Early Pregnancy
Conditions
Keywords
Early pregnancy loss, Miscarriage, Prenatal care, Abortion
Brief summary
This study seeks to determine pregnant patients in the Philadelphia area can be recruited to a conversational AI texting platform. The trial will be considered feasible if recruitment goals are met in proportion to delivery volume at the hospital.
Detailed description
The investigators developed a conversational AI platform to improve periconception care (CIRCA) to engage individuals in their healthcare decision making, reduce barriers to care, and ultimately reduce widespread inequities in reproductive and maternal health. CIRCA was developed to enable care from positive pregnancy test onward. After a positive test, patients scan a QR code to onboard via SMS to the program. A positive pregnancy test is confirmed, and an estimated gestational duration is calculated from last menstrual period, if known. If unknown, the patient is directed to schedule a visit at a nearby early pregnancy assessment center where they can receive routine testing and counseling to confirm the pregnancy and its gestational duration. They are then able to receive triage and scheduled educational content.
Interventions
OTHERCIRCA Texting Platform
Two-way texting platform that uses artificial intelligence to match patient texts to clinician-vetted responses and send educational content
Sponsors
University of Pennsylvania
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
15 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Willing and able to provide informed consent * Access to a working mobile phone * Ability to read English * Pregnant with a gestational age less than 12 weeks, 6 days by last menstrual period or by ultrasound, or per patient self-report
Exclusion criteria
N/A
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of citywide recruitment of pregnant patients in Philadelphia. | 12 months | Proportion of pregnant patients in Philadelphia who sign up to use CIRCA texting platform |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Platform engagement | Between platform enrollment up until 12 weeks, 6 days gestation | Percentage of surveys completed by participant |
| Platform acceptability | To be completed at 1 week of use and at final study survey (up to 12 weeks 6 days gestation) | Net promoter score (Range 0-10, with a higher score indicating a better rating) |
| Birth outcome | From platform enrollment up until the event of a live birth or other pregnancy outcome. | Early pregnancy loss, ectopic pregnancy, abortion, severe maternal morbidity, preterm birth |
| Emergency Department Utilization | From platform enrollment until 12 weeks, 6 days gestation. | Emergency Department visits |
Countries
United States
Contacts
CONTACTArden McAllister, MPH
PRINCIPAL_INVESTIGATORAlice Abernathy
University of Pennsylvania
Outcome results
None listed