Skip to main content
SpringerLink
Log in

The ORTHO BC-SAT – a satisfaction questionnaire for women using hormonal contraceptives

  • Published:
Quality of Life Research Aims and scope Submit manuscript

Abstract

Objective

To assess the reliability and validity of the ORTHO Birth Control Satisfaction Assessment Tool (ORTHO BC-SAT).

Design

339 women using 1 of 4 hormonal birth control methods (oral contraceptives, transdermal patch, vaginal ring, injections), completed the questionnaire 1–2 times.

Materials and methods

The questionnaire was developed based on findings from the literature, focus groups, and interviews. Internal consistency reliability, test–retest reliability, construct validity, and known groups validity were evaluated.

Results

Based on variable clustering, 8 domains were identified (Ease of Use/Convenience, Compliance, Lifestyle Impact, Symptom/Side Effect Bother, Menstrual Impact, Future Fertility Concerns, Assurance/Confidence, Overall Satisfaction). Internal consistency reliability was demonstrated with Cronbach’s α values ranging from 0.70 to 0.89. All multi-item scales reported acceptable test–retest reliability (0.79–0.87). Construct validity was demonstrated by support of a hypothesized pattern of correlations. Known groups validity was confirmed by examining scale scores of women categorized by levels of symptom bother. As expected, women with the least amount of bother reported higher scores on all satisfaction scales than those with higher bother (p < 0.0001), except on Future Fertility Concerns (p = 0.27).

Conclusion

Our results support the reliability and validity of the ORTHO BC-SAT. It may be used in future studies to evaluate satisfaction among hormonal contraceptive users.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Abbreviations

HRQoL:

Health-Related Quality of Life

ICC:

Intra-class Correlation Coefficient

MHI-5:

Mental Health Index-5

OCs:

Oral Contraceptives

ORTHO BC-SAT:

ORTHO Birth Control Satisfaction Assessment Tool

SF-12v2:

Short Form-12 version 2.0

References

  1. Hsiao YC and Sung SH (2003) Married women’s satisfaction with their choice of contraception. J Nurs Res 11(2):119–128

    PubMed  Google Scholar 

  2. Oddens BJ (1999) Women’s satisfaction with birth control: A population survey of physical and psychological effects of oral contraceptives, intrauterine devices, condoms, natural family planning, and sterilization among 1466 women. Contraception 59(5):277–286

    Article  PubMed  CAS  Google Scholar 

  3. Rosenberg MJ, Waugh MS, Burnhill MS (1998) Compliance, counseling and satisfaction with oral contraceptives: A prospective evaluation. Fam Plann Perspect 30(2):89–92

    Article  PubMed  CAS  Google Scholar 

  4. Rosenfeld J, Zahorik PM, Saint W, Murphy G (1993) Women’s satisfaction with birth control. J Fam Pract 36(2):169–173

    PubMed  CAS  Google Scholar 

  5. Rosenthal SL, Cotton S, Ready JN, Potter LS, Succop PA (2002) Adolescents’ attitudes and experiences regarding levonorgestrel 100 mcg/ethinyl estradiol 20 mcg. J Pediatr Adolesc Gynecol 15(5):301–305

    Article  PubMed  CAS  Google Scholar 

  6. Novak A, de la Loge C, Abetz L, van der Meulen EA (2003) The combined contraceptive vaginal ring, NuvaRing®: An international study of user acceptability. Contraception 67(3):187–194

    Article  PubMed  CAS  Google Scholar 

  7. Shulman LP, Oleen-Burkey M, Wilke RJ (1999) Patient acceptability and satisfaction with Lunelle monthly contraceptive injection (medroxyprogesterone acetate and estradiol cypionate injectable suspension). Contraception 60(4):215–222

    Article  PubMed  CAS  Google Scholar 

  8. Weaver M, Patrick DL, Markson LE, Martin D, Frederic I, Berger M (1997) Issues in the measurement of satisfaction with treatment. Am J Manag Care 3(4):579–594

    PubMed  CAS  Google Scholar 

  9. Mathias SD, Colwell HH, Cimms T, Karvois DL, LoCoco JM, Friedman AJ. Measuring satisfaction with hormonal contraceptives: A conceptual framework for a generic measure of satisfaction. Poster presentation at the 10th Annual Conference of the International Society for Quality of Life Research, Prague, Czech Republic, 2003.

  10. Stewart AL and Ware JE, Jr, (eds) (1992) Measuring Functioning and Well Being: The Medical Outcomes Study Approach. Durham and London, Duke University Press

    Google Scholar 

  11. Ware JE, Kosinski M, Keller SD (1996) A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Med Care 34(3):220–233

    Article  PubMed  Google Scholar 

  12. Cohen J (1977) Statistical Power Analysis for the Behavioral Sciences. New York, Academic Press, pp. 24–27

    Google Scholar 

  13. Lohr KN, Aaronson NK, Alonso J, Burnam MA, Patrick DL, Perrin EB, et al (1996) Evaluation quality-of-life and health status instruments: Development of review scientific criteria. Clin Ther 18:979–992

    Article  PubMed  CAS  Google Scholar 

  14. Scientific Advisory Committee of the Medical Outcomes Trust (2002) Assessing health status and quality-of-life instruments: Attributes and review criteria. Qual Life Res 11(3):193–205

    Article  Google Scholar 

  15. Cronbach LJ (1951) Coefficient α and the internal structure of tests. Psychometrika 16:297–334

    Article  Google Scholar 

  16. Ware JE, Jr, Kosinski M, Turner-Bowker DM, Gandek B (2002) How to Score Version 2 of the SF-12® Health Survey (With a Supplement Documenting Version 1). Lincoln RI, QualityMetric Incorporated

    Google Scholar 

Download references

Acknowledgments

The authors gratefully acknowledge the contributions of Debra L. Karvois, John M. LoCoco and William H. Olson, Ortho-McNeil Pharmaceutical, Inc., Raritan, NJ, Deborah P. Lubeck, who was employed at the University of California, San Francisco during the period of the research work, and Michelle Pritchard, Ovation Research Group, San Francisco, CA, USA.

Author information

Authors and Affiliations

  1. Ovation Research Group, 188 Embarcadero, Suite 200, San Francisco, CA, 94105, USA

    H.H. Colwell, S.D. Mathias & T.A. Cimms

  2. Johnson & Johnson Pharmaceutical Research and Development, Raritan, NJ, USA

    M. Rothman & A.J. Friedman

  3. University of Washington, Seattle, WA, USA

    D.L. Patrick

Authors
  1. H.H. Colwell
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S.D. Mathias
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. T.A. Cimms
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. M. Rothman
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. A.J. Friedman
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. D.L. Patrick
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to H.H. Colwell.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Colwell, H., Mathias, S., Cimms, T. et al. The ORTHO BC-SAT – a satisfaction questionnaire for women using hormonal contraceptives. Qual Life Res 15, 1621–1631 (2006). https://doi.org/10.1007/s11136-006-0026-8

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11136-006-0026-8

Keywords

Search

Navigation