Evaluating the Impact of a Symptom Checker on Healthcare-seeking Decisions: a Mixed-Methods Study
SAFEMOM
Safety and Feasibility of the Integration of Ada Into the Mobile MomConnect Information Service for Pregnant Women and New Mothers in South Africa
1 other identifier
observational
968
1 country
1
Brief Summary
The goal of this study is to evaluate the integration of a symptom checker (SC) into the MomConnect (MC) platform to support maternal healthcare in South Africa. The main questions it aims to answer are:
- Does the SC provide safe and appropriate medical advice?
- Does the SC help mothers make informed decisions about when and where to seek healthcare, saving time and money by avoiding unnecessary visits?
- Does the SC improve access to care for those facing significant healthcare barriers? Participants will answer survey questions before and after using the SC. A subset of participants will also be invited to participate in structured telephone interviews. The study will help researchers assess the SC's impact on healthcare decisions and resource use in South Africa.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started May 2023
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 4, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 15, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
August 15, 2023
CompletedFirst Submitted
Initial submission to the registry
January 16, 2025
CompletedFirst Posted
Study publicly available on registry
January 23, 2025
CompletedJanuary 30, 2025
January 1, 2025
3 months
January 16, 2025
January 28, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Proportion of appropriate advice by the SC for mother and child
From data collection with participant enrolment to the completion of panel ratings, approximately 2-3 months after participant enrolment.
Proportion of safe advice by the SC for mother and child
From data collection with participant enrolment to the completion of panel ratings, approximately 2-3 months after participant enrolment.
Secondary Outcomes (12)
Potential prevention of a health problem in Perinatal Period for Mother or Child
From data collection with participant enrolment to the completion of panel ratings, approximately 2-3 months after participant enrolment.
Potential prevention of a SEVERE health problem in Perinatal Period for Mother or Child
From data collection with participant enrolment to the completion of panel ratings, approximately 2-3 months after participant enrolment.
Potential Occurrence of a health problem (adverse event) in Perinatal Period for Mother and Child
From data collection with participant enrolment to the completion of panel ratings, approximately 2-3 months after participant enrolment.
Potential Occurrence of a SEVERE health problem (severe adverse event) in Perinatal Period for Mother or Child
From data collection with participant enrolment to the completion of panel ratings, approximately 2-3 months after participant enrolment.
Health seeking behaviour before and after using Ada+MomConnect
From data collection with participant enrolment to the completion of the follow-up survey send out 1 week after enrolment.
- +7 more secondary outcomes
Other Outcomes (6)
Socioeconomic background of users
On the day of enrolment.
Subgroup analysis
From data collection with participant enrolment to the completion of panel ratings, approximately 2-3 months after participant enrolment
Condition comparison
On the day of enrolment.
- +3 more other outcomes
Eligibility Criteria
The study population consists of users of MomConnect a program developed by the National Department of Health (NDOH) in South Africa and Reach Digital Health for pregnant women and young mothers.
You may qualify if:
- Women registered with MomConnect, who would like to assess their or their child's symptoms
- At least 18 years of age
- Women with access to WhatsApp
- Capable of completing a symptom assessment in English
You may not qualify if:
- Incapable of completing a symptom assessment in English via WhatsApp (e.g. due to illiteracy, language barrier, mental impairment or inebriation or other incapacity or lack of access to WhatsApp)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Ada Health GmbHlead
- Reach Digital Health (formerly Praekelt.org)collaborator
- Citizen Surveyscollaborator
- Rockefeller Foundationcollaborator
Study Sites (1)
Reach Digital Health (formerly Praekelt.org)
Cape Town, South Africa
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- OTHER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 16, 2025
First Posted
January 23, 2025
Study Start
May 4, 2023
Primary Completion
August 15, 2023
Study Completion
August 15, 2023
Last Updated
January 30, 2025
Record last verified: 2025-01
Data Sharing
- IPD Sharing
- Will not share