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Understanding Pregnancy and Postpartum Health Using Ecological Momentary Assessment and Mobile Technology: Protocol
Dara D Mendez1, Sarah A Sanders2, Hassan A Karimi3
1Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, United States.
The Postpartum Mothers Mobile Study (PMOMS) uses mobile technology to track daily experiences of pregnant and postpartum individuals, aiming to understand racial disparities in weight and cardiometabolic health.
Area of Science:
- Reproductive Health
- Public Health
- Digital Health
Background:
- Significant racial disparities exist in pregnancy and postpartum health outcomes, including weight retention and cardiometabolic risk.
- These disparities result from a complex interplay of contextual, environmental, behavioral, and psychosocial factors.
Purpose of the Study:
- To describe the development and infrastructure of the Postpartum Mothers Mobile Study (PMOMS).
- To capture daily experiences and exposures of women from late pregnancy through 1 year postpartum.
- To understand factors contributing to racial disparities in postpartum weight and cardiometabolic health, focusing on daily stress and racism.
Main Methods:
- Longitudinal observational study ancillary to the GDM2 trial.
- Utilizes ecological momentary assessment (EMA) via smartphone technology.
- Includes pilot phase, app development, and participant recruitment and retention.
Main Results:
- Aims to recruit 350 participants, following them for 1 year postpartum.
- As of May 2019, 305 participants were recruited.
- Key strengths include smartphone data collection, low attrition, high EMA completion, and efficient enrollment.
Conclusions:
- PMOMS is a novel study using EMA and mobile technology during pregnancy and postpartum.
- Findings will improve data collection methods, particularly EMA for real-time exposure capture.
- Results will inform future research on weight, cardiometabolic health, and social determinants of disparities.
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