Prevent Maternal Morbidity and Mortality using Mobile technology (PM3)

Investigators: Natalie D. Hernandez, PhD, MPH, Assistant Professor, Department of Community Health and Preventive Medicine, and Interim Director, Center for Maternal Health Equity; Rasheeta Chandler, PhD, RN, FNP-BC, FAANP, FAAN, Assistant Professor, Emory University School of Nursing; Andrea G. Parker, Ph.D., Associate Professor, Georgia Institute of Technology

 

Overall Goal(s) of the Research: Our goal is to increase the effectiveness of postpartum discharge education and improve rural women’s compliance with postpartum care recommendations using a mHealth intervention.

 

Specific Aims of the Research: 

Aim 1. Further develop and refine PM3 mobile app intervention

Aim 1.1. Examine the facilitators and barriers of care during postpartum transitions for rural Black women.

Aim 1.2. Determine feasibility, usability, and acceptability of the PM3 mobile app intervention. We will permit the Community Advisory Board (CAB) to use PM3 for 2 months which consists of patients, support designees, and clinicians, to further refine the mobile app. 

Aim 2. Conduct RCT of PM3 mobile app intervention compared to standard of care for rural Black women.

Aim 3. Evaluate the PM3 intervention using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework.

 

Outcomes for each Specific Aim: 

Aim 1: We will investigate individual-level (in-depth interviews with Black women) and interpersonal-level (in-depth interviews with health care providers and support persons) determinants of maternal health. We will permit the Community Advisory Board (CAB) to use PM3 for 2 months which consists of patients, support designees, and clinicians, to further refine the mobile app.

Aim 2: Comparing PM3 to a standard of care control, with a primary outcome of increasing capacity for self-management of maternal co-morbidities.

Aim 3: Process evaluation of implementation strategies and ways to scale up intervention.