Using Google Ads to recruit and retain a cohort considering abortion in the United States

Objective: The objective was to develop and test the feasibility of a methodology to recruit and retain individuals in the United States (US) who were considering abortion at the point of searching for an abortion clinic. Study design: We conducted the Google Ads Abortion Access Study, a national co...

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Main Authors: Ushma D. Upadhyay, Iris J. Jovel, Kevin D. McCuaig, Alice F. Cartwright
Format: Article
Language:English
Published: Elsevier 2020-01-01
Series:Contraception: X
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590151619300164
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author Ushma D. Upadhyay
Iris J. Jovel
Kevin D. McCuaig
Alice F. Cartwright
author_facet Ushma D. Upadhyay
Iris J. Jovel
Kevin D. McCuaig
Alice F. Cartwright
author_sort Ushma D. Upadhyay
collection DOAJ
description Objective: The objective was to develop and test the feasibility of a methodology to recruit and retain individuals in the United States (US) who were considering abortion at the point of searching for an abortion clinic. Study design: We conducted the Google Ads Abortion Access Study, a national cohort study using a novel recruitment method — recruiting people searching for abortion care on Google. Advertisements for the study were displayed in search results. Users who clicked on the advertisement were directed to a landing page explaining the study and then to a screening form. Participants were eligible if they reported being pregnant and considering abortion. They completed an online baseline survey and 4 weeks later were invited by email or text message to complete a follow-up survey. Results: Over the course of 8 months, we recruited a racially/ethnically and geographically diverse cohort considering an abortion using Google Ads. After removing fraudulent cases, we recruited 1706 respondents, and among these, 1464 (86%) provided contact information for follow-up. Among those providing contact information, 1005 completed the follow-up survey, resulting in a 69% follow-up rate. Older age, white race, higher education, difficulty meeting basic needs, being not religious/spiritual and having no previous births were associated with higher follow-up. Total cost of the ads was $31.99 per completed baseline + follow-up survey. Conclusion: Researchers can use online advertising to successfully recruit populations early in their abortion-seeking process to understand the barriers they face and how to improve abortion access. Disadvantages include high cost and a small potential for fraudulent data. Implications: Google Ads is a feasible tool to recruit and follow a diverse sample of individuals who are considering abortion for studies investigating the barriers they face in obtaining a wanted abortion.
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spelling doaj.art-ee27d3b30bb04a03bb5ba2645010d4bc2022-12-21T21:30:58ZengElsevierContraception: X2590-15162020-01-012100017Using Google Ads to recruit and retain a cohort considering abortion in the United StatesUshma D. Upadhyay0Iris J. Jovel1Kevin D. McCuaig2Alice F. Cartwright3Advancing New Standards in Reproductive Health, Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, USA; Corresponding author.University of California San Francisco School of Medicine, Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, USABUMP Digital Marketing, recruitment.bumpdm.com, Toronto, CanadaDepartment of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, USAObjective: The objective was to develop and test the feasibility of a methodology to recruit and retain individuals in the United States (US) who were considering abortion at the point of searching for an abortion clinic. Study design: We conducted the Google Ads Abortion Access Study, a national cohort study using a novel recruitment method — recruiting people searching for abortion care on Google. Advertisements for the study were displayed in search results. Users who clicked on the advertisement were directed to a landing page explaining the study and then to a screening form. Participants were eligible if they reported being pregnant and considering abortion. They completed an online baseline survey and 4 weeks later were invited by email or text message to complete a follow-up survey. Results: Over the course of 8 months, we recruited a racially/ethnically and geographically diverse cohort considering an abortion using Google Ads. After removing fraudulent cases, we recruited 1706 respondents, and among these, 1464 (86%) provided contact information for follow-up. Among those providing contact information, 1005 completed the follow-up survey, resulting in a 69% follow-up rate. Older age, white race, higher education, difficulty meeting basic needs, being not religious/spiritual and having no previous births were associated with higher follow-up. Total cost of the ads was $31.99 per completed baseline + follow-up survey. Conclusion: Researchers can use online advertising to successfully recruit populations early in their abortion-seeking process to understand the barriers they face and how to improve abortion access. Disadvantages include high cost and a small potential for fraudulent data. Implications: Google Ads is a feasible tool to recruit and follow a diverse sample of individuals who are considering abortion for studies investigating the barriers they face in obtaining a wanted abortion.http://www.sciencedirect.com/science/article/pii/S2590151619300164AbortionMethodologyRecruitmentRetentionInternet
spellingShingle Ushma D. Upadhyay
Iris J. Jovel
Kevin D. McCuaig
Alice F. Cartwright
Using Google Ads to recruit and retain a cohort considering abortion in the United States
Contraception: X
Abortion
Methodology
Recruitment
Retention
Internet
title Using Google Ads to recruit and retain a cohort considering abortion in the United States
title_full Using Google Ads to recruit and retain a cohort considering abortion in the United States
title_fullStr Using Google Ads to recruit and retain a cohort considering abortion in the United States
title_full_unstemmed Using Google Ads to recruit and retain a cohort considering abortion in the United States
title_short Using Google Ads to recruit and retain a cohort considering abortion in the United States
title_sort using google ads to recruit and retain a cohort considering abortion in the united states
topic Abortion
Methodology
Recruitment
Retention
Internet
url http://www.sciencedirect.com/science/article/pii/S2590151619300164
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