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Healthy Beyond Pregnancy, a Web-Based Intervention to Improve Adherence to Postpartum Care: Randomized Controlled
Katherine Park Himes1, Heidi Donovan2, Stephanie Wang3
1Magee-Womens Research Institute, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh, Pittsburgh, PA, United States.
JMIR Human Factors
|October 12, 2017
Summary
A new web-based tool, Healthy Beyond Pregnancy, significantly improved postpartum visit attendance among Medicaid patients. This pilot study shows high usability and feasibility for a randomized controlled trial of this intervention.
Area of Science:
- Behavioral economics
- Decision science
- Public health interventions
Background:
- Postpartum visits are crucial for maternal and child health.
- Women with Medicaid insurance have lower postpartum visit adherence compared to privately insured women.
- Behavioral economics principles can address decision-making biases influencing healthcare adherence.
Purpose of the Study:
- To refine and assess the usability of the "Healthy Beyond Pregnancy" web-based tool.
- To evaluate the feasibility of a randomized controlled trial (RCT) for this intervention.
Main Methods:
- A multidisciplinary team designed the "Healthy Beyond Pregnancy" tool.
- Usability was assessed using the Post-Study System Usability Questionnaire (PSSUQ) and semistructured interviews.
- A pilot trial determined willingness to participate in an RCT and complete the web-based program.
Main Results:
- The "Healthy Beyond Pregnancy" tool demonstrated high usability (median PSSUQ score 6.5).
- 88% of eligible Medicaid patients consented to the pilot trial, and all randomized participants completed the program.
- Women using "Healthy Beyond Pregnancy" were more likely to attend postpartum visits (85%) compared to the control group (53%).
Conclusions:
- A highly usable and acceptable web-based program was developed to increase postpartum visit attendance.
- Pilot trial results indicate patient willingness and ability to engage in RCTs involving web-based tools and text messaging.
