A motivational interviewing-based counseling intervention to increase postabortion uptake of contraception: A pilot randomized controlled trial

Objective: To determine if a counseling intervention using the principles of motivational interviewing (MI) would impact uptake of long-acting reversible contraception (LARC) after abortion. Methods: 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. Primary outcome: uptake of LARC within four weeks of abortion. Secondary outcomes: uptake of any effective contraceptive, contraceptive use three months after abortion and satisfaction with counseling. Bivariate analysis was used to compare outcomes. Results: 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). Conclusion: 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. Practice implications: A contraception counseling session using the principles and skills of motivational interviewing has the potential to impact LARC use after abortion. (C) 2016 Elsevier Ireland Ltd. All rights reserved.