Motivational Interviewing-Based Family Planning Counseling and Its Effect on Attitudes and Intentions Toward Modern Contraceptive Use Among Women Using Traditional Contraceptive Methods
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- Change in attitude toward modern contraceptive methods
Study Overview
Brief Summary
This study aims to evaluate the effect of motivational interviewing-based family planning counseling on attitudes and intentions toward modern contraceptive methods among women currently using traditional contraceptive methods. Despite the widespread use of traditional methods in many regions, including Turkey, modern contraceptive methods remain underutilized, leading to increased unintended pregnancies and related health burdens. Motivational interviewing is a client-centered counseling approach that supports individuals in making informed health decisions. By providing tailored counseling, this study seeks to improve women's awareness and motivation to adopt effective modern contraceptive methods, ultimately enhancing reproductive health outcomes. The findings are expected to contribute valuable insights for healthcare providers to improve family planning services and support women's reproductive choices.
Detailed Description
The motivational interviewing process consisted of 5 stages with 8 participants per group. A pre-interview will be conducted, followed by the first session one week later. The remaining four sessions will be held at two-week intervals, for a total duration of 9 weeks. The first and last sessions lasted 60 minutes; the others about 45 minutes. The stages of the motivational interviews were planned as follows:
Initial Session: Purpose and process explained, participant experiences assessed, and pre-tests conducted.
Engagement: Explored feelings and experiences about traditional family planning methods.
Supporting Self-Efficacy: Evaluated knowledge and confidence in modern methods. Change Talk: Focused on motivation and awareness for switching to modern methods.
Planning and Maintenance: Concrete action plans created, barriers and coping strategies discussed, and post-tests administered at the end.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 18 Years to 49 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Women aged between 18 and 49 years
- •Literate in Turkish
- •Currently using a traditional family planning method (e.g., withdrawal method)
Exclusion Criteria
- •Diagnosed psychiatric disorder
- •Currently pregnant
Arms & Interventions
Motivational Interviewing
Motivational interviewing-based family planning counseling
Intervention: motivational interviewing-based family planning counseling (Behavioral)
Family planning
Standard family planning counseling
Intervention: standard family planning counseling. (Behavioral)
Control
No intervention
Outcomes
Primary Outcomes
Change in attitude toward modern contraceptive methods
Time Frame: Before the intervention and 9 weeks post-intervention
Assessed using a validated scale measuring women's attitudes toward modern contraceptive methods. Family Planning Attitude Scale: The scale was developed by Örsal and Kubilay in 2007. It is a 5-point Likert-type scale consisting of 34 items. Each statement on the scale is scored as "1=Strongly Agree," "2=Agree," "3=Undecided," "4=Disagree," and "5=Strongly Disagree." The scale has three subdimensions: attitudes toward family planning in society (items 1-15), attitudes toward family planning methods (items 16-26), and attitudes toward childbirth (items 27-34). The attitude toward family planning in society subdimension scores range from 15 to 75, the attitude toward family planning methods subdimension scores range from 11 to 55, the attitude toward childbirth subdimension scores range from 8 to 40, and the total scale score ranges from 34 to 170. As the score on the scale increases, the attitude toward family planning becomes more positive.
Secondary Outcomes
- Change in intention toward modern contraceptive methods(Before the intervention and 9 weeks post-intervention)
Investigators
Çiğdem Erdemoğlu
Dr
Adiyaman University