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Prevalence of shared negative contraception experiences and their impact on counseling about long-acting reversible contraceptives

Benjamin Brown, The University of Chicago, 2013

Project abstract

Long-acting reversible contraceptives (LARC)—the intrauterine device (IUD) and contraceptive implant—are the most effective forms of nonpermanent contraception, yet they are underutilized in the United States. Friends and family members have a strong impact on women’s contraceptive decisions. This study will examine the prevalence of shared negative LARC experiences—the personal negative experiences with LARC of a friend or family member that are shared by that person with a patient—and how such experiences influence patient decision-making about contraception.

Our project will be a sub-study within an existing pilot randomized controlled trial (RCT) evaluating motivational interviewing (MI) as a contraceptive counseling tool among 60 patients from our institution’s family planning clinic who are presenting for abortion. Participants will complete a baseline survey to determine the prevalence of shared negative LARC experiences and to rate the impact of such stories on their intention to use LARC. Participants will then complete activities per the parent study protocol, including standard or MI-based counseling plus follow-up telephone surveys at one and three months. The surveys will include quantitative items specific to our proposed research. We will also conduct semi-structured qualitative interviews with a subgroup of five participants from each RCT arm to assess whether and how counseling mitigated the effect of shared negative LARC experiences.

We hypothesize that 25% of our population will have heard shared negative experiences about LARC, that these stories will negatively impact participant interest in LARC, and that MI-based counseling will moderate their impact.

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