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TRANSCRIPT
Using mHealth Interventions to Improve Prenatal Care and Birth Outcomes in the United
StatesBy: Akimi Smith
Background§ Negative birth outcomes persistent in US§ Short-term and long-term consequences§ Access to prenatal care
What is mHealth?
§ Using mobile phones and communication devices to deliver health services and information
mHealth and Prenatal
Care
§ High compliance and usability § Improved nutrition and physical activity§ Increased attendance in prenatal appointments
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
Limitations§ Information and privacy issues§ Lack of access to healthcare and technology
§ Rural/underserved population
Conclusions§ mHealth interventions feasible and acceptable § Further research needed to evaluate effectiveness
§ Randomized control trials
Public Health
Implications
§ Increase access to prenatal care§ Improve birth outcomes§ Minority and underserved populations
§ Racial Disparities in MCH
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
Questions?
References
1. Abroms, L.C., et al., Assessing the National Cancer Institute’s SmokefreeMOM Text-Messaging Program for Pregnant Smokers: Pilot Randomized Trial. Journal of Medical Internet Research, 2017. 19(10): p. e333.
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.