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Telehealth for Women's Preventive Services for Reproductive Health and Intimate Partner Violence: a Comparative
Amy G Cantor1,2,3, Heidi D Nelson4, Miranda Pappas5
1Pacific Northwest Evidence-Based Practice Center, Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, BICC; 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA. cantor@ohsu.edu.
Journal of General Internal Medicine
|January 17, 2023
Summary
Telehealth for women's reproductive health and intimate partner violence (IPV) services shows similar outcomes to in-person care. More research is needed to address barriers and optimize telehealth delivery.
Area of Science:
- Women's Health
- Public Health
- Digital Health
Background:
- Telehealth may improve access to preventive health services.
- Effectiveness and harms of telehealth for women's reproductive health and intimate partner violence (IPV) services are largely unknown.
- A comparative effectiveness review was conducted to evaluate these interventions.
Approach:
- Searched multiple databases (MEDLINE, Cochrane, CINAHL, Scopus) for RCTs and observational studies from July 2016 to May 2022.
- Included 8 RCTs, 1 nonrandomized trial, and 7 observational studies (n=10,731).
- Assessed study quality using standardized methods and resolved disagreements via consensus.
Key Points:
- Telehealth for contraceptive care showed similar outcomes (contraceptive use, STIs, pregnancy) compared to usual care (low SOE).
- Telehealth for IPV services demonstrated similar outcomes for repeat IPV, mental health, and safety behaviors (low SOE).
- Barriers included limited internet, digital literacy, technical issues, and confidentiality concerns.
Conclusions:
- Telehealth interventions for contraceptive care and IPV services show equivalent clinical and patient-reported outcomes to in-person care, based on limited studies.
- Optimal telehealth delivery strategies, especially for women facing barriers, require further investigation.
- Evidence on access, health equity, and harms of telehealth in these areas is lacking.
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