Research on Equity in Abortion Care by TeleHealth

Официальное название

Improving Health Equity by Understanding Preferences in Telehealth Abortion

Обзор

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.

Подробное описание

Given the novelty of telehealth abortion services and new abortion bans, there is a critical need for research on the role of telehealth for abortion to expand equitable abortion access among groups historically marginalized in healthcare. Outside of abortion care, telehealth appears to 1) bridge geographic disparities,2) facilitate language translation,3) provide privacy and safety for immigrants with varying legal statuses, 4) decrease patient costs, and 5) require less time off work or school. At the same time, telehealth services could exacerbate inequities if patients lack technology, internet connectivity, or digital literacy. Because abortion is overregulated and highly stigmatized, research on telehealth for abortion is vital. The investigators hypothesize that telehealth is associated with several benefits compared to in-person abortion care, but is not yet reaching people in areas with greater health inequities who need these innovations most. This research can also inform the policies in states that are considering ways to support people in banned states.

Первичные конечные точки

• Determine the ways in which telehealth services affect timing and time to care by comparing in-person and telehealth patients [Срок оценки: Baseline]
• Determine the ways in which telehealth services affect costs by comparing in-person and telehealth patients [Срок оценки: Baseline and 1 week]
• Determine the ways in which telehealth services affect follow-up care by comparing in-person and telehealth patients [Срок оценки: 1 week]

Вторичные конечные точки (2)

• Investigate the patient preferences for different aspects of telehealth for abortion care among historically marginalized groups [Срок оценки: Baseline and 1 week]
• Investigate the barriers in telehealth for abortion care in historically marginalized groups [Срок оценки: Baseline and 1 week]

Критерии участия

Критерии включения

• Must be currently or about to be obtaining medication abortion care through in-person or telehealth services

Критерии исключения

• Not currently or about to be obtaining medication abortion care through in-person or telehealth services

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Модель наблюдения

Когортное

Центры проведения

США · 1 центр

• Advancing New Standards in Reproductive Health (ANSIRH) — Oakland

Идентификаторы

NCT: NCT06787274 · 23-39122 · R01HD110659

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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