Use of Motivational Interviewing to Increase Contraception Use Among Young Women

Study Overview
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Brief Summary
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Study design: This is a 2-phase study. During the first phase, the investigators developed a contraceptive counseling intervention based on the principles of Motivational Interviewing, trained counselors, and conducted a small pilot study to develop skills and refine the intervention. The second phase is this feasibility randomized controlled trial (RCT) to compare outcomes between: Group 1 - Women randomized to a 20-40 minute contraceptive counseling session based on the principles of motivational interviewing, vs. Group 2 - Women receiving usual clinic care. Population: Women, aged 15-29 years, presenting to the University of Chicago family planning clinic for termination of an unintended pregnancy. Hypothesis: A larger proportion of women who are randomized to receive the MI counseling intervention will be using very effective contraception 3 months after the intervention.

Official Title
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Use of Motivational Interviewing to Increase Contraception Use Among Young Women: a Randomized Control Trial

Conditions
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Unplanned Pregnancy

Intervention / Treatment
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* Behavioral: Counseling Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Aged 15-29 years Presenting for elective termination of an unintended pregnancy Has not had contraceptive counseling from the team. Willing and able to understand and comply with study protocol Willing and able to sign an informed consent in English Exclusion Criteria: Current pregnancy intended Current pregnancy desired Reason for pregnancy termination not elective (e.g. fetal anomalies, pregnancy resulted from rape or incest) Plans pregnancy within 6 months Has been administered any sedatives or cervical ripening agents For minors, must not be a ward of the state.

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 29 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group 1: Counseling Intervention<br>Contraceptive counseling session based on the principles of motivational interviewing | Behavioral: Counseling Intervention<br>* 20-40 minute contraceptive counseling session based on the principles of motivational interviewing<br>|
| No Intervention: Group 2: Usual Care<br>The standard clinic-based contraceptive counseling with no additional or theory-based contraceptive counseling session | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Use of very effective contraception |  | up to 3 months after termination of pregnancy appointment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Correct, consistent use of contraceptive method |  | up to 3 months | 
| Use of any contraceptive method |  | up to 3 months | 
| Contraceptive method satisfaction |  | up to 3 months | 
| Intention to continue current method |  | up to 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Contraception, Counseling