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Abstract
Discussion Forum (0)
Introduction: To assess the impact of a pregnancy mobile app’s health coaching service in cervical insufficiency education and uptake of cervical length measurement.

Methods: Participants were enrolled if they used the pregnancy mobile app between January 1, 2018 and September 30, 2019 and delivered by July 15, 2020. Participants were given access to a digital, educational program about cervical insufficiency and preterm delivery prevention. Participants also had the option to use text-based messaging with health coaches who were trained to educate and encourage participants to seek a cervical length measurement during their mid-trimester ultrasound. Engagement with a coach was defined as having sent at least one message to a coach during the pregnancy. Self-reported health data, including information about cervical length measurements, cervical insufficiency, progesterone prescriptions and adherence were collected throughout participants’ pregnancies.

Results: A total of 199 participants engaged with coaching and 182 did not. Compared to those who did not engage with a coach, coaching participants were more likely to report having their cervix measured at a recent appointment (between 16 and 25 weeks gestation) (OR = 2.1; p = 0.0007), more likely to engage with a short cervix/preterm delivery prevention educational program (OR= 2.3; p = 0.04), and more likely to be enrolled in a progesterone adherence program (OR = 3.1; p = 0.047).

Conclusion/Implications: Women who engaged with health coaches in a digital preterm delivery prevention program were more likely to receive cervical length screening at their mid-trimester appointment, a demonstrably effective way of identifying risk and avoiding preterm delivery.

Introduction: To assess the impact of a pregnancy mobile app’s health coaching service in cervical insufficiency education and uptake of cervical length measurement.

Methods: Participants were enrolled if they used the pregnancy mobile app between January 1, 2018 and September 30, 2019 and delivered by July 15, 2020. Participants were given access to a digital, educational program about cervical insufficiency and preterm delivery prevention. Participants also had the option to use text-based messaging with health coaches who were trained to educate and encourage participants to seek a cervical length measurement during their mid-trimester ultrasound. Engagement with a coach was defined as having sent at least one message to a coach during the pregnancy. Self-reported health data, including information about cervical length measurements, cervical insufficiency, progesterone prescriptions and adherence were collected throughout participants’ pregnancies.

Results: A total of 199 participants engaged with coaching and 182 did not. Compared to those who did not engage with a coach, coaching participants were more likely to report having their cervix measured at a recent appointment (between 16 and 25 weeks gestation) (OR = 2.1; p = 0.0007), more likely to engage with a short cervix/preterm delivery prevention educational program (OR= 2.3; p = 0.04), and more likely to be enrolled in a progesterone adherence program (OR = 3.1; p = 0.047).

Conclusion/Implications: Women who engaged with health coaches in a digital preterm delivery prevention program were more likely to receive cervical length screening at their mid-trimester appointment, a demonstrably effective way of identifying risk and avoiding preterm delivery.

Validating the impact of a digital health coaching service on uptake of cervical measurement during pregnancy
Katie Noddin
Katie Noddin
ACOG ePoster. Noddin K. 04/03/2021; 318862; 2636;
user
Katie Noddin
Abstract
Discussion Forum (0)
Introduction: To assess the impact of a pregnancy mobile app’s health coaching service in cervical insufficiency education and uptake of cervical length measurement.

Methods: Participants were enrolled if they used the pregnancy mobile app between January 1, 2018 and September 30, 2019 and delivered by July 15, 2020. Participants were given access to a digital, educational program about cervical insufficiency and preterm delivery prevention. Participants also had the option to use text-based messaging with health coaches who were trained to educate and encourage participants to seek a cervical length measurement during their mid-trimester ultrasound. Engagement with a coach was defined as having sent at least one message to a coach during the pregnancy. Self-reported health data, including information about cervical length measurements, cervical insufficiency, progesterone prescriptions and adherence were collected throughout participants’ pregnancies.

Results: A total of 199 participants engaged with coaching and 182 did not. Compared to those who did not engage with a coach, coaching participants were more likely to report having their cervix measured at a recent appointment (between 16 and 25 weeks gestation) (OR = 2.1; p = 0.0007), more likely to engage with a short cervix/preterm delivery prevention educational program (OR= 2.3; p = 0.04), and more likely to be enrolled in a progesterone adherence program (OR = 3.1; p = 0.047).

Conclusion/Implications: Women who engaged with health coaches in a digital preterm delivery prevention program were more likely to receive cervical length screening at their mid-trimester appointment, a demonstrably effective way of identifying risk and avoiding preterm delivery.

Introduction: To assess the impact of a pregnancy mobile app’s health coaching service in cervical insufficiency education and uptake of cervical length measurement.

Methods: Participants were enrolled if they used the pregnancy mobile app between January 1, 2018 and September 30, 2019 and delivered by July 15, 2020. Participants were given access to a digital, educational program about cervical insufficiency and preterm delivery prevention. Participants also had the option to use text-based messaging with health coaches who were trained to educate and encourage participants to seek a cervical length measurement during their mid-trimester ultrasound. Engagement with a coach was defined as having sent at least one message to a coach during the pregnancy. Self-reported health data, including information about cervical length measurements, cervical insufficiency, progesterone prescriptions and adherence were collected throughout participants’ pregnancies.

Results: A total of 199 participants engaged with coaching and 182 did not. Compared to those who did not engage with a coach, coaching participants were more likely to report having their cervix measured at a recent appointment (between 16 and 25 weeks gestation) (OR = 2.1; p = 0.0007), more likely to engage with a short cervix/preterm delivery prevention educational program (OR= 2.3; p = 0.04), and more likely to be enrolled in a progesterone adherence program (OR = 3.1; p = 0.047).

Conclusion/Implications: Women who engaged with health coaches in a digital preterm delivery prevention program were more likely to receive cervical length screening at their mid-trimester appointment, a demonstrably effective way of identifying risk and avoiding preterm delivery.

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