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Related Experiment Video

Updated: Sep 14, 2025

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Digital Technology for Informed Choices at Childbirth in Brazil: A Randomized Controlled Trial.

Carmen Simone Grilo Diniz1,2, Ana Carolina Arruda Franzon2,3, Beatriz Fioretti-Foschi2,3

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A smartphone app effectively educated women on maternity best practices, increasing their engagement in informed childbirth choices. This digital intervention promoted safer, empowered decisions in maternal healthcare.

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Area of Science:

  • Digital Health
  • Maternal Health
  • Evidence-Based Practice

Background:

  • Maternity services require effective communication of best practices and safety information.
  • Smartphone applications offer a scalable platform for health interventions.

Purpose of the Study:

  • To design and evaluate a smartphone application intervention for maternity best practices and safety.
  • To assess the impact of digital information on women's engagement in childbirth care.

Main Methods:

  • A randomized controlled trial was conducted using a mobile application.
  • Participants (18-49 years, with children or planning pregnancy) received information on best practices or diapers (control).
  • Primary outcome was increased participant engagement in seeking active roles and informed choices.

Main Results:

  • The intervention group showed significantly increased engagement in seeking an active role or making informed choices (odds ratio, 2.06; P<.001).
  • The mobile application intervention was highly effective for all secondary outcomes.
  • The study enrolled 17,643 women, with 13,969 completing the intervention.

Conclusions:

  • Affordable digital technology can effectively promote awareness of safer, empowered choices in childbirth.
  • The intervention facilitated the translation of evidence-based knowledge to a broader audience.
  • Smartphone applications are valuable tools for improving maternal healthcare engagement and outcomes.