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. Author manuscript; available in PMC: 2016 Oct 1.
Published in final edited form as: Contraception. 2015 Jun 18;92(4):323–329. doi: 10.1016/j.contraception.2015.06.015

Table 1.

Steps of the intervention

Step* Primary MI principle** and dimension***
1. Establish Rapport

  • Engage patient to discuss her life situation, including goals and values.

 Principle:

  • Express empathy.
Dimension:

  • Collaboration
2. Set the agenda

  • Elicit patient’s perception of importance of avoiding unintended pregnancy.

  • Discuss the use of very effective methods of contraception as a way to achieve that goal.

 Principle:

  • Develop discrepancy.
Dimensions:

  • Evocation

  • Direction

3. Ask permission to give information about contraceptive methods

  • Use chart adapted from a USAID and WHO chart presenting methods in a tiered fashion [15].

 Principle:

  • Support self-efficacy.
Dimensions:

  • Direction

  • Collaboration

4. Discuss prior contraception use

  • Focus on eliciting salient beliefs about contraceptive methods and motivation to use one.

  • Examples of past successful contraceptive use.

  • Explore prior reasons for using and for discontinuing contraceptive methods.

 Principles:

  • Develop discrepancy.

  • Roll with resistance.
Dimensions:

  • Evocation

  • Collaboration

5. Assess importance, confidence, and readiness to use contraception, using 10-point Likert-like rulers described by Miller and Rollnick [10]. Principles:

  • Develop discrepancy.

  • Support self-efficacy.
Dimensions:

  • Evocation

  • Autonomy / Support
6. Continued conversation about very effective contraception

  • Tailored to the patient’s readiness and confidence in using very effective methods of contraception.

 Principles:

  • Express empathy.

  • Roll with resistance.
Dimensions:

  • Empathy

  • Collaboration

7. Wrap-up

  • Confirm which method the patient has chosen.

  • Finalize strategies for obtaining and using very effective contraception, if a method was chosen.

  • Exploration of what would be helpful to improve confidence for contraceptive use if desired.

 Principle:

  • Support self-efficacy.
Dimensions:

  • Direction

  • Autonomy / Support
*

The seven steps involved in the intervention outline are not meant to be a rigid outline, and movement between steps can be fluid and multi-directional.

**

From Miller & Rollnick, 2002 [10]

***

From Moyers, Martin, Manuel, Miller, & Ernst, 2010 [16]