The Access, Delivered research team requests funding from the Society of Family Planning to address SFP’s priorities of understanding patient preference for and experience with post-abortion contraceptive care. For this project, Access, Delivered partners with Cedar River Clinics (CRC) who have been providing telehealth medication abortion since April 2020. In partnership with CRC, our dedicated ...Read more >

We propose a convergent parallel mixed methods study to explore preferences for contraceptive counseling and provision at the time of abortion care. AIM 1: Determine peri-abortion contraceptive choices in a patient population relatively unconstrained by legal, financial, and logistical obstacles to reproductive autonomy. We will perform a retrospective cohort evaluation of patients who received abortion ...Read more >

Telehealth, which now comprises 20% of all abortion care, has been celebrated as a mechanism to improve health equity by making abortion care more convenient and affordable to patients facing the greatest barriers to care. However, the impact of telehealth on health equity in abortion care is not well understood, especially for low-income patients. Many ...Read more >

Previous sound research has consistently shown that abortion does not cause or increase risk of mental health problems, and that mental health symptoms decrease from before to after having an abortion. However, this research was conducted before the overturning of Roe v Wade and before remote provision of medication abortion (RPMA) was available. The proposed ...Read more >

The proposed study will explore lived experiences of remote medication abortion (MA) to understand and address gaps in care for abortion seekers in the southeastern US. We will conduct qualitative in-depth interviews to understand how abortion seekers conceptualize and experience remote MA, as well as the systemic barriers they encounter, specifically centering the lived experiences ...Read more >

This survey-based research study examines the patient experience with varied telehealth medication abortion service delivery models in the United States. Access to abortion services is increasingly restricted, making telehealth medication abortion a critical component of reproductive healthcare. This study builds on existing evidence that highlights safety, effectiveness, and high satisfaction rates associated with telehealth medication ...Read more >

This study aims to understand and address the challenges faced by Latinx individuals receiving remote medication abortion services, ensuring these services are culturally sensitive and responsive to the needs of diverse Latinx users. The study will use a mixed methods approach: a survey and qualitative human-centered design research. The survey, leveraging provider and support platforms ...Read more >

This mixed-methods study aims to document and analyze the experiences of patients accessing medication abortion through Abuzz, an innovative telehealth abortion provider operating under interstate shield laws. Since its launch in June 2023, Abuzz has pioneered a patient-centered, trauma-informed model of remote abortion care delivery, particularly focused on serving the needs of patients who hold ...Read more >

Telehealth medication abortion is a growing alternative to expensive brick-and-mortar services, however limited information exists about its cost and affordability in the US. This study examines the use of a sliding scale payment model for telehealth abortion services to assess the affordability of care, as well as the association of sociodemographic factors and state-level policies ...Read more >

Online asynchronous telemedicine is a remote service delivery structure through which clinicians use an online platform and mail delivery to provide medication abortion. To serve states with abortion bans and restrictions, US-licensed clinicians provide under shield laws that protect them from civil, professional, or criminal liability. Shield-law provision of medication abortion has had a profound ...Read more >