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Using Intervention Mapping to Codevelop Orchid, a Digital Tool for Reproductive Life Planning: Development and

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Digital health interventions like Orchid can support reproductive life planning, but uptake and engagement need improvement. This co-designed tool shows promise for preventative reproductive health care.

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Area of Science:

  • Digital health interventions
  • Reproductive health
  • Behavioral science

Background:

  • Many pregnancies are unplanned, particularly in underserved groups, highlighting health inequality.
  • Lack of pre-pregnancy health changes misses opportunities to improve outcomes.
  • Digital health interventions (DHIs) require systematic development for effectiveness.

Purpose of the Study:

  • To codevelop and pilot Orchid, a novel DHI using Intervention Mapping.
  • To support individuals of reproductive age in understanding pregnancy preferences and creating a reproductive life plan (RLP).

Main Methods:

  • Intervention Mapping steps 1-4 guided systematic, theory-informed codevelopment.
  • Used Capability, Opportunity, Motivation-Behavior (COM-B) model and behavior change techniques.
  • Co-designed Orchid as a website/app with pregnancy preference tools, RLP, information, and goal-setting; piloted in healthcare settings.

Main Results:

  • Implementation was feasible; healthcare professionals found Orchid acceptable to recommend.
  • 153 users signed up; 68% received a pregnancy preference group, 27% completed an RLP.
  • Users praised content, design, autonomy, and privacy; lower uptake suggests need for recruitment and navigation improvements.

Conclusions:

  • Orchid is the first co-designed DHI for life-course reproductive health.
  • Systematic development, theoretical basis, and user involvement position Orchid as a scalable innovation.
  • Orchid promises to deliver accessible reproductive health information and promote preventative, community-based care.