Objective To evaluate the effect of a narrative intervention on individual-level abortion stigma in patients undergoing abortion. Study design This randomised controlled trial examined individual-level abortion stigma and psychological distress among patients undergoing outpatient abortion. Patients were randomised to a narrative intervention verus usual care. The intervention consisted of viewing a digital narrative and responding to a writing prompt. Abortion stigma was measured using the Individual Level Abortion Stigma Scale (ILAS) and psychological distress was assessed with a modified Profile of Mood States-Short Form (POMS-SF) at baseline and after 2 weeks. The primary outcome compared change in ILAS score from baseline to follow-up between groups. The secondary outcome compared change in the modified POMS-SF score. Results We randomised 215 participants. Baseline characteristics were similar between groups. Overall baseline stigma scores were low. The study groups did not differ significantly in the primary ILAS outcome (mean change=0.07 in both groups with score range 0 to 3.5, 95% CI -0.11 to 0.11, p=0.98). There was also no significant difference in the secondary modified POMS-SF outcome (mean change −0.64 for the intervention group and −0.65 for the control group with score range −8 to 8, 95% CI -1.10 to 1.12, p=0.98). Black participants, comprising the majority, demonstrated lower levels of individual-level abortion stigma and psychological distress at baseline than participants identifying with any other race (mean baseline ILAS score of 0.70 vs 1.00 and mean modified POMS-SF score of −3.00 vs −1.45, 95% CI 0.12 to 0.46 and 95% CI 0.28 to 2.01, p=0.001 and p=0.02, respectively). Conclusions Patients who participated in a narrative intervention did not score lower on an individual-level abortion stigma scale compared with a control group at 2-week follow-up. Demographic characteristics may predict levels of individual-level abortion stigma and psychological distress among patients seeking abortion. Data may be obtained from a third party and are not publicly available. Data will not be shared publicly but may be available if an independent request is submitted to the authors.

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叙事干预对个体流产耻辱的影响：一项随机对照试验

目的评价叙事干预对流产患者个体水平流产耻辱感的影响。研究设计 这项随机对照试验检查了门诊流产患者的个体水平流产耻辱感和心理困扰。患者被随机分配到叙事干预与常规护理。干预包括观看数字叙述和回应写作提示。使用个人水平流产污名量表 (ILAS) 测量流产污名，并在基线和 2 周后使用修改后的情绪状态简表 (POMS-SF) 评估心理困扰。主要结果比较了各组间 ILAS 评分从基线到随访的变化。次要结果比较了修改后的 POMS-SF 评分的变化。结果 我们随机分配了 215 名参与者。各组之间的基线特征相似。总体基线污名评分较低。研究组在主要 ILAS 结果方面没有显着差异（两组的平均变化 = 0.07，评分范围为 0 至 3.5，95% CI -0.11 至 0.11，p = 0.98）。二次改良 POMS-SF 结果也没有显着差异（干预组的平均变化为 -0.64，对照组的平均变化为 -0.65，评分范围为 -8 至 8，95% CI -1.10 至 1.12，p=0.98） . 黑人参与者（占大多数）在基线时表现出较低水平的个人堕胎耻辱感和心理困扰，低于识别任何其他种族的参与者（平均基线 ILAS 得分为 0.70 对 1.00，平均改良 POMS-SF 得分为 -3.00 对 -1.45 , 95% CI 0.12 至 0.46 和 95% CI 0.28 至 2.01, p=0。001 和 p = 0.02，分别）。结论 在 2 周的随访中，参与叙述干预的患者在个体水平流产耻辱量表上的得分并未低于对照组。人口统计学特征可以预测寻求流产的患者个体水平的流产耻辱和心理困扰的程度。数据可能从第三方获得，并且不公开。数据不会公开共享，但如果向作者提交独立请求，则可能会提供这些数据。人口统计学特征可以预测寻求流产的患者个体水平的流产耻辱和心理困扰的程度。数据可能从第三方获得，并且不公开。数据不会公开共享，但如果向作者提交独立请求，则可能会提供这些数据。人口统计学特征可以预测寻求流产的患者个体水平的流产耻辱和心理困扰的程度。数据可能从第三方获得，并且不公开。数据不会公开共享，但如果向作者提交独立请求，则可能会提供这些数据。