Unplanned Pregnancy
Conditions
Keywords
Contraception, Counseling
Brief summary
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.
Interventions
20-40 minute contraceptive counseling session based on the principles of motivational interviewing
Sponsors
Study design
Eligibility
Inclusion criteria
1. Aged 15-29 years 2. Presenting for elective termination of an unintended pregnancy 3. Has not had contraceptive counseling from the team. 4. Willing and able to understand and comply with study protocol 5. Willing and able to sign an informed consent in English
Exclusion criteria
1. Current pregnancy intended 2. Current pregnancy desired 3. Reason for pregnancy termination not elective (e.g. fetal anomalies, pregnancy resulted from rape or incest) 4. Plans pregnancy within 6 months 5. Has been administered any sedatives or cervical ripening agents 6. For minors, must not be a ward of the state.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Use of very effective contraception | up to 3 months after termination of pregnancy appointment |
Secondary
| Measure | 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 |
Countries
United States