Actively Recruiting

Phase Not Applicable
Age: 10Years - 65Years
All Genders
Healthy Volunteers
ID05940831

Integration of a Patient-centered Mobile Health Intervention (Support-moms) Into Routine Antenatal Care to Improve Maternal Health in Uganda

Led by Mbarara University of Science and Technology · Updated on 2024-08-05

1680

Participants Needed

2

Research Sites

21 weeks

Total Duration

On this page

Sponsors

M

Mbarara University of Science and Technology

Lead Sponsor

U

University of Alabama at Birmingham

Collaborating Sponsor

AI-Summary

What this Trial Is About

High maternal mortality remains a major health challenge in many areas, including Uganda, where low use of antenatal care (ANC) and skilled birth services contribute to high rates of maternal and perinatal deaths. Researchers are studying the Support-Moms mobile health intervention, designed to share targeted health information and engage social support networks through scheduled reminders to encourage pregnant women in rural Uganda to use maternity care services. This trial aims to evaluate the feasibility, effectiveness, and cost-effectiveness of this intervention in improving maternal health outcomes. The study compares three groups: one receiving routine care with standard information, one receiving scheduled SMS-audio messages from the Support-Moms app, and another receiving scheduled messages plus engagement with social supporters via SMS. The intervention delivers health education and appointment reminders to pregnant women and their social supporters to promote ANC attendance and skilled births. The study will be conducted as a randomized controlled trial and includes implementation evaluations to explore broader adoption and cost assessments. Participants will be pregnant individuals in their first trimester who have not yet started ANC and who live within the study area. They will be monitored over 15 months for outcomes including the proportion of births attended by healthcare providers and other maternal, service, and client outcomes. Data collection includes interviews and assessments of implementation success, with ongoing monitoring of study participation and intervention use. The trial will provide insights into how mobile health tools can support maternal care in resource-limited settings.

CONDITIONS

Brief Title

Mobile Health Intervention (Support-moms) in Antenatal Care to Improve Maternal Health in Uganda

Who Can Participate

Age: 10Years - 65Years
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Individuals in the first trimester of pregnancy who have not yet started antenatal care
  • Reside in the catchment area of a study health center
  • Emancipated minors and adults aged 18 years or older
  • Have access to a cell phone with reliable reception at home
  • Can identify at least two social supporters living within the study districts
  • Able to provide consent
  • Social supporters must be from participants' existing social support network with stable, long-term relationships
Not Eligible

You will not qualify if you...

  • Do not own a personal cell phone with reliable reception
  • Unable or unwilling to use SMS or receive SMS notifications
  • Social supporters under 18 years old
  • Social supporters without a personal cell phone or reliable reception
  • Social supporters unable or unwilling to use SMS or receive SMS
  • Social supporters without stable, long-term relationships with participants
  • Social supporters unaware that the participant is pregnant

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Outpatient Treatment

Duration - Up to 15 months

Participants receive scheduled SMS-audio messages and social supporter engagement through SMS to support antenatal care, or routine care information.

Regular messaging throughout pregnancy until delivery; visit cadence varies with routine antenatal care schedules

Follow-up

Duration - Up to 15 months

Participants are monitored for maternal health outcomes and service utilization after delivery.

Follow-up visits aligned with maternal health assessments post-delivery

Trial Site Locations

Total: 2 locations

1

Mbarara city

Mbarara, Uganda

Actively Recruiting

2

Mbarara district

Mbarara, Uganda

Actively Recruiting

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Research Team

E

Esther C. Atukunda, PhD

A

Arnold Mindra, MSc

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

2

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Published Research Related To This Trial

An mHealth-based social support program to improve antenatal care engagement and facility-based births in Uganda: A type I hybrid effectiveness-implementation clinical trial.

Esther C Atukunda, Godfrey R Mugyenyi, Jessica Haberer...

https://pubmed.ncbi.nlm.nih.gov/42094170

Integration of a Patient-Centered mHealth Intervention (Support-Moms) Into Routine Antenatal Care to Improve Maternal Health Among Pregnant Women in Southwestern Uganda: Protocol for a Randomized Controlled Trial.

Esther Cathyln Atukunda, Godfrey Rwambuka Mugyenyi, Jessica E Haberer...

https://pubmed.ncbi.nlm.nih.gov/40105879