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Purpose

The purpose of this research study is to see if using the MI MOM App improves pregnancy and postpartum health. There are two study groups, where one group is "treatment as usual" and the other is the "MI MOM App" group. Both groups will be asked to answer questions about their pregnancy health. Researchers will also retrieve vital records and Medicaid claims information related to pregnancy for both groups. Those in the "MI MOM App" group will receive mobile web app content and text messages with informational links and links to videos and micro-interventions. They will also identify up to three close friends or family members who will be invited to receive text messages. Those in the "MI MOM App" will also have the option to contact a community health worker as needed.

Conditions

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
Female
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Pregnant at 20 weeks gestation or less - 18 years of age or older - Access to smartphone with text messaging and internet access - Speaks English - Enrolled in Medicaid for health insurance

Exclusion Criteria

  • Younger than 18 years old - Not pregnant or pregnant with more than 20 weeks gestation - No access to a smartphone with text messaging and internet access - Not English speaking - Not enrolled in Medicaid for health insurance

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Prevention
Masking
Single (Outcomes Assessor)
Masking Description
Primary outcomes will be vital record and Medicaid claims data collected independent of this trial, and direct self-report via online survey software.

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
MI MOM 		Participants receive app content and text messages with information designed to improve pregnancy outcomes.
  • Behavioral: MI MOM App
    Participants enrolled in the Michigan Healthy Moms (MI MOM) app will receive initial interactive app content followed by regular text messages with information related to pregnancy health, designed to increase patient awareness of warning signs, help them with self-advocacy, and otherwise improve health in pregnancy and postpartum. They will also have online live chat (text) access to a community healthcare worker who can assist them in enrolling in services to improve their health. They will also have the option of enrolling support persons (partners, family members, close friends, etc.) in the MI MOM app to receive similar information designed to help them support the pregnant participant. Providers at intervention sites will also receive information designed to improve their awareness of techniques for preventing maternal morbidity and mortality.
No Intervention
Treatment as Usual 		Data collection for study outcomes only

Recruiting Locations

Shiawasee Health Department
Corunna, Michigan 48817
Contact:
Ondersma
313-444-9797
onders12@msu.edu

McLaren Flint OB-GYN
Flint, Michigan 48532
Contact:
Ondersma
313-444-9797
onders12@msu.edu

Munson Gaylord OB-GYN
Gaylord, Michigan 49735
Contact:
Ondersma
313-444-9797
onders12@msu.edu

Trinity Health OB-GYN
Grand Rapids, Michigan 49503
Contact:
Ondersma
313-444-9797
onders12@msu.edu

MidMichigan OB-GYN
Midland, Michigan 48640
Contact:
Ondersma
313-444-9797
onders12@msu.edu

Munson Prudenville OB-GYN
Prudenville, Michigan 48651
Contact:
Ondersma
313-444-9797
onders12@msu.edu

MyMichigan Sault OB-GYN
Sault Ste. Marie, Michigan 49783
Contact:
Ondersma
313-444-9797
onders12@msu.edu

Grand Traverse Women's Clinic
Traverse City, Michigan 49684
Contact:
Ondersma
313-444-9797
onders12@msu.edu

More Details

Status
Recruiting
Sponsor
Michigan State University

Study Contact

Steven J Ondersma, PhD
313-444-9797
onders12@msu.edu

Detailed Description

The researchers aim to use a site-randomized design to determine whether the Michigan Healthy Mom (MI MOM) app will improve pregnancy health when used by pregnant women, their supporters (partners, mothers, friends, etc.), and healthcare providers, vs treatment as usual. Specifically, the researchers will test: 1. Whether use of the MI MOM app results in improvements to self-reported app targets (e.g., reducing provider bias, increasing treatment-seeking, service connection, early warning sign awareness, and improving mental health) 2. Whether use of the MI MOM app improved overall pregnancy and postpartum health 3. Whether the app reduced disparities in pregnancy/postpartum health, i.e. between Black and White, rural and urban participants

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.