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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1: Counseling Intervention | Experimental | Contraceptive counseling session based on the principles of motivational interviewing |
|
| Group 2: Usual Care | No Intervention | The standard clinic-based contraceptive counseling with no additional or theory-based contraceptive counseling session |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Counseling Intervention | Behavioral | 20-40 minute contraceptive counseling session based on the principles of motivational interviewing |
|
| Measure | Description | Time Frame |
|---|---|---|
| Use of very effective contraception | up to 3 months after termination of pregnancy appointment |
| 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 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Amy Whitaker, MD MS | University of Chicago | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Chicago Medical Center | Chicago | Illinois | 60615 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30685284 | Derived | Brown BP, Chor J, Hebert LE, Webb ME, Whitaker AK. Shared negative experiences of long-acting reversible contraception and their influence on contraceptive decision-making: a multi-methods study. Contraception. 2019 Apr;99(4):228-232. doi: 10.1016/j.contraception.2019.01.002. Epub 2019 Jan 24. | |
| 27211225 | Derived |
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| ID | Term |
|---|---|
| D003376 | Counseling |
| ID | Term |
|---|---|
| D008605 | Mental Health Services |
| D004191 | Behavioral Disciplines and Activities |
| D003153 | Community Health Services |
| D006296 | Health Services |
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| up to 3 months |
| Intention to continue current method | up to 3 months |
| Whitaker AK, Quinn MT, Munroe E, Martins SL, Mistretta SQ, Gilliam ML. A motivational interviewing-based counseling intervention to increase postabortion uptake of contraception: A pilot randomized controlled trial. Patient Educ Couns. 2016 Oct;99(10):1663-9. doi: 10.1016/j.pec.2016.05.011. Epub 2016 May 9. |
| D005159 | Health Care Facilities Workforce and Services |