Information on early medical abortion for women using an audiovisual animation vs face-to-face consultation: A consortium randomized and quasi-randomized trial.

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Tytuł:: Information on early medical abortion for women using an audiovisual animation vs face-to-face consultation: A consortium randomized and quasi-randomized trial.
Autorzy:: Reynolds-Wright JJ; MRC Center for Reproductive Healthcare, University of Edinburgh, Edinburgh, UK.
Belleuvre F; Public Assistance Hospitals of Paris (APHP), Paris, France.
Daberius A; Department of Women's and Children's Health, Karolinska Institutet, and Karolinska University Hospital, Stockholm, Sweden.
Faucher P; Public Assistance Hospitals of Paris (APHP), Paris, France.
Gemzell-Danielsson K; Department of Women's and Children's Health, Karolinska Institutet, and Karolinska University Hospital, Stockholm, Sweden.
Cameron ST; MRC Center for Reproductive Healthcare, University of Edinburgh, Edinburgh, UK.; Chalmers Center, NHS Lothian, Edinburgh, UK.
Źródło:: Acta obstetricia et gynecologica Scandinavica [Acta Obstet Gynecol Scand] 2020 Dec; Vol. 99 (12), pp. 1611-1617. Date of Electronic Publication: 2020 Jul 12.
Typ publikacji:: Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Publication: 2011- : Malden, MA : Wiley
Original Publication: Copenhagen : Munksgaard
MeSH Terms:: Abortion, Induced*/methods
Abortion, Induced*/psychology
Referral and Consultation*
Reproductive History*
Audiovisual Aids/*supply & distribution
Medical History Taking/*methods
Adult ; Contraception Behavior ; Female ; France ; Health Education/methods ; Humans ; Information Literacy ; Pregnancy ; Sweden ; United Kingdom ; Women's Health
References:: Exelgyn. European Abortion Data [Internet]. Vol. 2019. Paris, France: Exelgyn; 2019. Available from: https://abort-report.eu/europe/.
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European Literacy Policy Network. Literacy in Europe: facts and figures. 2015.
Michie L, Cameron ST, Glasier A, Johnstone A. Giving information about the contraceptive implant using a DVD: is it acceptable and informative? A pilot randomised study. J Fam Plan Reprod Heal Care. 2016;42:194-200.
The Care of Women Requesting Induced Abortion (Evidence-based Clinical Guideline No. 7) [Internet]. 2011. Available from: https://www.rcog.org.uk/globalassets/documents/guidelines/abortion-guideline_web_1.pdf.
Robinson H, Schashke L. Early Medical Abortion - European Research Project [Internet]. Edinburgh, UK: Muckle Hen Productions; 2017. Available from: https://vimeo.com/302663935.
Davies A, Fleming C. Vasectomy: replacing the preoperative outpatient appointment with a DVD. J Fam Plan Reprod Health Care. 2014;40:61-63.
Gunn C, Gebbie A, Cameron S. ‘One-stop’ visits for insertion of intrauterine contraception using online resources. J Fam Plan Reprod Health Care. 2015;41:LP-302.
Sherman S, Harden J, Cattanach D, Cameron ST. Providing experiential information on early medical abortion: a qualitative evaluation of an animated personal account, Lara’s Story. J Fam Plan Reprod Health Care. 2017;43:269-273.
Poushter J. Smartphone Ownership and Internet Usage Continues to Climb in Emerging Economies [Internet]. 2016. Available from: https://www.pewresearch.org/global/2016/02/22/smartphone-ownership-and-internet-usage-continues-to-climb-in-emerging-economies/.
Gilliam ML, Martins SL, Bartlett E, Mistretta SQ, Holl JL. Development and testing of an iOS waiting room “app” for contraceptive counseling in a Title X family planning clinic. Am J Obstet Gynecol. 2014;211:481.e1-481.e8.
Sridhar A, Chen A, Forbes ER, Glik D. Mobile application for information on reversible contraception: a randomized controlled trial. Am J Obstet Gynecol. 2015;212:774.e1-774.e7.
Momberg M, Harries J, Constant D. Self-assessment of eligibility for early medical abortion using m-Health to calculate gestational age in Cape Town, South Africa: a feasibility pilot study. Reprod Health. 2016;13:40.
Smith C, Ngo TD, Gold J, et al. Effect of a mobile phone-based intervention on post-abortion contraception: a randomized controlled trial in Cambodia. Bull World Health Organ. 2015;93:842-850A.
International Planned Parenthood Federation. Women’s Voices: Uruguay [Internet]. 2015 [cited 18 December 2019]. Available from: https://www.ippf.org/resource/womens-voices-uruguay.
International Planned Parenthood Federation. Women’s Voices: India [Internet]. 2014 [cited 18 December 2019]. Available from: http://www.ippf.org/resource/womens-voices-india.
International Planned Parenthood Federation. Women’s Voices: Cameroon [Internet]. 2014 [cited 18 December 2019]. Available from: http://www.ippf.org/resource/womens-voices-cameroon.
International Planned Parenthood Federation. Women’s Voices: France [Internet]. 2014 [cited 18 December 2019]. Available from: https://www.ippf.org/resource/womens-voices-france.
Grant Information:: MR/N022556/1 United Kingdom MRC_ Medical Research Council
Contributed Indexing:: Keywords: contraception; early medical abortion; education; pregnancy; termination of pregnancy; women’s health issues
Molecular Sequence:: ClinicalTrials.gov NCT03417362
Entry Date(s):: Date Created: 20200624 Date Completed: 20201216 Latest Revision: 20201216
Update Code:: 20240105
DOI:: 10.1111/aogs.13944
PMID:: 32573767
: Czasopismo naukowe

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Introduction: There is some evidence that audiovisual formats can be an effective way of providing information about early medical abortion (EMA). A short animation (3 minutes) was developed about EMA in three languages that summarized the EMA process for use in the UK, France and Sweden.
Material and Methods: We conducted a multicenter randomized controlled trial to compare information on EMA delivered by an animated film vs a face-to-face consultation. Women requesting EMA (≤9 weeks' gestation) from abortion clinics in Edinburgh (UK), Paris (France) and Stockholm (Sweden) were recruited. The primary outcome was women's recall of prespecified key information on EMA. Secondary outcomes were acceptability of mode of information delivery, clarity and helpfulness of information rated on a Likert scale. The study was prospectively registered with clinicaltrials.gov, ID number: NCT03417362.
Results: 172 women completed the study (Edinburgh = 50, Paris = 78, Stockholm = 48). There was no statistically significant difference in recall scores between the animation and standard arms in Edinburgh and Stockholm sites. However, the difference between arms at the Paris site was statistically significant (P = .007) in favor of the animation. All participants in the animation arm rated it as an acceptable way to receive information on EMA.
Conclusions: A "short" audiovisual animation can adequately and acceptably deliver key information about EMA. This intervention could be used routinely to provide standardized and high-quality information to women seeking EMA.
(© 2020 The Authors. Acta Obstetricia et Gynecologica Scandinavica published by John Wiley & Sons Ltd on behalf of Nordic Federation of Societies of Obstetrics and Gynecology (NFOG).)

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