- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04304365
Home Follow-up After Medication Abortion
Feasibility of Home Follow-up After Medication Abortion (MAB)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The primary objective of this research is to determine if introducing home follow-up will improve follow-up rates after medication abortion
Secondary objectives of the study are to:
- assess the feasibility of mobile phone text messaging with low sensitivity pregnancy testing for home follow-up after medication abortion
- assess the acceptability of chosen follow-up after medication abortion
- determine the complication rate, emergency room visit rate, and ongoing pregnancy rate after home follow-up
This prospective cohort study will be carried out at a single, urban hospital-based abortion clinic exploring the feasibility and acceptability of home follow-up after medication abortion with text messaging and a Low Sensitivity Pregnancy Test (LSPT). Participants will be recruited from a single abortion practice at Boston Medical Center (BMC) in Boston, Massachusetts. This clinic serves a multi-ethnic population from the South Boston area, with most patients English and Spanish speaking and covered by public insurance. Abortion care is provided by obstetrics and gynecology residents, family planning fellows, nurse practitioners, and family planning doctors.
As part of the study participants will be given the choice to have clinic follow-up or home follow-up. The clinic follow-up cohort will receive our clinic standard of care - they will be scheduled for a visit with a provider in 1-2 weeks that will include an ultrasound examination. This cohort will be asked the same questions to assess completion that will be asked of the home follow-up group.
Participants enrolled in the home follow-up group will be instructed that they will be contacted by research staff through text message 14 days after the initial visit. At enrollment, they will receive instruction for when the study team will be contacting them, how to use the LSPT, as well as the test itself. The participant will take the pregnancy test at home in 14 days and answer completion questions by text message for follow-up. Patients that screen positive will be asked to return to clinic for a visit with a provider.
Study Type
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- English or Spanish speakers
- Have a working phone they consider their own with text messaging capabilities
- Have a viable intrauterine pregnancy
- Are eligible for a medication abortion (10 weeks gestational age or less)
- Elect the method of medication abortion
Exclusion Criteria:
-None
Study Plan
How is the study designed?
Design Details
- Primary Purpose: HEALTH_SERVICES_RESEARCH
- Allocation: NON_RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
ACTIVE_COMPARATOR: Clinic follow-up group
All participants in this group will receive the standard of care at BMC which includes receiving a follow-up visit date and time before leaving the initial visit, when they receive the medications for abortion.
Patients then return to clinic 1-2 weeks later to be seen by a provider with an ultrasound for confirmation of abortion completion.
Participants who do not come for a return visit receive one phone call to reschedule their appointment.
|
Participants will be scheduled for a visit with a provider in 1-2 weeks that will include an ultrasound examination.
|
EXPERIMENTAL: Home follow-up group
Participants enrolled in the home follow-up group will be instructed that they will be contacted by research staff through text message 14 days after the initial visit.
At enrollment, they will receive instruction for timing of contact, how to use the LSPT, as well as the test itself.
The participant will take the pregnancy test at home in 14 days and answer completion questions by text message for follow-up.
Patients that screen positive will be asked to return to clinic for a visit with a provider.
|
Participants will be instructed that they will be contacted by research staff through text message 14 days after the initial visit.
They will receive a survey link through text message at this time.
Participants will be instructed on how to test their urine 14 days after the medication abortion for continued pregnancy.
LSPT can detect hCG levels as low as 2000 mIU/ml.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Completed follow-up for the clinic group
Time Frame: 2 weeks
|
Percent of participants in this group that return to the scheduled clinic visit
|
2 weeks
|
Completed follow-up for the home group
Time Frame: 2 weeks
|
Percent of participants in this group that completed the final texted survey
|
2 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Any follow up
Time Frame: 42 days
|
Number of participants who had any follow-up based on unscheduled clinic visits
|
42 days
|
Ongoing pregnancy
Time Frame: 42 days
|
Number of participants found to have an ongoing pregnancy after a medication abortion
|
42 days
|
Complications after the medical abortion
Time Frame: 42 days
|
Number of participants presenting with complications such need for transfusion and treatment of a uterine infection
|
42 days
|
Number of emergency visits
Time Frame: 42 days
|
Number of participants presenting to the emergency room
|
42 days
|
Acceptability of chosen follow-up
Time Frame: 2 weeks
|
An investigator developed survey will document acceptability of the follow-up process, given at the follow-up visit
|
2 weeks
|
Screen positive for pregnancy in the home follow-up group
Time Frame: 2 weeks
|
The percentage of participants that screen positive from a urine test using LSPT in the home follow-up group, requiring a clinic follow-up visit
|
2 weeks
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Cara Delaney, MD, Boston Medical Center
Study record dates
Study Major Dates
Study Start (ANTICIPATED)
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- H-39499
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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