A Mobile Health Intervention to Increase Uptake of Prenatal Care in Syrian Refugee Population in Turkey

NCT05094518 | Unknown

• 1 other identifier: HeraInc
• Study Type: interventional
• Target: 162
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of this study is to assess the effectiveness of mobile phone based appointment reminder notifications sent through Health Recording App (HERA) in increasing the uptake of 4 World Health Organization recommended prenatal visits among Syrian refugee population.

Conditions

Prenatal Care; Pregnancy

Keywords

Mobile health; Refugee

Outcome Measures

Primary Outcomes (1)

• Rate of attendance for prenatal care visits

  The number of 4 mandatory prenatal care appointments that are attended are presented here.

  6 months

Secondary Outcomes (1)

• Sociodemographic and Health information form data

  6 months

Study Arms (3)

Reminder

EXPERIMENTAL

Participants will fill the sociodemographic and health history form. Participants will receive reminders in the form of push notifications for prenatal checkup dates automatically generated according to their pregnancy start data or initial check-up appointment for 6 months. Reminders will be sent at the following intervals: 1) 2 weeks before the appointment, 2) 1 day before the appointment, and 3) on the day of appointment. After this date, participants will receive push notifications asking whether they went to the appointment or not weekly for 1 month. This reminder algorithm will be used for each prenatal checkup for a total of four appointments: once in first trimester, once in second trimester and two in third trimester, using the World Health Organization and Turkish Ministry of Health prenatal checkup calendar. At the end of 6 months of follow up period, participants will be contacted via phone call to ask for any remaining appointments or unanswered notifications.

Behavioral: Mobile phone reminders

Informed Control No Reminder

NO INTERVENTION

Participants will fill the sociodemographic and health history form. Their contact information will be gathered. Participants will be contacted at the end of 6 months and will be asked about the number of the prenatal care appointments they have attended during their pregnancy.

Uninformed Control No Reminder

NO INTERVENTION

Participants will fill the sociodemographic and health history form. No contact information will be gathered. The purpose of this arm is to estimate the "true" baseline for the number of visits without any extra attention given by the medical staff.

Interventions

Mobile phone reminders BEHAVIORAL

Appointment reminders in the form of push notifications will be sent through HERA app.

Reminder

Eligibility Criteria

• Age: 18 Years - 49 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Having the status of "Syrian under temporary protection"
• Being in the first trimester of the pregnancy
• Initial prenatal visit
• Age equal or greater than 18 years and less than or equal to 49

You may not qualify if:

• Having a citizenship or a status other than "Syrian under temporary protection"
• Not owning a mobile phone
• Being unable to read and write
• Not initial prenatal visit
• Having a chronic disorder or high-risk pregnancy that requires the individual to go to the hospital frequently. Frequently is defined as more than 3 visits post the baseline visit.
• While gestating, those that develop a high-risk pregnancy that requires more than 3 visits post the baseline visit.

Sponsors & Collaborators

• HERA Inc: lead
• Medical Rescue Association (MEDAK), Turkey: collaborator

Study Officials

• Aral Surmeli, MD

  Founder/CEO

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Aral Surmeli, MD

CONTACT

+905353140179; a.surmeli@medak.org.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The intervention group cluster will use the HERA application to receive appointment reminders. The Informed and Non-Informed Control groups will not be using the HERA application.

Study Record Dates

• First Submitted: September 7, 2021
• First Posted: October 26, 2021
• Study Start: December 1, 2021
• Primary Completion: December 1, 2022
• Study Completion: December 1, 2022
• Last Updated: October 26, 2021

Record last verified: 2021-10

Data Sharing

• IPD Sharing: Will not share