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Using mHealth Interventions to Improve Prenatal Care and Birth Outcomes in the United States By: Akimi Smith

Using mHealth Interventions to Improve Prenatal Care and ... · Foster, J., et al., mHealth to promote pregnancy and interconception health among African-American women at risk for

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Page 1: Using mHealth Interventions to Improve Prenatal Care and ... · Foster, J., et al., mHealth to promote pregnancy and interconception health among African-American women at risk for

Using mHealth Interventions to Improve Prenatal Care and Birth Outcomes in the United

StatesBy: Akimi Smith

Page 2: Using mHealth Interventions to Improve Prenatal Care and ... · Foster, J., et al., mHealth to promote pregnancy and interconception health among African-American women at risk for

Background§ Negative birth outcomes persistent in US§ Short-term and long-term consequences§ Access to prenatal care

Page 3: Using mHealth Interventions to Improve Prenatal Care and ... · Foster, J., et al., mHealth to promote pregnancy and interconception health among African-American women at risk for

What is mHealth?

§ Using mobile phones and communication devices to deliver health services and information

Page 4: Using mHealth Interventions to Improve Prenatal Care and ... · Foster, J., et al., mHealth to promote pregnancy and interconception health among African-American women at risk for

mHealth and Prenatal

Care

§ High compliance and usability § Improved nutrition and physical activity§ Increased attendance in prenatal appointments

Page 5: Using mHealth Interventions to Improve Prenatal Care and ... · Foster, J., et al., mHealth to promote pregnancy and interconception health among African-American women at risk for

mHealth and Prenatal Care

in the US

§ High compliance and usability § Increased attendance in prenatal appointments§ Improved prenatal vitamin intake and awareness of

smoking and consuming alcohol§ Form of social support

Page 6: Using mHealth Interventions to Improve Prenatal Care and ... · Foster, J., et al., mHealth to promote pregnancy and interconception health among African-American women at risk for

Limitations§ Information and privacy issues§ Lack of access to healthcare and technology

§ Rural/underserved population

Page 7: Using mHealth Interventions to Improve Prenatal Care and ... · Foster, J., et al., mHealth to promote pregnancy and interconception health among African-American women at risk for

Conclusions§ mHealth interventions feasible and acceptable § Further research needed to evaluate effectiveness

§ Randomized control trials

Page 8: Using mHealth Interventions to Improve Prenatal Care and ... · Foster, J., et al., mHealth to promote pregnancy and interconception health among African-American women at risk for

Public Health

Implications

§ Increase access to prenatal care§ Improve birth outcomes§ Minority and underserved populations

§ Racial Disparities in MCH

Page 9: Using mHealth Interventions to Improve Prenatal Care and ... · Foster, J., et al., mHealth to promote pregnancy and interconception health among African-American women at risk for

Acknowledgements

§ Making Lifelong Connections

§ Department of Behavioral Sciences and Health Education at the Rollins School of Public Health at Emory University

§ Maternal and Child Health Certificate Program at the Rollins School of Public Health at Emory University

§ Women’s and Children’s Center at Emory University

Page 10: Using mHealth Interventions to Improve Prenatal Care and ... · Foster, J., et al., mHealth to promote pregnancy and interconception health among African-American women at risk for

Questions?

Page 11: Using mHealth Interventions to Improve Prenatal Care and ... · Foster, J., et al., mHealth to promote pregnancy and interconception health among African-American women at risk for

References

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2. Abroms, L.C., et al., Quit4baby: Results From a Pilot Test of a Mobile Smoking Cessation Program for Pregnant Women. JMIR mHealth uHealth, 2015. 3(1): p. e10.

3. Bushar, J.A., et al., Text4baby Influenza Messaging and Influenza Vaccination Among Pregnant Women. American Journal of Preventive Medicine, 2017. 53(6): p. 845-853.

4. Evans, W.D., et al., Initial Outcomes From a 4-Week Follow-Up Study of the Text4baby Program in the Military Women’s Population: Randomized Controlled Trial. Journal of Medical Internet Research, 2014. 16(5): p. e131.

5. Evans, W.D., J.L. Wallace, and J. Snider, Pilot evaluation of the text4baby mobile health program. BMC Public Health, 2012. 12: p. 1031-1031.

6. Foster, J., et al., mHealth to promote pregnancy and interconception health among African-American women at risk for adverse birth outcomes: a pilot study. mHealth, 2015. 1: p. 20.

7. Gray, J., et al., Electronic Brief Intervention and Text Messaging for Marijuana Use During Pregnancy: Initial Acceptability of Patients and Providers. JMIR mHealth and uHealth, 2017. 5(11): p. e172.

8. Krishnamurti, T., et al., Development and Testing of the MyHealthyPregnancy App: A Behavioral Decision Research-Based Tool for Assessing and Communicating Pregnancy Risk. JMIR mHealth and uHealth, 2017. 5(4): p. e42.

9. Mackert, M., et al., Engaging Men in Prenatal Health Promotion: A Pilot Evaluation of Targeted e-Health Content. American Journal of Men's Health, 2017. 11(3): p. 719-725.

10. Nicholson, W.K., et al., The Gestational Diabetes Management System (GooDMomS): development, feasibility and lessons learned from a patient-informed, web-based pregnancy and postpartum lifestyle intervention. BMC Pregnancy and Childbirth, 2016. 16: p. 277.