BACKGROUND: Family planning clinicians were trained to provide one-to-one behaviour change counselling to deprived teenage women. They facilitated 'if-then' planning designed to increase adherence to contraception and to overcome potential barriers to adherence. METHODS: Reasons for consultation at the clinic were obtained from electronic records and compared before and after the intervention. RESULTS: It was found that consultation for emergency contraception and pregnancy testing was reduced by 15% (49% vs 34%) after making if-then plans. This compared to a 4% reduction in a usual care comparison group. Changes in reasons for consultation before and after the intervention were also explored. Positive changes in behaviour were exhibited in 53% of the group who made if-then plans compared to 28% of the usual care comparison group. Changes in reasons for consultation over time were significant in the counselling group (n = 87, p = 0.035) but not in the comparison group (n = 79, p = 0.68). CONCLUSION: These findings provide evidence that training clinicians in psychological behaviour change techniques such as if-then planning can be effective in influencing contraceptive consultation patterns among teenage women.
BACKGROUND: Family planning clinicians were trained to provide one-to-one behaviour change counselling to deprived teenage women. They facilitated 'if-then' planning designed to increase adherence to contraception and to overcome potential barriers to adherence. METHODS: Reasons for consultation at the clinic were obtained from electronic records and compared before and after the intervention. RESULTS: It was found that consultation for emergency contraception and pregnancy testing was reduced by 15% (49% vs 34%) after making if-then plans. This compared to a 4% reduction in a usual care comparison group. Changes in reasons for consultation before and after the intervention were also explored. Positive changes in behaviour were exhibited in 53% of the group who made if-then plans compared to 28% of the usual care comparison group. Changes in reasons for consultation over time were significant in the counselling group (n = 87, p = 0.035) but not in the comparison group (n = 79, p = 0.68). CONCLUSION: These findings provide evidence that training clinicians in psychological behaviour change techniques such as if-then planning can be effective in influencing contraceptive consultation patterns among teenage women.
Authors: Lauren B Zapata; Karen Pazol; Christine Dehlendorf; Kathryn M Curtis; Nikita M Malcolm; Rachel B Rosmarin; Brittni N Frederiksen Journal: Am J Prev Med Date: 2018-11 Impact factor: 5.043
Authors: Prachi Godiwala; Bradley M Appelhans; Tiffany A Moore Simas; Rui S Xiao; Kathryn E Liziewski; Sherry L Pagoto; Molly E Waring Journal: J Psychosom Obstet Gynaecol Date: 2016-06-20 Impact factor: 2.949
Authors: Chi-Son Kim; Aletha Akers; Daenuka Muraleetharan; Ava Skolnik; Whitney Garney; Kelly Wilson; Aditi Sameer Rao; Yan Li Journal: Prev Med Rep Date: 2022-01-29