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Titre :
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A motivational interviewing-based counseling intervention to increase postabortion uptake of contraception : A pilot randomized controlled trial (2016)
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Auteurs :
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WHITAKER A.K.
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Type de document :
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Article : texte imprimé
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Dans :
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Patient Education and Counseling (Vol. 99 n° 10, Octobre 2016)
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Article en page(s) :
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pp.1663-1669
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Note générale :
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biblio.
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Langues:
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Anglais
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Catégories :
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ENTRETIEN MOTIVATIONNEL
CONTRACEPTION
AVORTEMENT
FEMME
ACCOMPAGNEMENT
GROSSESSE NON DESIREE
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Mots-clés:
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ENTRETIEN MOTIVATIONNEL
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CONTRACEPTION
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AVORTEMENT
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FEMME
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ACCOMPAGNEMENT
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GROSSESSE NON DESIREE
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GROSSESSE
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Résumé :
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ObjectiveTo determine if a counseling intervention using the principles of motivational interviewing (MI) would impact uptake of long-acting reversible contraception (LARC) after abortion.MethodsWe 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.ResultsIn 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).ConclusionTwice 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 implicationsA contraception counseling session using the principles and skills of motivational interviewing has the potential to impact LARC use after abortion.
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Note de contenu :
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SCIENTIFIQUE
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