{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T13:00:25Z","timestamp":1782910825172,"version":"3.54.5"},"reference-count":31,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T00:00:00Z","timestamp":1754265600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the efficacy of an animated educational video combined with traditional counselling to reduce anxiety levels among pregnant women seeking outpatient medical abortion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Randomised controlled trial with two parallel groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Single centre in Bangkok, Thailand.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population or Sample<\/jats:title><jats:p>60 pregnant women seeking outpatient medical abortion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants received either an animated educational video combined with traditional counselling (<jats:italic>n<\/jats:italic>\u2009=\u200930) or traditional counselling alone (<jats:italic>n<\/jats:italic>\u2009=\u200930).<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>Postintervention anxiety levels were assessed by the Spielberger State\u2013Trait Anxiety Inventory (STAI), and satisfaction levels were measured by a 5\u2010point Likert\u2010type scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no significant differences in demographic characteristics between groups. The postintervention STAI scores were significantly lower in the video group compared to the non\u2010video group (32.70\u2009\u00b1\u20094.96 vs. 41.47\u2009\u00b1\u20098.57, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). The odds of moderate to severe anxiety were significantly lower in the video group (OR 10.29, 95% CI 2.56\u201341.37). Patient satisfaction levels were similarly high in both groups (4.92\u2009\u00b1\u20090.27 vs. 4.85\u2009\u00b1\u20090.36, <jats:italic>p<\/jats:italic>\u2009=\u20090.42).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Incorporating an animated educational video into traditional counselling effectively reduced anxiety in pregnant women seeking outpatient medical abortion while maintaining high levels of satisfaction with the medical service provided.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.18321","type":"journal-article","created":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T08:28:51Z","timestamp":1754296131000},"page":"1753-1761","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Effect of Animated Educational Video to Reduce Anxiety Levels Before Outpatient Medical Abortion: A Randomised Controlled Trial"],"prefix":"10.1111","volume":"132","author":[{"given":"Nuttamon","family":"Dejchaiyasak","sequence":"first","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology Faculty of Medicine Ramathibodi Hospital, Mahidol University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4079-8606","authenticated-orcid":false,"given":"Waranyu","family":"Lertrat","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine, Department of Obstetrics &amp; Gynaecology Faculty of Medicine Ramathibodi Hospital, Mahidol University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Komkrit","family":"Aimjirakul","sequence":"additional","affiliation":[{"name":"Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics &amp; Gynaecology Faculty of Medicine Ramathibodi Hospital, Mahidol University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orawee","family":"Chinthakanan","sequence":"additional","affiliation":[{"name":"Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics &amp; Gynaecology Faculty of Medicine Ramathibodi Hospital, Mahidol University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orawin","family":"Vallibhakara","sequence":"additional","affiliation":[{"name":"Menopause Unit, Reproductive Endocrinology and Infertility Unit, Department of Obstetrics &amp; Gynaecology Faculty of Medicine Ramathibodi Hospital, Mahidol University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,4]]},"reference":[{"key":"e_1_2_18_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-2848-8"},{"key":"e_1_2_18_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0505-4"},{"key":"e_1_2_18_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0327(99)00126-3"},{"key":"e_1_2_18_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/pcn.12067"},{"key":"e_1_2_18_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-016-0812-y"},{"key":"e_1_2_18_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-022-01935-3"},{"key":"e_1_2_18_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-022-02064-7"},{"key":"e_1_2_18_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2023.07.024"},{"key":"e_1_2_18_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.conx.2023.100091"},{"key":"e_1_2_18_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2024.03.033"},{"key":"e_1_2_18_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2018-200149"},{"key":"e_1_2_18_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyaf028"},{"key":"e_1_2_18_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-024-06328-y"},{"key":"e_1_2_18_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/13625187.2016.1199795"},{"key":"e_1_2_18_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15216"},{"key":"e_1_2_18_17_1","volume-title":"Abortion care guidelines","author":"World Health Organization","year":"2022"},{"key":"e_1_2_18_18_1","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.920428"},{"key":"e_1_2_18_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/00325481.2021.1969718"},{"issue":"3","key":"e_1_2_18_20_1","article-title":"An Informative Video Before Planned Cesarean Delivery and Maternal Anxiety\u2010a Multicenter Randomized Controlled Trial","volume":"4","author":"Miremberg H.","year":"2022","journal-title":"American Journal of Obstetrics & Gynecology Maternal Fetal Medicine"},{"key":"e_1_2_18_21_1","volume-title":"Manual for the State\u2010Trait Anxiety Inventory (Form Y1 \u2013 Y2)","author":"Spielberger C.","year":"1983"},{"key":"e_1_2_18_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.03.042"},{"key":"e_1_2_18_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2012.04.027"},{"key":"e_1_2_18_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2020.101928"},{"key":"e_1_2_18_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2022.101895"},{"key":"e_1_2_18_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/02646838.2023.2241062"},{"key":"e_1_2_18_27_1","doi-asserted-by":"publisher","DOI":"10.3389\/fdgth.2022.1010779"},{"key":"e_1_2_18_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(02)00020-4"},{"key":"e_1_2_18_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(04)24018-6"},{"issue":"1","key":"e_1_2_18_30_1","first-page":"187","article-title":"Exploring Legal Restrictions, Regulatory Reform, and Geographic Disparities in Abortion Access in Thailand","volume":"19","author":"Arnott G.","year":"2017","journal-title":"Health and Human Rights"},{"key":"e_1_2_18_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60252-5"},{"key":"e_1_2_18_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10943-009-9273-7"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; 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