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Patient Educ Couns. 2010 Dec;81(3):362-7. doi: 10.1016/j.pec.2010.08.006.

Structured contraceptive counseling--a randomized controlled trial.

Author information

1
Division of Family Planning and Preventive Services, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY 10032, USA. al2632@columbia.edu

Abstract

OBJECTIVE:

To evaluate the addition of structured contraceptive counseling to usual care on choice, initiation, and continuation of very effective contraception after uterine aspiration.

METHODS:

We conducted a RCT of a version of the WHO Decision-Making Tool for Family Planning Clients and Providers with women having a procedure for a spontaneous or induced abortion. Our intervention provided structured, standardized counseling. We randomized women to usual care or usual care with structured counseling. Our outcomes included choosing a very effective contraceptive method and 3 months continuation.

RESULTS:

Fifty-four percent of all participants chose a very effective method. Women in the intervention group were no more likely to choose a very effective method (OR 0.74, 95% CI 0.44, 1.26) or to initiate their method compared to the usual care group (OR 0.65, 95% CI 0.31, 1.34). In multivariate models, structured counseling was not associated with using a very effective method at 3 months (AOR 1.06, 95% CI 0.53, 2.14).

CONCLUSION:

In this setting, structured counseling had little impact on contraceptive method choice, initiation, or continuation.

PRACTICE IMPLICATIONS:

Adding structured counseling did not increase the proportion choosing or initiating very effective contraception in a practice setting where physicians already provide individualized counseling.

PMID:
20869187
DOI:
10.1016/j.pec.2010.08.006
[Indexed for MEDLINE]

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