The feasibility of implementing a digital pregnancy and postpartum support program in the Midwestern United States and the association with maternal and infant health
Objective: The benefits of mobile applications in the prenatal period remain understudied. This study assessed associations between the Pregnancy Postpartum Support Program (PPSP), a digital wraparound service, and maternal and infant outcomes in a Medicaid population. Methods: A retrospective analy...
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Elsevier
2025-01-01
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| Series: | Preventive Medicine Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335524003681 |
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| author | Colleen J. Klein Matthew Dalstrom William F. Bond Jeremy McGarvey Melinda Cooling Katelyn Zumpf Lisa Pierce Brad Stoecker Jonathan A. Handler |
| author_facet | Colleen J. Klein Matthew Dalstrom William F. Bond Jeremy McGarvey Melinda Cooling Katelyn Zumpf Lisa Pierce Brad Stoecker Jonathan A. Handler |
| author_sort | Colleen J. Klein |
| collection | DOAJ |
| description | Objective: The benefits of mobile applications in the prenatal period remain understudied. This study assessed associations between the Pregnancy Postpartum Support Program (PPSP), a digital wraparound service, and maternal and infant outcomes in a Medicaid population. Methods: A retrospective analysis was conducted on pregnant patients with Medicaid insurance who received care and delivered in a Midwestern United States healthcare system between 8/1/2022–8/15/2023, comparing outcomes among those who did versus did not opt for PPSP enrollment. Enrolled patients were offered a mobile device app providing weekly education, “twenty-four seven” support from a clinical team, and telehealth provider visits. Adjusted multiple covariate analyses were completed using linear and logistic regressions. Patient engagement, vendor-based interaction and perception of care data were also examined. Results: 1912 patients were evaluated: 397 in the PPSP and 1515 in the control group. PPSP cohort inclusion was associated with 4 % lower maternal length of stay (LOS) (p = 0.05), 14 % lower infant LOS (p < 0.01), higher mean infant birthweight (p < 0.01), lower odds of birthweight <2500 g (p = 0.05) and lower odds of preterm birth (p = 0.04). Nearly 85 % of all enrolled reported being “very satisfied” with the program. Conclusions: Overall, the program was positively received by PPSP participants. Favorable outcomes associated with enrollment may be due to the program, unmeasured variables, or both. Our study shows the feasibility of offering digital support to pregnant women who voluntarily enrolled in the PPSP and adds to the evidence evaluating virtual care strategies. |
| format | Article |
| id | doaj-art-f6906659ff4b44ea89611b7c91ac6cec |
| institution | Kabale University |
| issn | 2211-3355 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj-art-f6906659ff4b44ea89611b7c91ac6cec2025-01-11T06:41:17ZengElsevierPreventive Medicine Reports2211-33552025-01-0149102953The feasibility of implementing a digital pregnancy and postpartum support program in the Midwestern United States and the association with maternal and infant healthColleen J. Klein0Matthew Dalstrom1William F. Bond2Jeremy McGarvey3Melinda Cooling4Katelyn Zumpf5Lisa Pierce6Brad Stoecker7Jonathan A. Handler8OSF HealthCare, Peoria, IL, USA; Saint Anthony College of Nursing, Rockford, IL, USA; Corresponding author at: Center for Advanced Practice, OSF HealthCare, 124 SW Adams St., Peoria, IL 61602; USA.Saint Anthony College of Nursing, Rockford, IL, USADepartment of Emergency Medicine, University of Illinois College of Medicine at Peoria (UICOMP), IL, & affiliated with Jump Simulation, an OSF HealthCare and UICOMP Collaboration, Peoria, IL, USAOSF HealthCare, Peoria, IL, USAOSF HealthCare, Peoria, IL, USA; OSF OnCall, Peoria, IL, USAOSF HealthCare, Peoria, IL, USAOSF HealthCare, Peoria, IL, USAOSF HealthCare, Peoria, IL, USAOSF HealthCare, Peoria, IL, USA; Northwestern University Feinberg School of Medicine, Chicago, IL, USAObjective: The benefits of mobile applications in the prenatal period remain understudied. This study assessed associations between the Pregnancy Postpartum Support Program (PPSP), a digital wraparound service, and maternal and infant outcomes in a Medicaid population. Methods: A retrospective analysis was conducted on pregnant patients with Medicaid insurance who received care and delivered in a Midwestern United States healthcare system between 8/1/2022–8/15/2023, comparing outcomes among those who did versus did not opt for PPSP enrollment. Enrolled patients were offered a mobile device app providing weekly education, “twenty-four seven” support from a clinical team, and telehealth provider visits. Adjusted multiple covariate analyses were completed using linear and logistic regressions. Patient engagement, vendor-based interaction and perception of care data were also examined. Results: 1912 patients were evaluated: 397 in the PPSP and 1515 in the control group. PPSP cohort inclusion was associated with 4 % lower maternal length of stay (LOS) (p = 0.05), 14 % lower infant LOS (p < 0.01), higher mean infant birthweight (p < 0.01), lower odds of birthweight <2500 g (p = 0.05) and lower odds of preterm birth (p = 0.04). Nearly 85 % of all enrolled reported being “very satisfied” with the program. Conclusions: Overall, the program was positively received by PPSP participants. Favorable outcomes associated with enrollment may be due to the program, unmeasured variables, or both. Our study shows the feasibility of offering digital support to pregnant women who voluntarily enrolled in the PPSP and adds to the evidence evaluating virtual care strategies.http://www.sciencedirect.com/science/article/pii/S2211335524003681MedicaidPregnancyPrenatal careMobile applicationsTelemedicineRemote monitoring |
| spellingShingle | Colleen J. Klein Matthew Dalstrom William F. Bond Jeremy McGarvey Melinda Cooling Katelyn Zumpf Lisa Pierce Brad Stoecker Jonathan A. Handler The feasibility of implementing a digital pregnancy and postpartum support program in the Midwestern United States and the association with maternal and infant health Preventive Medicine Reports Medicaid Pregnancy Prenatal care Mobile applications Telemedicine Remote monitoring |
| title | The feasibility of implementing a digital pregnancy and postpartum support program in the Midwestern United States and the association with maternal and infant health |
| title_full | The feasibility of implementing a digital pregnancy and postpartum support program in the Midwestern United States and the association with maternal and infant health |
| title_fullStr | The feasibility of implementing a digital pregnancy and postpartum support program in the Midwestern United States and the association with maternal and infant health |
| title_full_unstemmed | The feasibility of implementing a digital pregnancy and postpartum support program in the Midwestern United States and the association with maternal and infant health |
| title_short | The feasibility of implementing a digital pregnancy and postpartum support program in the Midwestern United States and the association with maternal and infant health |
| title_sort | feasibility of implementing a digital pregnancy and postpartum support program in the midwestern united states and the association with maternal and infant health |
| topic | Medicaid Pregnancy Prenatal care Mobile applications Telemedicine Remote monitoring |
| url | http://www.sciencedirect.com/science/article/pii/S2211335524003681 |
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