Delivery of audiovisual information on early medical ... · John Reynolds -Wright, NHS Lothian...
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Delivery of audiovisual information on early medical abortion care to women: a multicountry study John Reynolds-Wright, NHS Lothian Sharon Cameron, University of Edinburgh PhilippeFaucher, AssistancePubliqueHopitaux deParis Teresa Bombas, Coimbra University Hospital Centre Kristina Gemzell-Danielsson, Karolinska Institute
Transcript of Delivery of audiovisual information on early medical ... · John Reynolds -Wright, NHS Lothian...
Deliveryofaudiovisualinformationonearlymedicalabortioncaretowomen:amulticountry study
JohnReynolds-Wright,NHSLothianSharonCameron,UniversityofEdinburgh
PhilippeFaucher,AssistancePubliqueHopitaux deParisTeresaBombas,CoimbraUniversityHospitalCentreKristinaGemzell-Danielsson,Karolinska Institute
ConflictofInterestStatement
• ThevideowasproducedwithfundsawardedbytheESCandFIAPAC
Background
• EarlyMedicalAbortion(EMA)usingmifepristoneandmisoprostolat<9wkscommonintheUKandacrossEurope:– Sweden:92%– Scotland:89%– France:64%– Portugal:70%
Background• HighratesofpoorliteracyamongstadultsacrossEurope
Background
• EMAconsultationslong(2-3hrsinScotland)• Lotsofwritteninformation• Abortiontaboospersist
ê
• PoorcommunityknowledgeofEMA
Intervention
• DevelopmentofanimationforinformationonEMA• Shortvideoscaneffectivelyprovideinformationaboutthecontraceptiveimplantandabortion
• Animationcouldbeviewedpriortoattendingclinic– Improveunderstanding– Reduceanxiety– Provideconsistentinformation– Establishafoundationforbetterinformedconsent
Impact
• Animationavailablein4languages(English,Swedish,FrenchandPortuguese)
• ImpactofanimationonpatientknowledgeofEMA
• Ethicalapprovalsought
StudyDesign
• RCT4sites:Scotland,France,Portugal,Sweden– 50participantspersite
• StandardofCare(n=15)vs Animation(n=35)– StandardofCare:Routineconsultation+researcheradministeredquestionnairepriortomifepristone
– Animation:Animation+researcheradministeredquestionnairepriortoroutineconsultation
InterimResults
Scotland(n=50)
Meanage:26.7
40%frommost
deprivedareas
30%fromleast
deprivedareas
Comparablerecallof
informationbetweengroupsALLrated
animationasusefulandacceptable
ALLratedanimationasmoreuseful/asusefulaswritten
info
InterimResults
Freetextcommentsaboutanimationincluded:
Ithelpedmeunderstandalot…Ihadnoideabeforetoday
Mystyleoflearning– Itookinmore[fromthevideo]thanallofmygooglesearching
[Iliked]thedifferentagegroupsofwomenshown…andthediversityofwomenshown
Conclusion&FurtherWork
• Sofaranimationappreciatedbywomen• OngoingdatacollectionforRCT• WillfindingsbesimilaracrossEuropeansites?• Willtheanimationfreeuptimeinclinicforcontraceptiondiscussion/otherconcerns?
• FuturePlans:– IntroducetoabortionclinicwebsitesEurope/UK?– SharedESC/FIAPACresource?
