Advancing New Standards in Reproductive Health (ANSIRH), Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, Oakland, California.
Advancing New Standards in Reproductive Health (ANSIRH), Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, Oakland, California.
Womens Health Issues. 2023 May-Jun;33(3):258-265. doi: 10.1016/j.whi.2023.01.002. Epub 2023 Feb 22.
We aimed to investigate the acceptability of regular self-testing among people with increased risk for delayed pregnancy recognition when provided with free at-home pregnancy tests and to explore the feasibility of this intervention among a larger sample.
In 2019-2020, we recruited participants across the United States by using flyers posted online and in community settings and abortion clinics. We purposively sampled people with pregnancy capacity who were 18 to 24 years old, had irregular menses, or had a recent second-trimester abortion. Participants were mailed pregnancy tests and instructions. Participants received text message reminders to test monthly over a 3-month period and were asked to text back results. Participants also completed online surveys at baseline, after 1 month, and after 3 months. A purposive subsample of participants was selected to participate in semi-structured interviews. Interviews were analyzed using thematic analysis of interview guide topics and emergent themes.
61 participants were enrolled. Fifty-four participants (90%) responded to the text reminders and 52 (85%) reported testing in all 3 months. Fifty-eight (95%) said tests were easy to use, 59 (97%) said the results were clear, and all participants found it convenient to text their results. Fourteen participants completed qualitative interviews. All described continuing to test after the study and indicated high acceptability for text reminders. Interviewees described convenience and cost as primary benefits for preferring at-home pregnancy testing.
Regular self-testing and texting results is feasible and acceptable to participants provided with free at-home urine pregnancy tests. These results can inform future studies designed to investigate the effect of regular self-testing on timing of pregnancy detection to facilitate early entry to prenatal care or early abortion.
我们旨在调查为有妊娠延迟识别风险的人群提供免费家用妊娠检测时，他们对定期自我检测的接受程度，并在更大的样本中探索这种干预的可行性。
在 2019-2020 年，我们通过在网上和社区场所及堕胎诊所张贴传单，在美国各地招募参与者。我们有目的地招募了有妊娠能力的参与者，他们年龄在 18 至 24 岁之间，月经不规律，或最近进行了中期妊娠堕胎。参与者收到了妊娠检测和说明。参与者收到每月测试的短信提醒，并被要求短信回复结果。参与者还在基线、1 个月后和 3 个月后完成了在线调查。选择了一个有目的的参与者亚组进行半结构化访谈。使用访谈指南主题和新兴主题的主题分析对访谈进行分析。
61 名参与者被纳入研究。54 名参与者（90%）回复了短信提醒，52 名参与者（85%）在所有 3 个月内都报告了检测。58 名参与者（95%）表示测试易于使用，59 名参与者（97%）表示测试结果清晰，所有参与者都认为发短信报告测试结果很方便。14 名参与者完成了定性访谈。所有参与者都表示在研究结束后继续进行检测，并表示对短信提醒高度接受。受访者描述了便利性和成本是他们更喜欢家用妊娠检测的主要原因。
为提供免费家用尿液妊娠检测的参与者提供定期自我检测和发送检测结果是可行且可接受的。这些结果可以为未来旨在研究定期自我检测对妊娠检测时间的影响以促进早期进入产前保健或早期堕胎的研究提供信息。
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