Project Description

Effect of a smartphone intervention on self‐managed medication abortion experiences among safe‐abortion hotline clients in Indonesia: A randomized controlled trial

Objective

To investigate the impact of a smartphone application (app) providing information and support for medication abortion (MA) on the primary outcomes of ‘feelings of support’ and ‘preparedness’ among clients of Samsara, a safe‐abortion hotline in Indonesia.

Methods

In a parallel‐arm, non‐clinical, randomized controlled trial, women (ages ≥15) who contacted Samsara between February 2017‐ July 2018 seeking information on MA for pregnancies ≤13 weeks gestation were randomized to receive either an app with abortion information, or standard of care (high‐quality comprehensive and empathic counseling on pregnancy options). Participants completed a questionnaire 24 days after enrollment; Fisher exact tests and risk differences were used to assess differences in self‐reported feelings of preparedness and support throughout the process of self‐managed MA.