Information on early medical abortion for women using an audiovisual animation versus face‐to‐face consultation: A consortium randomized and quasi‐randomized trial

John J. Reynolds‐Wright, Florence Belleuvre , Anette Daberius, Philippe Faucher, Kristina Gemzell‐Danielsson, Sharon T. Cameron

First published: 23 June 2020 https://doi.org/10.1111/aogs.13944

Funding information: This study did not receive any specific funding. The animation was developed prior to the study using funding awarded by the European Society of Contraception and Reproductive Health (ESC) to the International Federation of Professional Abortion and Contraception Associates (FIAPAC). The leading site for this work was the MRC Centre for Reproductive Health, which is funded by the Medical Research Council (grant MR/N022556/1).

Abstract

Introduction

There is some evidence that audiovisual formats can be an effective way of providing information about early medical abortion (EMA). A short animation (3 minutes) was developed about EMA in three languages that summarized the EMA process for use in the UK, France and Sweden.

Material and methods

We conducted a multicenter randomized controlled trial to compare information on EMA delivered by an animated film versus a face‐to‐face consultation. Women requesting EMA (≤9 weeks’ gestation) from abortion clinics in Edinburgh (UK), Paris (France) and Stockholm (Sweden) were recruited. The primary outcome was women’s recall of prespecified key information on EMA. Secondary outcomes were acceptability of mode of information delivery, clarity and helpfulness of information rated on a Likert scale. The study was prospectively registered with clinicaltrials.gov, ID number: NCT03417362.

Results

172 women completed the study (Edinburgh = 50, Paris = 78, Stockholm = 48). There was no statistically significant difference in recall scores between the animation and standard arms in Edinburgh and Stockholm sites. However, the difference between arms at the Paris site was statistically significant (P = .007) in favor of the animation. All participants in the animation arm rated it as an acceptable way to receive information on EMA.

Conclusions

A “short” audiovisual animation can adequately and acceptably deliver key information about EMA. This intervention could be used routinely to provide standardized and high‐quality information to women seeking EMA.

Abbreviations

  • EMA
  • early medical abortion

Key message

A short animation can deliver key information about early medical abortion as effectively as a face‐to‐face consultation with a clinician. An animated film on early medical abortion has the potential to replace or supplement some of the information provided to women during a consultation.