Technology-based contraceptive decision aids and the role of healthcare providers: A scoping review

Abstract

Technology-based decision aids are increasingly integrated into contraceptive counseling to enhance informed decision-making and promote patient-centered care. However, evidence regarding their effectiveness on clinical outcomes and the evolving role of healthcare providers remains limited. The aim of this study was to map existing evidence on technology-based contraceptive decision aids and to examine the role of healthcare providers in supporting decision-making processes. The study was conducted in accordance with the PRISMA-ScR framework. A systematic search was performed across PubMed/MEDLINE, Cochrane Library, ProQuest, ScienceDirect, and Scopus for studies published between January 1, 2000, and March 1, 2025. Study selection and data extraction were performed independently by two reviewers, with discrepancies resolved through discussion. A total of five studies were included, encompassing web-based platforms, mobile applications, and tablet-based tools. The findings suggest that technology-based decision aids improve patient knowledge and satisfaction. However, the assisting technology does not improve contraceptive uptake and continuation rates. Across studies, healthcare providers remained essential in facilitating shared decision-making by contextualizing information, addressing patient concerns, and supporting individualized choices. In conclusion, current evidence suggests that the use of technology to support contraceptive decision-making improves subjective outcomes, but not clinical outcomes. Healthcare providers remain essential in complementing these tools, ensuring that decisions are informed and tailored to individual contexts. Further high-quality studies are needed to strengthen the evidence base and evaluate long-term effectiveness.