across different webpages. Conclusions: Most webpages provided medically accurate information to consumers; however, many did not include key information such as cost or how they work. Descriptions of side effects varied between webpages, and this May inhibit informed decision-making. So What? Most people make decisions about what contraceptive method they might like to use before visiting a health care provider, and most will get this information from the internet. Providing comprehensive, medically accurate and consistent information about both IUDs and contraceptive implants is vital to support informed decision-making.