Evidence map›Paper›PMID 27211225›Full record

Trial reportPatient education and counseling2016

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

Amy K Whitaker, Michael T Quinn, Elizabeth Munroe, Summer L Martins, Stephanie Q Mistretta, Melissa L Gilliam

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Patient education and counseling, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 5 pooled it
6.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 5 syntheses or guidelines pooled it, 46 citations in OpenAlex.

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  5. Theory-based interventions for contraception.The Cochrane database of systematic reviews · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Amy K WhitakerThe 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.
Michael T QuinnThe University of Chicago Medicine, Department of Medicine, Section of General Internal Medicine, Chicago, IL, USA.
Elizabeth MunroeThe University of Chicago Medicine, Department of Obstetrics and Gynecology, Section of Family Planning and Contraceptive Research, Chicago, IL, USA.
Summer L MartinsThe University of Chicago Medicine, Department of Obstetrics and Gynecology, Section of Family Planning and Contraceptive Research, Chicago, IL, USA.
Stephanie Q MistrettaThe University of Chicago Medicine, Department of Obstetrics and Gynecology, Section of Family Planning and Contraceptive Research, Chicago, IL, USA.
Melissa L GilliamThe University of Chicago Medicine, Department of Obstetrics and Gynecology, Section of Family Planning and Contraceptive Research, Chicago, IL, USA.
University of Chicago · US

Funding

Re-Engineering Translational Research at the University of ChicagoUL1TR000430 · NCATS · UNIVERSITY OF CHICAGO · PI SOLWAY, JULIAN · 2012 to 2016
$20.2M
Use of Motivational Interviewing to Increase Contraception Use among Young WomenK23HD067403 · NICHD · UNIVERSITY OF CHICAGO · PI WHITAKER, AMY K · 2011 to 2015
$618k
NCATS NIH HHS UL1 TR000430NICHD NIH HHS K23 HD067403
6 · The paper itself

Abstract

objectiveTo determine if a counseling intervention using the principles of motivational interviewing (MI) would impact uptake of long-acting reversible contraception (LARC) after abortion.

methodsWe 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.

resultsIn 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).

conclusionTwice 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.

Indexed as

Abortion, InducedContraceptionMotivational InterviewingPatient SatisfactionAdolescentAdultChicagoCounselingFeasibility StudiesFemaleHumansOutcome and Process Assessment, Health CarePregnancyPregnancy, UnplannedYoung AdultAbortionContraceptionCounselingLong acting reversible contraceptionMotivational interviewingUnintended pregnancy

Identifiers

PMID27211225
PMCPMC5028248
OpenAlexW2347024529

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.