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Patient Educ Couns. 2016 Oct;99(10):1663-9. doi: 10.1016/j.pec.2016.05.011. Epub 2016 May 9.

A motivational interviewing-based counseling intervention to increase postabortion uptake of contraception: A pilot randomized controlled trial.

Author information

1
The University of Chicago Medicine, Department of Obstetrics and Gynecology, Section of Family Planning and Contraceptive Research, Chicago, IL, USA. Electronic address: awhitaker@bsd.uchicago.edu.
2
The University of Chicago Medicine, Department of Medicine, Section of General Internal Medicine, Chicago, IL, USA.
3
The University of Chicago Medicine, Department of Obstetrics and Gynecology, Section of Family Planning and Contraceptive Research, Chicago, IL, USA.

Abstract

OBJECTIVE:

To determine if a counseling intervention using the principles of motivational interviewing (MI) would impact uptake of long-acting reversible contraception (LARC) after abortion.

METHODS:

We conducted a pilot randomized controlled trial comparing an MI-based contraception counseling intervention to only non-standardized counseling. Sixty women 15-29 years-old were randomized.

PRIMARY OUTCOME:

uptake of LARC within four weeks of abortion.

SECONDARY OUTCOMES:

uptake of any effective contraceptive, contraceptive use three months after abortion and satisfaction with counseling. Bivariate analysis was used to compare outcomes.

RESULTS:

In the intervention arm, 65.5% of participants received a long-acting method within four weeks compared to 32.3% in the control arm (p=0.01). Three months after the abortion, differences in LARC use endured (60.0% vs. 30.8%, p=0.05). Uptake and use of any effective method were not statistically different. More women in the intervention arm reported satisfaction with their counseling than women in the control arm (92.0% vs. 65.4%, p=0.04).

CONCLUSION:

Twice as many women in the MI-based contraception counseling intervention initiated and continued to use LARC compared to women who received only non-standardized counseling.

PRACTICE IMPLICATIONS:

A contraception counseling session using the principles and skills of motivational interviewing has the potential to impact LARC use after abortion.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT01881321.

KEYWORDS:

Abortion; Contraception; Counseling; Long acting reversible contraception; Motivational interviewing; Unintended pregnancy

PMID:
27211225
PMCID:
PMC5028248
DOI:
10.1016/j.pec.2016.05.011
[Indexed for MEDLINE]
Free PMC Article

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