Transtheoretical Model Counseling in Postpartum Contraception

NCT07784738 | Completed DMC

• 1 other identifier: 2022-11
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 2

Brief Summary

The purpose of this study is to evaluate the effect of contraceptive method counseling offered to primiparous women between the ages of 18-45 in the postpartum period by motivational interviewing method based on the Transtheoretic model, on the use of contraceptive methods.

Conditions

Birth Control Behavior; Reproductive Health Attitude

Outcome Measures

Primary Outcomes (2)

• 34-Question Family Planning Attitude Scale

  A minimum of 34 points and a maximum of 170 points can be obtained from the scale. A high score from the scale indicates that the individual's attitude towards Family Planning is positive.

  Throughout the approximately one-year period during which the study was conducted

• Knowledge Test on Contraceptive Methods

  It was prepared by researchers and consists of 10 questions designed to evaluate women's knowledge levels about contraceptive methods, and the maximum score that can be obtained from the test is 10.

  Throughout the approximately one-year period during which the study was conducted

Study Arms (2)

Experimental Arm Title: TTM-Based Postpartum Contraceptive Counseling

EXPERIMENTAL

The study included women aged 18-45 who had given birth for the first time (primiparous), were within 72 hours of delivery and at the stage of discharge, and were considering using a contraceptive method in the future. A total of 80 women meeting the sampling criteria were randomly assigned to either the intervention group (n=30) or the control group (n=50). While the intervention group received contraceptive counseling based on the Transtheoretical Model.

Behavioral: Effect of Transtheoretical Model-Based Counseling on Postpartum Contraceptive Uptake

Control Arm Title: Standard Postpartum Care

NO INTERVENTION

The control group received routine postpartum care services at the clinic.

Interventions

Effect of Transtheoretical Model-Based Counseling on Postpartum Contraceptive Uptake BEHAVIORAL

The study included women aged 18-45 who had given birth for the first time (primiparous), were within 72 hours of delivery and at the stage of discharge, and were considering using a contraceptive method in the future. A total of 80 women meeting the sampling criteria were randomly assigned to either the intervention group (n=30) or the control group (n=50). Data collection forms were completed through face-to-face interviews. While the intervention group received contraceptive counseling based on the Transtheoretical Model, the control group received routine postpartum care services at the clinic. Contraceptive method usage was assessed via telephone at the 6- and 12-month marks for both groups, and at the end of the 12-month period, the "Contraceptive Methods Knowledge Test" (KYIBT) was administered to measure knowledge regarding contraceptive methods.

Experimental Arm Title: TTM-Based Postpartum Contraceptive Counseling

Eligibility Criteria

• Age: 18 Years - 45 Years
• Gender Eligibility Details: Primiparous women in the postpartum period were included
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Primiparous women between the ages of 18-45
• Women in the pre-discharge period, maximum 72 hours after normal birth or cesarean section

You may not qualify if:

• Women who do not want to use contraceptive methods

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Study Sites (2)

Üsküdar Üniversitesi Çarşı Yerleşke

Istanbul, Üsküdar, 34660, Turkey (Türkiye)

Location

Üsküdar Üniversitesi

Istanbul, Üsküdar, 34660, Turkey (Türkiye)

Location

Related Publications (1)

• [1] World Health Organization. Contraception [Internet]. 2022 [cited 2026 Aug 12]. Available from: https://www.who.int/health-topics/contraception#tab=tab_1 [2] Yacobson I, Christopherson K, Michaelides T. Family Planning Methods. In: Finger B, editor. Facts for Family Planning. Washington, DC: USAID; 2013. p.6. ISBN: 978-0-9894734-0-8. Available from: https://fphandbook.org/sites/default/files/fffpchapter7.pdf [3] Hotun Şahin N. Family Planning and Infertility. In: Çoşkun MA, editor. Women's Health and Diseases Nursing Handbook. Istanbul: Koç University Publications; 2016. p.353. [4] World Health Organization. Family planning contraception [Internet]. 2023 [cited 2026 Aug 12]. Available from: https://www.who.int/news-room/fact-sheets/detail/family-planning-contraception [5] World Health Organization. Family planning/contraception methods [Internet]. 2020 [cited 2026 Aug 12]. Available from: https://www.who.int/news-room/factsheets/detail/family-planningcontraception (who.int in Bing) [6] Bellizzi S, Mannava P, Nagai M, Sobel HL. Reasons for discontinuation of contraception among women with a current unintended pregnancy in 36 low and middle-income countries. Contraception. 2020;101:26-33. doi:10.1016/j.contraception.2019.09.006 [7] Türkiye Nüfus ve Sağlık Araştırması (TNSA) 2013 [Internet]. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü; 2013 [cited 2026 Aug 12]. Available from: http://www.hips.hacettepe.edu.tr/tnsa2013/rapor/TNSA_2013_ana_rapor.pdf [8] Baldwin MK, Hart KD, Rodriguez MI. Predictors for follow-up among postpartum patients enrolled in a clinical trial. Contraception. 2018;98(3):228-31. [9] Whitaker AK, Chen BA. Society of family planning guidelines: Postplacental insertion of intrauterine devices. Contraception. 2018;97(1):2-13. [10] Danis RB. Contraception for the Postpartum Period. In: Shoupe D, editor. The Handbook of Contraception: Evidence Based Practice Recommendations and Rationales. Cham: Humana Press; 2020. p.337-44.

  RESULT

Study Officials

• Nevin ŞAHİN

  Danışman

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Model Details: This study is an educational intervention study with a pretest-posttest control group.

Study Record Dates

• First Submitted: May 23, 2024
• First Posted: August 25, 2026
• Study Start: December 21, 2021
• Primary Completion: June 11, 2024
• Study Completion: June 11, 2024
• Last Updated: August 25, 2026

Record last verified: 2026-08

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, CSR
• Time Frame: Information will be shared following the completion of the work.

Locations

TU (2)