Research on Equity in Abortion Care by TeleHealth
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age14-64
SponsorUniversity of California, San Francisco
About this trial
This study will examine the ways in which telehealth for reproductive healthcare affects timing, costs, and follow-up care; whether telehealth reaches people in areas with greater health inequities; and the attributes of telehealth that patients want. Study surveys will be administered to interested, eligible participants: 2,000 patients seeking abortion care will complete the study, comprising of 2 groups: patients seeking medication abortion care either (1) in-person or (2) via telehealth. This project will address how telehealth services can be optimized for people of color, low-income people, and immigrants to increase digital inclusion and health equity.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Must be currently or about to be obtaining medication abortion care through in-person or telehealth services
Disqualifiers
Not currently or about to be obtaining medication abortion care through in-person or telehealth services
Trial population
Participants who have recently received or are currently seeking medication abortion, either through in-person or telehealth services will be able to participate on this study. Up to 1,000 participants will be enrolled through established clinics that offer in-person and telehealth services (500 in-person clinic patients; 500 telehealth patients). Up to 1,000 participants will be enrolled online via Google Ads or other online outreach methods (500 in-person clinic patients and 500 telehealth patients).
Trial design
Design model
Cohort
Time perspective
Prospective
Treatments tested in this trial
Not listed
Trial groups
2,000 Participants
are grouped into 4 trial groupsGroup A: In-person via established clinic
Group B: Telehealth via established clinic
Group C: Telehealth through other online services or searches
Group D: In-person through online search
Trial outcomes
Primary outcomes
1
Determine the ways in which telehealth services affect timing and time to care by comparing in-person and telehealth patients
Descriptive statistics for the elapsed days from the first pregnancy test to 1) date of the decision to have an abortion, 2) date of first contact with the clinic, 3) date of medication receipt, and 4) date mifepristone (the first medication) was ingested.
Time frame
Baseline2
Determine the ways in which telehealth services affect costs by comparing in-person and telehealth patients
Report of 1) out-of-pocket costs for the abortion and 2) the costs of related expenses, including transportation, childcare, lost work, and other expenses.
Time frame
Baseline and 1 week3
Determine the ways in which telehealth services affect follow-up care by comparing in-person and telehealth patients
The incidence of unplanned in-person follow-up visits to a clinician, emergency room, or other facility, between participants in the telehealth and in-person groups using logistic regression models.
Time frame
1 weekSecondary outcomes
1
Investigate the patient preferences for different aspects of telehealth for abortion care among historically marginalized groups
We will conduct a discrete choice analysis to understand participant preferred choices for hypothetical delivery alternatives to telehealth abortion.
Time frame
Baseline and 1 week2
Investigate the barriers in telehealth for abortion care in historically marginalized groups
The barriers to hypothetical delivery alternatives to telehealth abortion between participants in the telehealth and in-person groups using a discrete choice model
Time frame
Baseline and 1 weekSponsors and contacts
Click on the lead sponsor to view all of their trials.
University of California, San Francisco
Lead sponsor
Ibis Reproductive Health
Collaborator
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborator
Source ClinicalTrials.gov