Effect of Brief Motivational Interviewing Program on Contraceptive Implant Use among Adolescent Mothers
Article Sidebar
Main Article Content
Abstract
Purpose: This study aimed to examine the effects of a brief motivational interviewing program on the use of contraceptive implant among adolescent mothers.
Design: Quasi - experimental posttest-only design with two groups.
Methods: The participants consisted of 64 adolescent mothers aged 15-19 years who were admitted at a postpartum ward of a tertiary hospital in Bangkok. They were divided into two groups of 32 participants each. The control group received standard nursing care, while the experimental group received a brief motivational interviewing program in addition to standard care. Chi-squared test and Fisher’s exact test was used for statistical comparisons.
Main findings: Adolescent mothers in the experimental group used contraceptive implants before discharge (81.3%) significantly higher than that in the control group (40.6%) (χ2 = 11.09, p < .05).
Conclusion and recommendations: A brief motivational interviewing session can help adolescent mothers recognize the consequences of repeat pregnancy and understand the importance of postpartum contraceptive implant use. To support the effective care of adolescent mothers, it is recommended that training sessions on motivational interviewing techniques be conducted for professional nurses to enhance their capacity in providing care for this population. Additionally, a counseling manual on contraceptive should be developed based on the principles of motivational interviewing.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright Notice: Nursing Science Journal of Thailand has exclusive rights to publish and distribute the manuscript and all contents therein. Without the journal’s permission, the dissemination of the manuscript in another journal or online, and the reproduction of the manuscript for non-educational purpose are prohibited.
Disclaimer: The opinion expressed and figures provided in this journal, NSJT, are the sole responsibility of the authors. The editorial board bears no responsibility in this regard.
References
Panpetch O, Wongsawat P. Unwanted pregnancy in adolescents: guidelines for prevention and surveillance. Journal of Phrapokklao Nursing College. 2020;31(2):280-92. (in Thai).
Department of Reproductive Health, Ministry of Public Health. Reproductive health indicators in the Health Data Center database, Ministry of Public Health [Internet]. Nonthaburi: Ministry of Public Health; 2023 [cited 2025 Jul 23]. Available from: http://www.rbpho.moph.go.th/upload-file/doc/files/21012023-110144-1627.pdf. (in Thai).
Chalapati W. A 36-month contraceptive implant(s) continuation rate among adolescents compared with adults initiating contraceptive implant(s) at Nong Khai hospital. Udonthani Hospital Medical Journal. 2024;32(2):200-14. (in Thai).
Boamah-Kaali EA, Mevissen FE, Owusu-Agyei S, Enuameh Y, Asante KP, Ruiter RA. A qualitative exploration of factors explaining non-uptake of hormonal contraceptives among adolescent girls in rural Ghana: the adolescent girls’ perspective. Open Access J Contracept. 2021;12:173-85. doi: 10.2147/OAJC.S320038.
Akonor PY, Ayanore MA, Anaman-Torgbor JA, Tarkang EE. Psychosocial factors influencing contraceptive use among adolescent mothers in the Volta region of Ghana: application of the health belief model. Afr Health Sci. 2021;21(4):1849-59. doi: 10.4314/abs.v21i4.43.
Woollett N, Bandeira M, Marunda S, Mudekunye L, Ebersohn L. Adolescent pregnancy and young motherhood in rural Zimbabwe: findings from a baseline study. Health Soc Care Community. 2021;29(6):e377-e86. doi: 10.1111/hsc.13362.
Anupma A, Sarkar A, Sharma P, Jindal S, Sharma JC, Status of contraceptive use for birth spacing after a teenage pregnancy: where do we stand? Cureus. 2023;15(5):e38563. doi: 10.7759/cureus.38563.
National Health Security Office. Criteria, conditions, and reimbursement rates for adolescent pregnancy prevention services, prevention of unsafe abortion, and prevention and control of unintended pregnancy under the Universal Health Coverage Scheme, 2018 [Internet]. Bangkok: National Health Security Office; 2018 [cited 2025 Jul 23]. Available from: https://rh.anamai.moph.go.th/web-upload/7x027006c2abe84e89b5c85b44a692da94/202011/m_news/31982/192762/file_download/e84f4cbb4860b15768c6b035386c0747.pdf. (in Thai).
Kraft M, Miadaira M, Marangoni MJ, Juliato CRT, Surita FG. Postplacental placement of intrauterine devices: acceptability, reasons for refusal and proposals to increase its use. Rev Bras Ginecol Obstet. 2021;43(3):172-7. doi: 10.1055/s-0041-1725053.
Santibenchakul S, Thanativakul K, Jaisamrarn U. An educational video on long-acting reversible contraception as a counseling tool for postpartum adolescents. Contracept Reprod Med. 2022;7(1):24. doi: 10.1186/s40834-022-00195-8.
Rollnick S, Miller WR, Butler CC. Motivational interviewing in health care: helping patients change behavior. In: Rollnick S, Miller WR, editors. Applications of motivational interviewing. New York: Guilford Press; 2008. p.3-30.
Gregory EF, Maddox AI, Levine LD, Fiks AG, Lorch SA, Resnicow K. Motivational interviewing to promote interconception health: a scoping review of evidence from clinical trials. Patient Educ Couns. 2022;105(11):3204-12. doi: 10.1016/j.pec.2022.07.009.
Naisangkharn S, Deawisres W, Techasaksri T. Effects of a promoting the use of contraceptive implant program on knowledge, readiness and immediate postpartum contraceptive implant use among teenage mother. Journal of Boromarajonani College of Nursing, Bangkok. 2019;35(1):99-100. (in Thai).
Saengprajong K, Ratinthon A, Phahuwatanakorn W. Effects of motivational counseling on readiness for long-acting contraceptive use among pregnant adolescents: a pilot study. Nursing Science Journal of Thailand. 2016;34 Suppl 1:28-39. (in Thai).
Tomlin K, Bambulas T, Sutton M, Pazdernik V, Coonrod DV. Motivational interviewing to promote long-acting reversible contraception in postpartum teenagers. J Pediatr Adolesc Gynecol. 2017;30(3):383-8. doi: 10.1016/j.jpag.2016.11.001.
Harding JF, Walzer J, Piatt R, Goesling B. Replicating the use of motivational interviewing and facilitated contraceptive access to reduce repeat adolescent pregnancy: a randomized trial. Contraception. 2025:111200. doi: 10.1016/j.contraception.2025.111200.
Luttges C, Leal I, Huepe G, González D, González E, Molina T. Pregnant again? Perspectives of adolescent and young mothers who and do not experience a repeat pregnancy in adolescence. Int J Qual Stud Health Well-being. 2021;16(1):1898317. doi: 10.1080/17482631.2021.1898317.
Singnigorn K, Kongsomrit A, Kanyabun S. Factors affecting repeat pregnancies among teenage mothers, Health Region 4. Journal of Environmental and Community Health. 2024;9(4):142-9. (in Thai).
Buckingham P, Moulton JE, Subasinghe AK, Amos N, Mazza D. Acceptability of immediate postpartum and post-abortion long-acting reversible contraception provision to adolescents: a systematic review. Acta Obstet Gynecol Scand. 2021;100(4):629-40. doi: 10.1111/aogs.14129.
Kalata M, Richards M, Sheeder J. Negative perceptions and long-acting reversible contraceptive choice in adolescents and young adults: a cross-sectional study. J Pediatr Adolesc Gynecol. 2023;36(5):465-71. doi: 10.1016/j.jpag.2023.03.
