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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

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Published on: January 12, 2018

Conversation cards for pregnancy: a protocol for a multi-method study.

Angela S Alberga^1,2, Vida Forouhar³, Valentina Lurye^4,5

¹Department of Health, Kinesiology, and Applied Physiology, Concordia University, Montreal, QC, Canada. angela.alberga@concordia.ca.

Pilot and Feasibility Studies

|April 10, 2026

Summary

This summary is machine-generated.

This study developed Conversation Cards for Pregnancy (PregnancyCards) to improve discussions on health behaviors during prenatal visits. The tool aims to empower pregnant individuals and optimize maternal and fetal health outcomes.

Keywords:

Communication Conversation cards Dialogue tool Gestational weight gain Health behaviours Pregnancy Prenatal care providers Prenatal education Protocol

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Area of Science:

Maternal Health
Behavioral Science
Health Communication

Background:

Prenatal visits are crucial for discussing health behaviors, mental health, and socioeconomic factors to optimize maternal and fetal health.
A clinical dialogue tool, Conversation Cards for Pregnancy (PregnancyCards), was developed to facilitate these sensitive conversations.
PregnancyCards aim to empower pregnant individuals by enabling them to discuss important health behaviors with their prenatal care providers.

Purpose of the Study:

To develop and evaluate the acceptability, appropriateness, and feasibility of PregnancyCards.
To understand pregnant individuals' perceived needs for conversations regarding health behaviors during prenatal care.
To explore the usability and likability of PregnancyCards from both pregnant individuals' and providers' perspectives.

Main Methods:

A two-step, 3-year, multi-method study guided by the Obesity-Related Behavioural Interventions Trial (ORBIT) model and the Capability, Opportunity, and Motivation (COM-B) framework.
Step 1 involved virtual semi-structured interviews with pregnant individuals (n≈20) and prenatal care providers (n≈10-15) to identify key topics.
Step 2 will involve evaluating a prototype deck of PregnancyCards with pregnant individuals (n≈40) and providers (n≈15) in clinical settings.

Main Results:

Step 1 successfully recruited 21 pregnant individuals and 14 prenatal care providers for interviews.
Thematic analysis of interview data has been completed, informing the development of a prototype PregnancyCards deck.
The prototype deck is ready for testing in Step 2 of the study.

Conclusions:

PregnancyCards have the potential to be a practical clinical dialogue tool for empowering pregnant individuals.
The tool can optimize discussions about health behaviors that are important during pregnancy.
Future research will test the efficacy and effectiveness of PregnancyCards as a behavioral intervention to improve health behaviors in pregnancy.