title: Impact of a theory-based video on initiation of long-acting reversible contraception after abortion.
abstract: OBJECTIVE
  Adoption of long-acting reversible contraception (LARC) (ie, the intrauterine device or the contraceptive implant) immediately after abortion is associated with high contraceptive satisfaction and reduced rates of repeat abortion. Theory-based counseling interventions have been demonstrated to improve a variety of health behaviors; data on theory-based counseling interventions for postabortion contraception are lacking.
  
  
  METHODS
  Informed by the transtheoretical model of behavioral change, a video intervention was developed to increase awareness of, and dispel misconceptions about, LARC methods. The intervention was evaluated in a randomized controlled trial among women aged 18-29 years undergoing surgical abortion at a clinic in Chicago, IL. Participants were randomized 1:1 to watch the intervention video or to watch a stress management video (control), both 7 minutes in duration. Contraceptive methods were supplied to all participants free of charge. Rates of LARC initiation immediately after abortion were compared.
  
  
  RESULTS
  Rates of LARC initiation immediately after abortion were not significantly different between the 2 study arms; 59.6% in the intervention and 51.6% in the control arm chose a LARC method (P = .27).
  
  
  CONCLUSIONS
  This study resulted in an unexpectedly high rate of LARC initiation immediately after abortion. High rates of LARC initiation could not be attributed to a theory-based counseling intervention.
authors.affiliation: Section of Family Planning and Contraceptive Research, Department of Obstetrics and Gynecology, Pritzker School of Medicine, University of Chicago, Chicago, IL. Electronic address: davidson.autumn@gmail.com.
authors.forename: AuTumn S
authors.initials: AS
authors.lastname: Davidson
authors.affiliation: Section of Family Planning and Contraceptive Research, Department of Obstetrics and Gynecology, Pritzker School of Medicine, University of Chicago, Chicago, IL.
authors.forename: Amy K
authors.initials: AK
authors.lastname: Whitaker
authors.affiliation: Section of Family Planning and Contraceptive Research, Department of Obstetrics and Gynecology, Pritzker School of Medicine, University of Chicago, Chicago, IL.
authors.forename: Summer L
authors.initials: SL
authors.lastname: Martins
authors.affiliation: Section of Family Planning and Contraceptive Research, Department of Obstetrics and Gynecology, Pritzker School of Medicine, University of Chicago, Chicago, IL.
authors.forename: Brandon
authors.initials: B
authors.lastname: Hill
authors.affiliation: Section of Family Planning and Contraceptive Research, Department of Obstetrics and Gynecology, Pritzker School of Medicine, University of Chicago, Chicago, IL.
authors.forename: Caroline
authors.initials: C
authors.lastname: Kuhn
authors.affiliation: Section of Family Planning and Contraceptive Research, Department of Obstetrics and Gynecology, Pritzker School of Medicine, University of Chicago, Chicago, IL.
authors.forename: Catherine
authors.initials: C
authors.lastname: Hagbom-Ma
authors.affiliation: Section of Family Planning and Contraceptive Research, Department of Obstetrics and Gynecology, Pritzker School of Medicine, University of Chicago, Chicago, IL.
authors.forename: Melissa
authors.initials: M
authors.lastname: Gilliam
mesh_terms: D000028:Abortion, Induced; D000293:Adolescent; D000328:Adult; D003268:Contraception Behavior / Q000706:statistics & numerical data; D003271:Contraceptive Agents, Female / Q000008:administration & dosage*; D003376:Counseling / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015918:Infusion Pumps, Implantable / Q000706:statistics & numerical data*; D057194:Intention to Treat Analysis; D007434:Intrauterine Devices / Q000706:statistics & numerical data*; D010353:Patient Education as Topic / Q000379:methods*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011247:Pregnancy; D011582:Psychological Theory; D016037:Single-Blind Method; D014741:Video Recording
chemical_list: D003271:Contraceptive Agents, Female
keywords: abortion; counseling; long-acting reversible contraception