STI Self-swab Testing At the Time of Telemed Medication Abortion Provision

Status: Recruiting
Location: See location...
Intervention Type: Diagnostic test
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The goal of this interventional study is to provide more access to STI testing for patients who seek abortion care through telemedicine, particularly for those whose access to STI testing is otherwise limited. The main questions it aims to answer are: What is the acceptability, feasibility, and utilization of self-collected STI screening at the time of telemedicine medication abortion provision? How does the uptake of such a service among patients receiving telemedicine abortion care compare to the population of patients who seek in-person medication abortion care? What are the positivity rates for STIs in among patients receiving telemedicine medication abortion care compared to the positivity rates for a contemporaneous, in-clinic population? What is the average time to between testing and treatment for patients who test positive for an STI using the self-collection service? Researchers will compare the intervention group to a contemporaneous, in-clinic population on uptake of STI screening, as well as on positivity rates for the STIs tested. Participants will be asked to perform self-swab collection for STI testing for gonorrhea, chlamydia, and trichomonas. They will be instructed to send their specimens to a lab using prepaid postage. Upon completion of sample collection and shipping, they will be asked to complete a survey assessing basic demographic information, as well as acceptability and feasibility of the intervention. Patients who test positive for an STI will be promptly provided/referred to treatment.

Eligibility
Participation Requirements
Sex: Female
Minimum Age: 14
Healthy Volunteers: t
View:

• Patients of the Queen Medical Center Options Center clinic seeking telemedicine medication abortion.

• Patients for whom, according to the CDC guidelines for STI Testing11, STI testing is indicated, or patients who desire STI screening

• Age 14 and over

• Can speak and read English

• Displays capacity for informed consent

Locations
United States
Hawaii
Queens Medical Center, 1004 Clinic POB1
RECRUITING
Honolulu
Contact Information
Primary
Olivia H Manayan, MD, MPH
omanayan@hawaii.edu
808-348-7859
Time Frame
Start Date: 2025-05-22
Estimated Completion Date: 2026-06-30
Participants
Target number of participants: 75
Treatments
Experimental: Self-swab Arm
These patients will be recruited to the study actively. Upon signing an informed consent, they will be instructed to collect an at-home, self-swab test for STI testing. The kit for collection will be provided for them, as well as the shipping materials for the specimen.
No_intervention: in-clinic STI testing arm
This population will not be actively recruited. Demographic data will be collected for comparison to the intervention arm via retrospective chart review of a contemporaneous, in-clinic population seeking abortion care.
Related Therapeutic Areas
Sponsors
Collaborators: University of Hawaii Foundation
Leads: Queen's Medical Center

This content was sourced from clinicaltrials.gov

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