W. Douglas Evans|Jasmine Wallace|Jeremy Snider
Pilot evaluation of the text4baby mobile health program
George Washington University|George Washington University|University of Washington
mobile phone technologies health promotion disease prevention evolved rapidly studies tested efficacy mobile health fullfledged programs text4baby example mobile health based behavioral theory delivers text messages traditionally underserved pregnant women new mothers change health health care beliefs practices behaviors order improve clinical outcomes purpose pilot evaluation study assess efficacy text messaging campaign conducted randomized pilot evaluation study participants pregnant women first presenting care fairfax county virginia health department randomized participants enroll text4baby receive usual health care intervention continue simply receive usual care control conducted 24item survey telephone attitudes behaviors related text4baby surveyed participants baseline text4baby delivered intervention group followup approximately 28 weeks babys gestational age completed 123 baseline interviews english spanish overall sample predominantly hispanic origin 797 average age 276 years completed 90 followup interviews achieved 73 retention rate used logistic generalized estimating equation model evaluate intervention effects measured outcomes found significant effect text4baby intervention exposure increased agreement attitude statement prepared new mother 273 ci 104 718 p 0042 baseline followup attained high school education greater observed significantly higher overall agreement attitudes alcohol consumption pregnancy 280 ci 113 690 p 0026 also observed significant improvement attitudes toward alcohol consumption baseline followup 357 ci 113 1124 p 0029 pilot study first randomized evaluation text4baby promising program exposure text messages associated changes specific beliefs targeted messages