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In this study, the investigators propose to create and pilot-test an asynchronous medication abortion provision service.
Full description
In this study, the investigators propose to create and pilot-test an asynchronous medication abortion (MA) provision service. The foundation of this service will be a website that provides information combined with a linked screening questionnaire. The questionnaire will be designed to collect the information recommended by current MA guidelines for history-based MA eligibility assessment. If the patient's responses meet specified criteria, the questionnaire will be sent to a study clinician, who will then determine whether a real-time clinical consultation or facility-based tests are needed. If the clinician decides that they are not, treatment will be provided accordingly. The primary goal of the study is to collect preliminary data on feasibility of the approach, abortion outcomes, and participant satisfaction. The investigators will use these data to determine whether to proceed with further development of asynchronous MA provision.
Enrollment
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Volunteers
Inclusion criteria
• Has reviewed the study website
Can speak and read English
Has an address in a state where the study clinicians are licensed to practice medicine and where the service is legal
Is at least 18 years old
Is pregnant with a gestational age of ≤54 days from last menstrual period
Desires MA
Has not had an ultrasound in the current pregnancy (see below)
Has no symptoms of or risk factors for ectopic pregnancy
Has no medical contraindications to MA, specifically:
Is comfortable obtaining the abortion pills without a pre-treatment ultrasound and without speaking by phone or video with the abortion provider.
Exclusion criteria
Primary purpose
Allocation
Interventional model
Masking
200 participants in 1 patient group
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Data sourced from clinicaltrials.gov
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