Improving Birth Outcomes with Technology and Education The BETTER Program for Pregnant Women

What this Trial Is About

Researchers are evaluating the BETTER intervention compared to standard obstetrical care to see if it can reduce maternal anemia and other negative pregnancy outcomes. This study focuses on pregnant patients receiving care at two clinics and aims to improve understanding of how addressing social needs through technology and education can affect maternal and child health. It is a pragmatic randomized control trial involving 550 participants. The BETTER intervention involves one motivational interviewing session soon after randomization, encouraging patients to address social needs such as housing, food, and transportation. After that, patients receive bi-weekly text messages with links to resources including a patient portal, a local support organization, and a nationwide resource website. The control group receives standard care without motivational interviewing or text messages. Participants will provide baseline information during a prenatal appointment before 20 weeks of pregnancy and again between 28 and 32 weeks gestation. Data collection continues after delivery, using surveys and electronic health records to assess outcomes like maternal anemia at delivery and other pregnancy complications through about six months postpartum. The study tracks maternal and infant health, including preterm birth, hypertensive disorders, infections, and hospital readmissions.

Better Birth Outcomes Through Technology, Education, and Reporting