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NCT Number: NCT07184229

Effect of Motivational Counseling on the Intention to Use Modern Contraceptive Methods

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.

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Key information

Conditions

Contraception

Age range

18 year–49 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

motivational interviewing-based family planning counseling

Behavioral

This intervention consists of motivational interviewing-based family planning counseling aimed at women currently using traditional contraceptive methods. The counseling sessions are designed to enhance participants' motivation and readiness to adopt modern contraceptive methods by addressing their concerns, increasing knowledge, and resolving ambivalence. The comparator group will receive only standard family planning counseling.

Other names: standard family planning counseling

standard family planning counseling.

Behavioral

The comparator group will receive only standard family planning counseling.

Primary outcomes

  1. 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

  1. Change in intention toward modern contraceptive methods

    Time frame: Before the intervention and 9 weeks post-intervention

    Assessed using a validated scale measuring women's intention toward modern contraceptive methods.

    The Contraceptive Intention Scale (CIS) was developed by Bennet and Rocca in 2015 to assess contraceptive intention.12 The Turkish validity and reliability study of the scale was conducted by Suid and Pasinlioğlu in 2016.19 The scale consists of a total of 15 items and uses a 4-point Likert-type format. The minimum possible total score on the scale is 0, and the maximum is 15. An increase in the score indicates a higher contraceptive intention.

Study contacts

Contact information is provided by the study sponsor or research team.

Çiğdem Erdemoğlu, Dr

CONTACT

[email protected]

095385076024

Sponsors and collaborators

Lead sponsor

Adiyaman University

Other

Registry information

Official study title

Motivational Interviewing-Based Family Planning Counseling and Its Effect on Attitudes and Intentions Toward Modern Contraceptive Use Among Women Using Traditional Contraceptive Methods

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Sep 19, 2025
Registry last updated
Sep 25, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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