A motivational interviewing-based counseling intervention to increase postabortion uptake of contraception: A pilot randomized controlled trial. Issue 10 (October 2016)

• Record Type: Journal Article
• Authors: Whitaker, Amy K.; Quinn, Michael T.; Munroe, Elizabeth; Martins, Summer L.; Mistretta, Stephanie Q.; Gilliam, Melissa L.
• Is Part Of: Patient education and counseling. Volume 99:Issue 10(2016)
• Page Start: 1663
• Page End: 1669
• Publication Date: 2016-10
• Subjects: Abortion -- Contraception -- Counseling -- Long acting reversible contraception -- Motivational interviewing -- Unintended pregnancy; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2016.05.011
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: Motivational interviewing may be a suitable approach for contraception counseling. MI-based counseling led to higher uptake of long-acting reversible contraception. MI-based counseling led to more use of LARC three months after abortion. Women were more satisfied with MI-based vs. non-standardized counseling. 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.