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Impact of a theory-based video on initiation of long-acting reversible contraception after abortion.
Am J Obstet Gynecol 2015; 212(3):310.e1-7AJ

Abstract

OBJECTIVE

Adoption of long-acting reversible contraception (LARC) (ie, the intrauterine device or the contraceptive implant) immediately after abortion is associated with high contraceptive satisfaction and reduced rates of repeat abortion. Theory-based counseling interventions have been demonstrated to improve a variety of health behaviors; data on theory-based counseling interventions for postabortion contraception are lacking.

STUDY DESIGN

Informed by the transtheoretical model of behavioral change, a video intervention was developed to increase awareness of, and dispel misconceptions about, LARC methods. The intervention was evaluated in a randomized controlled trial among women aged 18-29 years undergoing surgical abortion at a clinic in Chicago, IL. Participants were randomized 1:1 to watch the intervention video or to watch a stress management video (control), both 7 minutes in duration. Contraceptive methods were supplied to all participants free of charge. Rates of LARC initiation immediately after abortion were compared.

RESULTS

Rates of LARC initiation immediately after abortion were not significantly different between the 2 study arms; 59.6% in the intervention and 51.6% in the control arm chose a LARC method (P = .27).

CONCLUSION

This study resulted in an unexpectedly high rate of LARC initiation immediately after abortion. High rates of LARC initiation could not be attributed to a theory-based counseling intervention.

Authors+Show Affiliations

Section of Family Planning and Contraceptive Research, Department of Obstetrics and Gynecology, Pritzker School of Medicine, University of Chicago, Chicago, IL. Electronic address: davidson.autumn@gmail.com.Section of Family Planning and Contraceptive Research, Department of Obstetrics and Gynecology, Pritzker School of Medicine, University of Chicago, Chicago, IL.Section of Family Planning and Contraceptive Research, Department of Obstetrics and Gynecology, Pritzker School of Medicine, University of Chicago, Chicago, IL.Section of Family Planning and Contraceptive Research, Department of Obstetrics and Gynecology, Pritzker School of Medicine, University of Chicago, Chicago, IL.Section of Family Planning and Contraceptive Research, Department of Obstetrics and Gynecology, Pritzker School of Medicine, University of Chicago, Chicago, IL.Section of Family Planning and Contraceptive Research, Department of Obstetrics and Gynecology, Pritzker School of Medicine, University of Chicago, Chicago, IL.Section of Family Planning and Contraceptive Research, Department of Obstetrics and Gynecology, Pritzker School of Medicine, University of Chicago, Chicago, IL.

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25265403

Citation

Davidson, AuTumn S., et al. "Impact of a Theory-based Video On Initiation of Long-acting Reversible Contraception After Abortion." American Journal of Obstetrics and Gynecology, vol. 212, no. 3, 2015, pp. 310.e1-7.
Davidson AS, Whitaker AK, Martins SL, et al. Impact of a theory-based video on initiation of long-acting reversible contraception after abortion. Am J Obstet Gynecol. 2015;212(3):310.e1-7.
Davidson, A. S., Whitaker, A. K., Martins, S. L., Hill, B., Kuhn, C., Hagbom-Ma, C., & Gilliam, M. (2015). Impact of a theory-based video on initiation of long-acting reversible contraception after abortion. American Journal of Obstetrics and Gynecology, 212(3), pp. 310.e1-7. doi:10.1016/j.ajog.2014.09.027.
Davidson AS, et al. Impact of a Theory-based Video On Initiation of Long-acting Reversible Contraception After Abortion. Am J Obstet Gynecol. 2015;212(3):310.e1-7. PubMed PMID: 25265403.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impact of a theory-based video on initiation of long-acting reversible contraception after abortion. AU - Davidson,AuTumn S, AU - Whitaker,Amy K, AU - Martins,Summer L, AU - Hill,Brandon, AU - Kuhn,Caroline, AU - Hagbom-Ma,Catherine, AU - Gilliam,Melissa, Y1 - 2014/09/28/ PY - 2014/06/26/received PY - 2014/08/27/revised PY - 2014/09/24/accepted PY - 2014/9/30/entrez PY - 2014/9/30/pubmed PY - 2015/4/29/medline KW - abortion KW - counseling KW - long-acting reversible contraception SP - 310.e1 EP - 7 JF - American journal of obstetrics and gynecology JO - Am. J. Obstet. Gynecol. VL - 212 IS - 3 N2 - OBJECTIVE: Adoption of long-acting reversible contraception (LARC) (ie, the intrauterine device or the contraceptive implant) immediately after abortion is associated with high contraceptive satisfaction and reduced rates of repeat abortion. Theory-based counseling interventions have been demonstrated to improve a variety of health behaviors; data on theory-based counseling interventions for postabortion contraception are lacking. STUDY DESIGN: Informed by the transtheoretical model of behavioral change, a video intervention was developed to increase awareness of, and dispel misconceptions about, LARC methods. The intervention was evaluated in a randomized controlled trial among women aged 18-29 years undergoing surgical abortion at a clinic in Chicago, IL. Participants were randomized 1:1 to watch the intervention video or to watch a stress management video (control), both 7 minutes in duration. Contraceptive methods were supplied to all participants free of charge. Rates of LARC initiation immediately after abortion were compared. RESULTS: Rates of LARC initiation immediately after abortion were not significantly different between the 2 study arms; 59.6% in the intervention and 51.6% in the control arm chose a LARC method (P = .27). CONCLUSION: This study resulted in an unexpectedly high rate of LARC initiation immediately after abortion. High rates of LARC initiation could not be attributed to a theory-based counseling intervention. SN - 1097-6868 UR - https://www.unboundmedicine.com/medline/citation/25265403/Impact_of_a_theory_based_video_on_initiation_of_long_acting_reversible_contraception_after_abortion_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9378(14)00969-7 DB - PRIME DP - Unbound Medicine ER -