Pilot Project Description
In Nebraska, nearly half of the counties on average – mostly rural – have a higher percentage of preterm births than the March of Dimes national average of 8.1%. Many of these rural counties are home to 30% or more soon-to-be mothers who receive inadequate prenatal care. Access to prevention and resources are rural barriers in Nebraska that contribute to preterm births. Through a pilot study conducted under the direction of the University of Nebraska Medical Center (UNMC) and with funding from Blue Cross Blue Shield of Nebraska, the pilot study aimed to positively impact these issues within Nebraska’s prenatal patient population. GoMo Health collaborated with Dr. Amy Ford and Dr. Mary Cramer from UNMC to develop a program with specialized content to help reduce preterm births.
- Test the feasibility of an intervention using GoMo Health Personal Concierge™ with Community Health Worker Reinforcement based on patient satisfaction, patient engagement, study enrollment.
- Examine the intervention effectiveness for reduced preterm births, improved patient activation for self-management, and improved adherence to medical care.
- Measure intervention costs using return on investment analysis.
GoMo Health leveraged its proprietary emerging science, BehavioralRx®, the science of patient engagement, to build the program and determine the engagement strategy, approach, and content that was delivered. The following behavioral and cognitive techniques were applied:
- Suggestion Technology: Intervening at the right time
- Conditioning Technology: Reinforcing target behavior
- Reduction Technology: Persuading through simplifying
- Tailoring Technology: Persuasion through customization
Expectant mothers were recruited from five primary care clinics in rural Nebraska for a 15-month pilot feasibility study. Participants were in their first or second trimester of pregnancy and were divided into two groups for a quasi-experimental design.
The intervention group received usual medical care plus weekly health content via mobile device using Personal Concierge™. Additionally, they received personal outreach from the Community Health Worker (CHW) who phoned participants to address issues regarding:
- Social services
- Medication access
- Prenatal education
- Personal health
The control group received usual medical care, plus prenatal information packets.
Dr. Mary Cramer spoke at the Pediatric Nursing & Healthcare 3rd International Conference on September 21 about the results of the pilot study. See her presentation slides on SlideShare.
The study will be published soon in a peer-reviewed journal. Contact GoMo Health to discuss the results of the study.