Development of a targeted client communication intervention for pregnant and post-partum women: a descriptive study

Abstract

Background Targeted client communication using text messages can inform, motivate, and remind pregnant and postpartum women to use care in a timely way. The mixed results of previous studies of the effectiveness of targeted client communication highlight the importance of theory-based co-design with users. We planned, developed, and tested a theory-based intervention tailored to pregnant and postpartum women, to be automatically distributed via an electronic maternal and child health registry in occupied Palestinian territory.Methods We did 26 in-depth interviews with pregnant women and health-care providers in seven purposively selected public primary health-care clinics in the West Bank and Gaza to include clinics with different profiles. An interview guide was developed using the Health Belief Model to explore women's perceptions of high-risk conditions (anaemia, hypertension, diabetes, and fetal growth restriction) and timely attendance for antenatal care, as predefined by a national expert panel. We did thematic analyses of the interview data. Based on the results, we composed messages for a targeted client communication intervention, applying concepts from the Model of Actionable Feedback, social nudging, and enhanced active choice. We assessed the acceptability and understandability of the messages through unstructured interviews with local health promotion experts, health-care providers, and pregnant women.

Increasing Postpartum Primary Care Engagement through Default Scheduling and Tailored Messaging: A Randomized Clinical Trial

“…Similar approaches have been effectively used to motivate other health behaviors, including in obstetric and postpartum care. 38–41…”

“…Similar approaches have been effectively used to motivate other health behaviors, including in obstetric and postpartum care. [38][39][40][41] The strengths of this study are its robust randomized controlled trial design and the augmentation of observed outcomes within the EHR with self-reported outcomes, which >60% of participants completed at approximately 5 months postpartum. The trial population was enriched for individuals with anxiety or mood disorders, highlighting a high burden of mental health conditions in this obstetric population and a group requiring ongoing care and management outside of the immediate postpartum period.…”

“…Similar approaches have effectively motivated other health behaviors, including in obstetric and postpartum care. [46][47][48][49][50] This study builds on prior efforts to improve postpartum health and wellbeing. [51][52][53][54][55][56][57][58] Our study is most closely aligned with the intervention research on postpartum care navigation, in which patient navigators identify and holistically address patient-level barriers to care and assist with care coordination.…”

Hubungan Persepsi Ibu Hamil Dengan Perilaku Pemeriksaan Antenatal Care Selama Masa Pandemi Covid-19 Di Kota Depok Tahun 2022

“…Hasil uji statistik menunjukan nilai probabilitas sebesar 0,039, yang artinya pada alpha 5% diketahui terdapat hubungan yang signifikan antara persepsi manfaat dengan perilaku kunjungan antenatal care ibu hamil selama masa pandemi covid-19 di kota Depok tahun 2022. Hasil yang relevan juga ditemukan pada penelitian yang dilakukan oleh Bogale et al (2020), dikatakan bahwa Ibu hamil menyadari manfaat melakukan kunjungan antenatal care untuk kesejahteraan, baik untuk janin ataupun diri mereka sendiri 13 .…”

“…Jurnal Kesehatan Reproduksi, 13(2), 2022 PENDAHULUAN Salah satu indikator derajat kesehatan masyarakat adalah angka kematian ibu (AKI). Menurut WHO, Sekitar 303.000 wanita di dunia meninggal selama dan setelah kehamilan atau sebanyak 830 kematian setiap harinya pada tahun 2015 1 .…”