Video compared to conversational contraceptive counseling during labor and maternity hospitalization in Colombia: A randomized trial

Alyssa R. Hersh, Luisa F. Muñoz, Mónica Rincón, Carolina Alvarez, Jorge E. Tolosa, Diva J. Moreno, Martha Rubio, Juan C. Vargas, Francisco Edna, Nelson Taborda, Maureen K. Baldwin

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Objective: Assess if video-based contraceptive education could be an efficient adjunct to contraceptive counseling and attain the same contraceptive knowledge acquisition as conversation-based counseling. Study design: This was a multicenter randomized, controlled trial examining contraceptive counseling during labor and maternity hospitalization regarding the options of immediate postpartum contraception. At two urban public hospitals, we randomized participants to a structured conversation with a trained counselor or a 14-min video providing the same information. Both groups received written materials and were invited to ask the counselor questions. Our primary outcome was to compare mean time for video-based education and conversational counseling; secondary outcomes included intended postpartum contraceptive method, pre- and postintervention contraceptive knowledge, and perceived competence in choosing a method of contraception. Results: We enrolled 240 participants (conversation group=119, video group=121). The average time to complete either type of counseling was similar [conversational: 16.3 min, standard deviation (SD) ±3.8 min; video: 16.8 min, SD ±4.6 min, p=.32]. Of women intending to use nonpermanent contraception, more participants intended to use a long-acting reversible contraceptive (LARC) method after conversational counseling (72/103, 70% versus 59/105, 56%, p=.041). Following counseling, mean knowledge assessment scores increased by 2 points in both groups (3/7 points to 5/7 correct). All but two participants in the video group agreed they felt equipped to choose a contraceptive method after counseling. Conclusions: Compared to in-person contraceptive counseling alone, video-based intrapartum contraceptive education took a similar amount of time and resulted in similar contraceptive knowledge acquisition, though with fewer patients choosing LARC. Implications: Video-based contraceptive education may be useful in settings with limited personnel to deliver unbiased hospital-based, contraceptive counseling for women during the antepartum period.

Original languageEnglish (US)
Pages (from-to)210-214
Number of pages5
JournalContraception
Volume98
Issue number3
DOIs
StatePublished - Sep 2018

Keywords

  • Colombia
  • Contraception
  • Counseling
  • Family planning
  • LARC
  • Public health

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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