A Culturally Adapted Digital Intervention to Promote Maternal Care Utilization Using Multifaceted Approaches

NCT07091188 | Not Yet Recruiting DMC

• 1 other identifier: ZGL202408-7
• Study Type: interventional
• Target: 1,920
• Locations: 0 countries
• Sites: N/A

Brief Summary

Maternal healthcare utilization is crucial for reducing maternal mortality, yet remains low in many underserved regions. The CALCIUM intervention, a culturally tailored, digital platform-integrated intervention, was developed to promote antenatal care (ANC) and institutional deliveries in Liangshan Yi Autonomous Prefecture, an ethnic minority community in China. The CALCIUM intervention was developed to address barriers including limited healthcare awareness, traditional norms and low-quality services. This intervention will evaluate the effectiveness, and cost-effectiveness of improving maternal healthcare utilization and pregnancy outcomes in an ethnic minority community.

Conditions

Antenatal Care; Pregnancy Complications; Pregnancy Outcomes

Keywords

antenatal care; ethnic minority; digital health; health education

Outcome Measures

Primary Outcomes (1)

• Rates of Hospital Deliveries and Completion of Five Antenatal Care Visits

  The primary outcome includes the rate of maternal care utilization, including the rate of hospital delivery and ANC utilization. According to the National Basic Public Health Service Specifications, pregnant women are advised to have their first ANC visit by the 13th week of gestation, with subsequent visits recommended during the 16-20, 21-24, 28-36, and 37-40 week periods. Timely initiation of ANC is defined as pregnant women completing their first ANC visit by the 13th week of gestation. Timely completion of five ANC visits is defined as pregnant women completing all five recommended ANC visits within the specified timeline. ANC utilization is measured by the completion of five ANC visits, the timely completion of five ANC visits, and timely initiation of ANC. The maternal and newborn health monitoring system collects routine information related to ANC utilization, place of delivery, maternal outcomes, and birth outcomes. Data will be sourced from this system.

  Data will be collected at the end of the pregnancy

Secondary Outcomes (3)

• Rate of Negative Pregnancy Outcomes

  Data will be collected at the end of the pregnancy

• Rate of Pregnancy-Related Diseases

  Data will be collected from pregnancy through the end of the study, with an average follow-up duration of one year

• Number of Tests Conducted

  Data will be collected from pregnancy through the end of the study, with an average follow-up duration of one year

Study Arms (2)

Intervention group

EXPERIMENTAL

Interventions including digital health education via social media platform, capacity building for healthcare providers and economic incentives for village doctors will be applied

Behavioral: Health education, capacity building and economic incentives

Control group

NO INTERVENTION

No intervention will be applied

Interventions

Health education, capacity building and economic incentives BEHAVIORAL

1. Social media platform-based for health education. Pregnant women in the same gestational month will be invited to join specific WeChat group chats tailored to their similar health education and management needs. 2. Capacity building. ANC providers at township hospitals will participate in short-term, small-class training courses designed to cover essential aspects of antenatal care prior to the intervention with the pregnant women. 3. Economic incentives. To encourage ANC attendance, a monetary reward system will be implemented for village doctors every time they successfully identify and invite a newly pregnant woman to initiate her ANC visit.

Intervention group

Eligibility Criteria

• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Pregnant women

You may not qualify if:

• Not pregnant women

Sponsors & Collaborators

• Jiayao Xu: lead

MeSH Terms

Conditions

Pregnancy Complications; Health Education

Interventions

Capacity Building

Condition Hierarchy (Ancestors)

Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Adherence Interventions; Medication Adherence; Patient Compliance; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Intervention Hierarchy (Ancestors)

Health Care Facilities Workforce and Services; Organization and Administration; Health Services Administration; Pandemic Preparedness; Disaster Planning; Disasters; Environment; Environment and Public Health; Communicable Disease Control; Public Health Practice; Public Health

Central Study Contacts

Dr

CONTACT

8657188208221; xujiayao@zju.edu.cn

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Postdoctoral Researcher

Study Record Dates

• First Submitted: July 6, 2025
• First Posted: July 29, 2025
• Study Start: September 1, 2025
• Primary Completion (Estimated): December 1, 2026
• Study Completion (Estimated): June 1, 2027
• Last Updated: July 29, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share