title: A motivational interviewing-based counseling intervention to increase postabortion uptake of contraception: A pilot randomized controlled trial.
abstract: To determine if a counseling intervention using the principles of motivational interviewing (MI) would impact uptake of long-acting reversible contraception (LARC) after abortion.
  
  
  
  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.
  
  
  
  uptake of LARC within four weeks of abortion.
  
  
  
  uptake of any effective contraceptive, contraceptive use three months after abortion and satisfaction with counseling. Bivariate analysis was used to compare outcomes.
  
  
  
  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).
  
  
  
  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.
  
  
  
  A contraception counseling session using the principles and skills of motivational interviewing has the potential to impact LARC use after abortion.
authors.affiliation: 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.
authors.forename: Amy K
authors.initials: AK
authors.lastname: Whitaker
authors.affiliation: The University of Chicago Medicine, Department of Medicine, Section of General Internal Medicine, Chicago, IL, USA.
authors.forename: Michael T
authors.initials: MT
authors.lastname: Quinn
authors.affiliation: The University of Chicago Medicine, Department of Obstetrics and Gynecology, Section of Family Planning and Contraceptive Research, Chicago, IL, USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Munroe
authors.affiliation: The University of Chicago Medicine, Department of Obstetrics and Gynecology, Section of Family Planning and Contraceptive Research, Chicago, IL, USA.
authors.forename: Summer L
authors.initials: SL
authors.lastname: Martins
authors.affiliation: The University of Chicago Medicine, Department of Obstetrics and Gynecology, Section of Family Planning and Contraceptive Research, Chicago, IL, USA.
authors.forename: Stephanie Q
authors.initials: SQ
authors.lastname: Mistretta
authors.affiliation: The University of Chicago Medicine, Department of Obstetrics and Gynecology, Section of Family Planning and Contraceptive Research, Chicago, IL, USA.
authors.forename: Melissa L
authors.initials: ML
authors.lastname: Gilliam
mesh_terms: D000028:Abortion, Induced; D000293:Adolescent; D000328:Adult; D002641:Chicago; D003267:Contraception; D003376:Counseling / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D062405:Motivational Interviewing; D010043:Outcome and Process Assessment, Health Care; D017060:Patient Satisfaction; D011247:Pregnancy; D049168:Pregnancy, Unplanned; D055815:Young Adult
keywords: Abortion; Contraception; Counseling; Long acting reversible contraception; Motivational interviewing; Unintended pregnancy