Research on Equity in Abortion Care by TeleHealth

NCT ID: NCT06787274

Last Updated: 2025-03-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

2000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-02-12

Study Completion Date

2027-03-31

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Abortion in First Trimester Abortion Early Abortion; Attempted

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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In-person via established clinic

People seeking or who have received in-person medication abortion care through an established clinic.

No interventions assigned to this group

Telehealth via established clinic

People seeking or who have received telehealth medication abortion care through an established clinic. A telehealth medication abortion involves a remote clinical consultation to confirm medical eligibility with medications delivered by mail

No interventions assigned to this group

Telehealth through other online services or searches

People seeking or who have received telehealth medication abortion care through an online service

No interventions assigned to this group

In-person through online search

People seeking or who have received in-person abortion services through online searches

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

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

Exclusion Criteria

* Not currently or about to be obtaining medication abortion care through in-person or telehealth services
Minimum Eligible Age

14 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Ibis Reproductive Health

OTHER

Sponsor Role collaborator

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

NIH

Sponsor Role collaborator

University of California, San Francisco

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ushma Upadhyay, PhD, MPH

Role: PRINCIPAL_INVESTIGATOR

University of California, San Francisco

Locations

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Advancing New Standards in Reproductive Health (ANSIRH)

Oakland, California, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Ushma Upadhyay, PhD, MPH

Role: CONTACT

415-353-4626

Jennifer Ko, MLIS

Role: CONTACT

415-353-9113

Facility Contacts

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Jennifer Ko, MLIS

Role: primary

415-353-9113

Other Identifiers

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R01HD110659

Identifier Type: NIH

Identifier Source: secondary_id

View Link

23-39122

Identifier Type: -

Identifier Source: org_study_id

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