Improving birth outcomes through technology and education
Better Birth Outcomes and Experiences Through Technology, Education, and Reporting (BETTER)
This study is testing a new program that uses text messages and support to help pregnant women in Ohio have healthier pregnancies and reduce issues like anemia.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 550 (estimated) |
| Ages | 18 Years and up |
| Sex | Female |
| Sponsor | Ohio State University Academic / other |
| Locations | 3 sites (Columbus, Ohio and 2 other locations) |
| Trial ID | NCT06261398 on ClinicalTrials.gov |
What this trial studies
This pragmatic randomized control trial evaluates the BETTER intervention, which includes motivational interviewing and bi-weekly text messages, against standard obstetrical care to reduce maternal anemia and other adverse pregnancy outcomes. The study focuses on addressing social determinants of health by connecting patients with resources for housing, food, and transportation. A total of 550 obstetric patients will be enrolled from specific clinics at Ohio State University, and their health outcomes will be assessed using surveys and electronic health records.
Who should consider this trial
Good fit: Ideal candidates are pregnant individuals under 20 weeks, at least 18 years old, receiving care at designated Ohio State University clinics, and able to communicate in English.
Not a fit: Patients with significant medical conditions causing anemia or those planning for transfusion during pregnancy may not benefit from this study.
Why it matters
Potential benefit: If successful, this intervention could significantly improve maternal and child health outcomes by addressing social needs that contribute to adverse pregnancy outcomes.
How similar studies have performed: Other studies have shown promise in addressing social determinants of health in maternal care, suggesting potential for success with this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria * Less than 20 weeks and 6 days pregnant upon enrollment * At least 18 years of age * Receiving obstetric care at OSU McCampbell Hall or OSU Outpatient Care East * Singleton pregnancy and fetus with a heartbeat * English speaking * Able to receive text messages Exclusion Criteria * Has a significant medical condition (eg sickle cell disease) that is a cause of anemia * Has a plan for transfusion during pregnancy
Where this trial is running
Columbus, Ohio and 2 other locations
- The Ohio State University Outpatient Care East — Columbus, Ohio, United States (Recruiting)
- McCampbell Hall — Columbus, Ohio, United States (Recruiting)
- The Ohio State University Wexner Medical Center OB/GYN Maternal and Fetal Medicine — Columbus, Ohio, United States (Recruiting)
Study contacts
- Principal investigator: William Grobman, MD, MBA — Ohio State University
- Study coordinator: Ann McAlearney, ScD, MS
- Email: Ann.McAlearney@osumc.edu
- Phone: 614-293-3716
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.