Better Birth Outcomes and Experiences Through Technology, Education, and Reporting (BETTER)
Ohio State University
Summary
This is a pragmatic randomized control trial to evaluate the BETTER intervention compared to standard obstetrical care (control) to determine whether it helps to reduce maternal anemia and other adverse pregnancy outcomes. The BETTER intervention includes one motivational interviewing session and bi-weekly text messages to encourage patients to connect with resources that address their social needs, including housing, food, and transportation. Quantitative data will be used to study participant outcomes, including surveys, and electronic health record data.
Description
There are more than 3.5 million births per year in the United States. A substantial portion of these births (approximately 25-30%) occur in the context of significant adverse pregnancy outcomes (APOs) including preterm birth (PTB), hypertensive disorders of pregnancy (HDP), small-for-gestational-age birth (SGA), and intrauterine fetal demise (IUFD). Moreover, these complications significantly increase the risk of both maternal and perinatal morbidity and mortality and are associated with adverse health consequences throughout the life course of both individuals. Anemia in pregnancy has been co…
Eligibility
- Age range
- 18+ years
- Sex
- Female
- Healthy volunteers
- No
Inclusion Criteria * Less than 20 weeks and 6 days pregnant upon enrollment * At least 18 years of age * Receiving obstetric care at OSU McCampbell Hall or OSU Outpatient Care East * Singleton pregnancy and fetus with a heartbeat * English speaking * Able to receive text messages Exclusion Criteria * Has a significant medical condition (eg sickle cell disease) that is a cause of anemia * Has a plan for transfusion during pregnancy
Interventions
- BehavioralBETTER: motivational interviewing and text messaging
Motivational interviewing to encourage individuals to address their social needs and engage with text messages that allow individuals to connect to their care team, a local organization that can help them address their social needs, and/or a resource that enables them to find help to address their needs based on their zip code.
- BehavioralStandard of care
No motivational interviewing or text messages will be provided.
Locations (3)
- The Ohio State University Outpatient Care EastColumbus, Ohio
- McCampbell HallColumbus, Ohio
- The Ohio State University Wexner Medical Center OB/GYN Maternal and Fetal MedicineColumbus, Ohio