Evidence map›Paper›PMID 42268807›Full record

ArticlePloS one2026

Seeking HELP beyond the pill: Women's perceptions of informed consent for medication abortion: Mixed methods research.

Maka Tsulukidze, Gabriele Di Cicco, Tessa Longbons Cox, Katherine A Rafferty, Stuart W Grande, Ingrid Skop, David Collison

Abstract read
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Maka TsulukidzeMarieb College of Health and Human Services, Florida Gulf Coast University, Fort Myers, Florida, United States of America.ORCID https://orcid.org/0000-0003-3443-3886
Gabriele Di CiccoCentre for Social Cognitive Studies, Institute of Psychology, Jagiellonian University, Krakow, Poland.
Tessa Longbons CoxCharlotte Lozier Institute, Arlington, Virginia, United States of America.
Katherine A RaffertyCharlotte Lozier Institute, Arlington, Virginia, United States of America.
Stuart W GrandePublic Health Administration & Policy, University of Minnesota School of Public Health, Minneapolis, Minnesota, United States of America.
Ingrid SkopCharlotte Lozier Institute, Arlington, Virginia, United States of America.
David CollisonMarieb College of Health and Human Services, Florida Gulf Coast University, Fort Myers, Florida, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Informed consent is a cornerstone of patient autonomy, yet its implementation in medication abortion, especially in the context of rapidly expanding telehealth and online access, remains understudied. This study explores how informed consent is experienced by women who undergo medication abortion, focusing on the information they receive and the gaps they perceive. Using an exploratory sequential mixed methods design, we first conducted a thematic analysis of online narratives to examine how women described their experiences with information, support, and uncertainty. We then developed and administered a national survey informed by these findings to assess how women perceive the informed consent process. Thematic analysis of online narratives revealed four key patterns: women sought information about medication abortion symptoms and side effects; emotional support; urgent reassurance during the process; and clarification of the information provided. Survey results showed that concerns about fetal remains, emotional well-being, and the risk of an incomplete abortion (retained tissue) were strongly associated with women's sense of being informed. Emotional responses also shaped these perceptions, where women who felt stressed were less likely to feel adequately informed, while those women who felt happy were more likely to report receiving sufficient information. Integration of qualitative and quantitative findings revealed consistent concerns, particularly about unanticipated symptoms, emotional distress, and the need for clearer guidance. Our results suggest that some women experience uncertainty or unmet informational needs prior to taking abortion medications, regardless of care setting. This informational gap raises the possibility of preference misalignment, whereby patients' expectations may not fully reflect their lived experience. The findings highlight a pressing need for clearer, more comprehensive, and emotionally supportive consent practices, particularly as medication abortion becomes increasingly accessible and utilized by women. Addressing these gaps can strengthen patient-centered care and ensure that women's choices are informed, respected, and aligned with their values.

Indexed as

Abortion, InducedInformed ConsentAdolescentAdultEmotionsFemaleHumansPerceptionPregnancySurveys and QuestionnairesYoung Adult

Identifiers

PMID42268807
PMCPMC13252765

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.