Feasibility and acceptability of a mobile technology intervention to support [FACTS] women’s post abortion care in British Columbia Study
Awarded 2017
Complex Family Planning Fellowship Research
Roopan Gill, MD, MPH
The University of British Columbia

1)To understand how women at three surgical abortion clinics in an urban center of BC utilize their mobile phones
2) To understand women’s preferences of content and design for a mobile intervention to provide decision support for postoperative care, post-abortion contraception and mental health
3)To develop a mobile intervention based on findings from objectives 1 and 2
4)To conduct a pilot study to demonstrate acceptability and feasibility of a mobile health (mHealth) intervention to support post-abortion care after a surgical abortion compared to routine follow-up care
Study methods: A prospective cohort study with three phases based on “Development-evaluation-implementation” process from the MRC Framework for Complex Medical Interventions. Phase I is a mixed methods formative study. Phase II is development and usability testing of the intervention. Phase III is a feasibility and acceptability pilot study of the mobile intervention. Data analysis will include descriptive statistical analyses and qualitative analysis. Primary and secondary outcomes will be compared between groups using T-tests, Wilcoxon rank sum tests, or Chi Square tests where appropriate.  Sample size calculations for Phase I, II and III: 185, 28 – 30 and 60 participants respectively.
Results: This study will take two years to complete. Results are forthcoming. Ethics approval pending from BC Women’s and Children’s Research Ethics Board.
Conclusion: This study has the potential to improve follow-up care after an induced surgical abortion by supplementing patient care with a mHealth intervention. Ultimately, the intervention may be useful for women in rural and remote areas, providing an innovative approach to follow-up care.