Login now to access Regular content available to all registered users.
Abstract
Discussion Forum (0)
Introduction: Timely (first trimester) prenatal care entry and postpartum visit completion are associated with improved maternal and infant health at birth and beyond. Smartphone applications (“apps”) may improve receipt of these services among expectant mothers by supporting education and engagement in care. This study evaluated the effect of a prenatal app on timeliness of entry into prenatal care and postpartum visit completion among Medicaid enrollees.
Methods: The sample for this retrospective case-control study included 685 Medicaid managed care plan enrollees who downloaded a prenatal app, had a live birth from 6/30/18-6/30/19, and had outcome data available. A group of 1308 app non-users matched (2:1) to app-users by ethnicity, region, care management risk score, and age served as controls. Timely prenatal care entry and postpartum visit were compared between app users and nonusers using the Chi-Square test. The effect of trimester at app download (first versus other) on timely prenatal care entry was also assessed.
Results: App users were more likely than matched non-users to attend a postpartum visit (odds ratio, OR=1.300, 95% confidence interval, CI 1.063, 1.590). However, app users were less likely to enter prenatal care within the first trimester (OR=0.796, 95% CI 0.638, 0.993). 11.8% of sampled users downloaded the app within the first trimester – this did not impact study outcomes.
Conclusion/Implications: Use of a smartphone prenatal app was associated with increased likelihood of postpartum visit completion, but not timely entry into prenatal care. Additional barriers to timely entry may exist in this population.
Methods: The sample for this retrospective case-control study included 685 Medicaid managed care plan enrollees who downloaded a prenatal app, had a live birth from 6/30/18-6/30/19, and had outcome data available. A group of 1308 app non-users matched (2:1) to app-users by ethnicity, region, care management risk score, and age served as controls. Timely prenatal care entry and postpartum visit were compared between app users and nonusers using the Chi-Square test. The effect of trimester at app download (first versus other) on timely prenatal care entry was also assessed.
Results: App users were more likely than matched non-users to attend a postpartum visit (odds ratio, OR=1.300, 95% confidence interval, CI 1.063, 1.590). However, app users were less likely to enter prenatal care within the first trimester (OR=0.796, 95% CI 0.638, 0.993). 11.8% of sampled users downloaded the app within the first trimester – this did not impact study outcomes.
Conclusion/Implications: Use of a smartphone prenatal app was associated with increased likelihood of postpartum visit completion, but not timely entry into prenatal care. Additional barriers to timely entry may exist in this population.
Introduction: Timely (first trimester) prenatal care entry and postpartum visit completion are associated with improved maternal and infant health at birth and beyond. Smartphone applications (“apps”) may improve receipt of these services among expectant mothers by supporting education and engagement in care. This study evaluated the effect of a prenatal app on timeliness of entry into prenatal care and postpartum visit completion among Medicaid enrollees.
Methods: The sample for this retrospective case-control study included 685 Medicaid managed care plan enrollees who downloaded a prenatal app, had a live birth from 6/30/18-6/30/19, and had outcome data available. A group of 1308 app non-users matched (2:1) to app-users by ethnicity, region, care management risk score, and age served as controls. Timely prenatal care entry and postpartum visit were compared between app users and nonusers using the Chi-Square test. The effect of trimester at app download (first versus other) on timely prenatal care entry was also assessed.
Results: App users were more likely than matched non-users to attend a postpartum visit (odds ratio, OR=1.300, 95% confidence interval, CI 1.063, 1.590). However, app users were less likely to enter prenatal care within the first trimester (OR=0.796, 95% CI 0.638, 0.993). 11.8% of sampled users downloaded the app within the first trimester – this did not impact study outcomes.
Conclusion/Implications: Use of a smartphone prenatal app was associated with increased likelihood of postpartum visit completion, but not timely entry into prenatal care. Additional barriers to timely entry may exist in this population.
Methods: The sample for this retrospective case-control study included 685 Medicaid managed care plan enrollees who downloaded a prenatal app, had a live birth from 6/30/18-6/30/19, and had outcome data available. A group of 1308 app non-users matched (2:1) to app-users by ethnicity, region, care management risk score, and age served as controls. Timely prenatal care entry and postpartum visit were compared between app users and nonusers using the Chi-Square test. The effect of trimester at app download (first versus other) on timely prenatal care entry was also assessed.
Results: App users were more likely than matched non-users to attend a postpartum visit (odds ratio, OR=1.300, 95% confidence interval, CI 1.063, 1.590). However, app users were less likely to enter prenatal care within the first trimester (OR=0.796, 95% CI 0.638, 0.993). 11.8% of sampled users downloaded the app within the first trimester – this did not impact study outcomes.
Conclusion/Implications: Use of a smartphone prenatal app was associated with increased likelihood of postpartum visit completion, but not timely entry into prenatal care. Additional barriers to timely entry may exist in this population.
Impact of a Prenatal Smartphone Application on Prenatal and Postpartum Care in Medicaid
Nishtha Patel
Affiliations:
Inland Empire Health Plan
Inland Empire Health Plan
Abstract
Discussion Forum (0)
Introduction: Timely (first trimester) prenatal care entry and postpartum visit completion are associated with improved maternal and infant health at birth and beyond. Smartphone applications (“apps”) may improve receipt of these services among expectant mothers by supporting education and engagement in care. This study evaluated the effect of a prenatal app on timeliness of entry into prenatal care and postpartum visit completion among Medicaid enrollees.
Methods: The sample for this retrospective case-control study included 685 Medicaid managed care plan enrollees who downloaded a prenatal app, had a live birth from 6/30/18-6/30/19, and had outcome data available. A group of 1308 app non-users matched (2:1) to app-users by ethnicity, region, care management risk score, and age served as controls. Timely prenatal care entry and postpartum visit were compared between app users and nonusers using the Chi-Square test. The effect of trimester at app download (first versus other) on timely prenatal care entry was also assessed.
Results: App users were more likely than matched non-users to attend a postpartum visit (odds ratio, OR=1.300, 95% confidence interval, CI 1.063, 1.590). However, app users were less likely to enter prenatal care within the first trimester (OR=0.796, 95% CI 0.638, 0.993). 11.8% of sampled users downloaded the app within the first trimester – this did not impact study outcomes.
Conclusion/Implications: Use of a smartphone prenatal app was associated with increased likelihood of postpartum visit completion, but not timely entry into prenatal care. Additional barriers to timely entry may exist in this population.
Methods: The sample for this retrospective case-control study included 685 Medicaid managed care plan enrollees who downloaded a prenatal app, had a live birth from 6/30/18-6/30/19, and had outcome data available. A group of 1308 app non-users matched (2:1) to app-users by ethnicity, region, care management risk score, and age served as controls. Timely prenatal care entry and postpartum visit were compared between app users and nonusers using the Chi-Square test. The effect of trimester at app download (first versus other) on timely prenatal care entry was also assessed.
Results: App users were more likely than matched non-users to attend a postpartum visit (odds ratio, OR=1.300, 95% confidence interval, CI 1.063, 1.590). However, app users were less likely to enter prenatal care within the first trimester (OR=0.796, 95% CI 0.638, 0.993). 11.8% of sampled users downloaded the app within the first trimester – this did not impact study outcomes.
Conclusion/Implications: Use of a smartphone prenatal app was associated with increased likelihood of postpartum visit completion, but not timely entry into prenatal care. Additional barriers to timely entry may exist in this population.
Introduction: Timely (first trimester) prenatal care entry and postpartum visit completion are associated with improved maternal and infant health at birth and beyond. Smartphone applications (“apps”) may improve receipt of these services among expectant mothers by supporting education and engagement in care. This study evaluated the effect of a prenatal app on timeliness of entry into prenatal care and postpartum visit completion among Medicaid enrollees.
Methods: The sample for this retrospective case-control study included 685 Medicaid managed care plan enrollees who downloaded a prenatal app, had a live birth from 6/30/18-6/30/19, and had outcome data available. A group of 1308 app non-users matched (2:1) to app-users by ethnicity, region, care management risk score, and age served as controls. Timely prenatal care entry and postpartum visit were compared between app users and nonusers using the Chi-Square test. The effect of trimester at app download (first versus other) on timely prenatal care entry was also assessed.
Results: App users were more likely than matched non-users to attend a postpartum visit (odds ratio, OR=1.300, 95% confidence interval, CI 1.063, 1.590). However, app users were less likely to enter prenatal care within the first trimester (OR=0.796, 95% CI 0.638, 0.993). 11.8% of sampled users downloaded the app within the first trimester – this did not impact study outcomes.
Conclusion/Implications: Use of a smartphone prenatal app was associated with increased likelihood of postpartum visit completion, but not timely entry into prenatal care. Additional barriers to timely entry may exist in this population.
Methods: The sample for this retrospective case-control study included 685 Medicaid managed care plan enrollees who downloaded a prenatal app, had a live birth from 6/30/18-6/30/19, and had outcome data available. A group of 1308 app non-users matched (2:1) to app-users by ethnicity, region, care management risk score, and age served as controls. Timely prenatal care entry and postpartum visit were compared between app users and nonusers using the Chi-Square test. The effect of trimester at app download (first versus other) on timely prenatal care entry was also assessed.
Results: App users were more likely than matched non-users to attend a postpartum visit (odds ratio, OR=1.300, 95% confidence interval, CI 1.063, 1.590). However, app users were less likely to enter prenatal care within the first trimester (OR=0.796, 95% CI 0.638, 0.993). 11.8% of sampled users downloaded the app within the first trimester – this did not impact study outcomes.
Conclusion/Implications: Use of a smartphone prenatal app was associated with increased likelihood of postpartum visit completion, but not timely entry into prenatal care. Additional barriers to timely entry may exist in this population.
{{ help_message }}
{{filter}}