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 Tolosa, Diva J. Moreno, Martha Rubio, Juan C. Vargas, Francisco Edna, Nelson Taborda, Maureen Baldwin

Research output: Contribution to journalArticle

2 Citations (Scopus)

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)
JournalContraception
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Colombia
Contraceptive Agents
Counseling
Hospitalization
Contraception
Education
Postpartum Period
Public Hospitals
Urban Hospitals
Mental Competency
Randomized Controlled Trials

Keywords

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

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Video compared to conversational contraceptive counseling during labor and maternity hospitalization in Colombia : A randomized trial. / Hersh, Alyssa R.; Muñoz, Luisa F.; Rincón, Mónica; Alvarez, Carolina; Tolosa, Jorge; Moreno, Diva J.; Rubio, Martha; Vargas, Juan C.; Edna, Francisco; Taborda, Nelson; Baldwin, Maureen.

In: Contraception, 01.01.2018.

Research output: Contribution to journalArticle

Hersh, Alyssa R. ; Muñoz, Luisa F. ; Rincón, Mónica ; Alvarez, Carolina ; Tolosa, Jorge ; Moreno, Diva J. ; Rubio, Martha ; Vargas, Juan C. ; Edna, Francisco ; Taborda, Nelson ; Baldwin, Maureen. / Video compared to conversational contraceptive counseling during labor and maternity hospitalization in Colombia : A randomized trial. In: Contraception. 2018.
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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.",
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AU - Alvarez, Carolina

AU - Tolosa, Jorge

AU - Moreno, Diva J.

AU - Rubio, Martha

AU - Vargas, Juan C.

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AU - Taborda, Nelson

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