Effect of Motivational Interviewing on Using Intrauterine Device in Women at High Risk for Pregnancy

Katayoon Vakilian; Sajedeh Molavi; Ahmad Reza Zamani; Masoumeh Goodarzi

doi:10.3889/oamjms.2018.166

Authors

Katayoon Vakilian Arak University of Medical Sciences, Arak School of Nursing and Midwifery, Arak
Sajedeh Molavi Arak University of Medical Sciences, Arak School of Nursing and Midwifery, Arak
Ahmad Reza Zamani Isfahan University of Medical Sciences, Isfahan
Masoumeh Goodarzi Isfahan University of Medical Sciences, Isfahan

DOI:

https://doi.org/10.3889/oamjms.2018.166

Keywords:

Motivational Interviewing, IUD, Reproductive Health, Women at High Risk

Abstract

BACKGROUND: Reproductive health programs help women live healthier. Family planning consultation is an important component of reproductive health. A good family planning consultation can increase the use of effective birth control methods and improve the life quality of people, specifically of those at high risk. One of the most effective birth control techniques is an intrauterine device (IUD).

AIM: This study was done to investigate the effect of motivational interviewing (MI) on the use of IUD in women at high risk for pregnancy.

METHODS: This random educational trial was conducted in Isfahan on 44 women at high risk for pregnancy in 2015. Subjects were selected through random sampling. First, written informed consent of all samples was gathered, and then the intervention was made in five 45-minute motivational interviewing sessions by the researcher. For this study, a questionnaire was created to measure knowledge, attitude, acceptance, and performance. All the subjects filled this instrument prior and one month after the intervention. Data were then analysed using SPSS 20. The employed statistical tests included dependent t-test, independent t-test, Mann-Whitney, Fischerâ€™s exact test, and McNemar's test.

RESULTS: Results suggested that MI significantly improved the use of IUD in the intervention group (p < 0.001). Also, the mean knowledge (p < 0.001) and attitude (p < 0.001) scores significantly increased in the intervention group.

CONCLUSION: Due to the role of MI in increasing the use of IUD, embedding this type of consultation in specific programs for changing health behaviours during pregnancy can be beneficial.

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References

Jonathan S, MD B. Berek akd Novak's Gynecology. Edition F, editor. America, 2012:246-9.

Finer LB, Henshaw SK. Disparities in rates of unintended pregnancy in the United States, 1994 and 2001. Perspectives on sexual and reproductive health. 2006; 38(2):90-6. https://doi.org/10.1363/3809006

Bhutta ZA, Das JK, Bahl R, Lawn JE, Salam RA, Paul VK, et al. Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? The Lancet. 2014; 384(9940):347-70. https://doi.org/10.1016/S0140-6736(14)60792-3

RamaRao S, Mohanam R. The quality of family planning programs: concepts, measurements, interventions, and effects. Studies in family planning. 2003; 34(4):227-48. https://doi.org/10.1111/j.1728-4465.2003.00227.x PMid:14758606

Group ECW. Intrauterine devices and intrauterine systems. Human Reproduction Update. 2008; 14(3):197-208. https://doi.org/10.1093/humupd/dmn003 PMid:18400840

Manzouri L, Aghdak P, Nematollahi S, Mansouri A, Aghababaeian A, Nasiri SDND. Misbelieves about Intra Uterine Device (IUD) in Isfahan, Iran. Journal of Family and Reproductive Health. 2010; 4(4):169-74.

Nobili MP, Piergrossi S, Brusati V, Moja EA. The effect of patient-centered contraceptive counseling in women who undergo a voluntary termination of pregnancy. Patient education and counseling. 2007; 65(3):361-8. https://doi.org/10.1016/j.pec.2006.09.004 PMid:17125957

Rasch V, Massawe S, Yambesi F, Bergstrom S. Acceptance of contraceptives among women who had an unsafe abortion in Dar es Salaam. Tropical Medicine & International Health. 2004; 9(3):399-405. https://doi.org/10.1111/j.1365-3156.2004.01197.x

Jadgal KM, Zareban I, Rakhshani F, Alizade Siouki H, Lotfi Mayen Boulagh B, Hajilou E. The impact of health education based on health belief model on preventive behavior of unwanted pregnancy among chabahar women[persian]. Salamat Va Behdasht Journal. 2013; 5(3):191-202.

Delaram M. Knowledge, attitude and practice of women about emergency contraception in women who referred to health centers of Shahrekord in 2006. SKUMS J. 2014; 9(2):49-56.

Speroff L, Philip D. A clinical guid for contraception. Illustrated ed. 5, editor: Lippincott Williams & Wilkins, 2011.

Brodie D, Inoue A, Shaw D. Motivational interviewing to change of life for people with chronic heart failure: A randomized controlled trial. International Journal of Nursing Studies. 2008; 45:489â€“500. https://doi.org/10.1016/j.ijnurstu.2006.11.009 PMid:17258218

Cummings S, Cooper R, Cassie K. Motivational interviewing affect behavioral changes in older adults. Research on Social Work. Research on social work practice. 2009; 19(2):195-204. https://doi.org/10.1177/1049731508320216

Asker C, Stokesâ€“Lampard H, Beavan J, Wilson S. What is it about intrauterine devices that women find unacceptable? Factors that make women nonâ€“users: A qualitative study. J Fam Plann Reprod Health Care. 2006; 32:89-94. https://doi.org/10.1783/147118906776276170 PMid:16824298

Hetterma J, Steele J, Miller W. Motivational interviewing. Annual Review of Clinical Psychology. PubMed J. 2005; 1: 91-111.

Webber K, Tate F, Bowling J. A randomized comparison of tow motivationally enhanced internal behavioral weight liss programs. Behaviour Research and Therapy. 2008; 46:1090-5. https://doi.org/10.1016/j.brat.2008.06.008 PMid:18675402

Rajabipour E, Maddah S, Falahi Khoshknab M, Zarei F, Anaraki F. Effect of group motivational interviewing on quality of life of patients with colorectal cancer and permanent ostomy. Iranian Journal of Psychiatric Nursing. 2014; 2(7):58-68.

Arkowitz H, Westra H, Miller W, Rollnick S. Motivational interviewing in the treatment of psychological problems. eddition s, editor. New York: The Guilford Press, 2015: 400.

Mohammadi Zeidi I, Pakpour Hajiagha A. Impact of motivational interviewing on short-term changes in oral self-care behaviors in smokers. J Isfahan Dent Sch. 2013; 9(2):123-34.

Ghasemipour Y, Bahrami Ehsan H, Abbaspour S, Poursharifi H. The effectiveness of motivational interviewing in treating overweight and obesity of patients with coronary heart disease. Iranian Journal of Psychiatry and Clinical Psychology. 2013; 18(4):276-83.

Navidian A, Abedi M, Baghban I, Fatehizade Ms, Poursharifi H. Effect of motivational interviewing on the weight self-efficacy lifestyle in men suffering from overweight and obesity. Journal of Behavioral Sciences. 2010; 4(2):149-54.

Hladky KJ, Allsworth JE, Madden T, Secura GM, Peipert JF. Women's knowledge about intrauterine contraception. Obstetrics and gynecology. 2011; 117(1):48. https://doi.org/10.1097/AOG.0b013e318202b4c9 PMid:21173643 PMCid:PMC3244817

Whitaker AK, Johnson LM, Harwood B, Chiappetta L, Creinin MD, Gold MA. Adolescent and young adult women's knowledge of and attitudes toward the intrauterine device. Contraception. 2008; 78(3):211-7. https://doi.org/10.1016/j.contraception.2008.04.119 PMid:18692611

Ferreira A, Souza A, Lima R, Braga C. Choices on contraceptive methods in post-abortion family planning clinic in the northeast Brazil. Reproductive Health. 2016; 7(5):1-5.

Lee JK, Parisi SM, Akers AY, Borrerro S, Schwarz EB. The impact of contraceptive counseling in primary care on contraceptive use. Journal of general internal medicine. 2011; 26(7):731-6. https://doi.org/10.1007/s11606-011-1647-3 PMid:21301983 PMCid:PMC3138576

American College of Obstetricians and Gynecologists. Long actin reversible contraception: Implants and intra uterine device. Replaces practice Bulletin, 2011: 121.

Madden T, Allsworth JE, Hladky KJ, Secura GM, Peipert JF. Intrauterine contraception in Saint Louis: a survey of obstetrician and gynecologists' knowledge and attitudes. Contraception. 2010; 81(2):112-6. https://doi.org/10.1016/j.contraception.2009.08.002 PMid:20103447 PMCid:PMC2813209

Weiss E, Moore K. An assessment of the quality of information available on the internet about the IUD and the potential impact on contraceptive choices. Contraception. 2003; 68(5):359-64. https://doi.org/10.1016/j.contraception.2003.07.001 PMid:14636940

Petersen R, Payne P, Albright J, Holland H, Cabral R, Curtis KM. Applying motivational interviewing to contraceptive counseling: ESP for clinicians. Contraception. 2004; 69(3):213-7. https://doi.org/10.1016/j.contraception.2003.10.007 PMid:14969669