PretermConnect: Leveraging mobile technology to mitigate social disadvantage in the NICU and beyond |
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| Authors: | Shilpa G. Jani Audrey D. Nguyen Zara Abraham Melissa Scala Yair J. Blumenfeld Jane Morton Monique Nguyen Jasmin Ma Julianna C. Hsing Manafoh Moiwa-Grant Jochen Profit C. Jason Wang |
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| Affiliation: | 1. Center for Policy, Outcomes and Prevention, and Division of General Pediatrics, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, United States;2. David Geffen School of Medicine at UCLA, Los Angeles, CA, United States;3. Division of Neonatal and Developmental Medicine, Stanford University School of Medicine/Lucile Packard Children''s Hospital, Stanford, CA, United States;4. Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA, United States;5. Adjunct Clinical Professor of Pediatrics Emerita, Stanford Medical Center, Stanford, CA, United States;6. Perinatal Epidemiology and Health Outcomes Research Unit, Division of Neonatology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, United States;7. California Perinatal Quality Care Collaborative, Palo Alto, CA, United States;1. Children''s Hospital of Philadelphia and University of Pennsylvania Perelman School of Medicine, 34th Civic Center Blvd, Philadelphia, PA 19104, United States;2. Children''s Hospital of Philadelphia and University of Pennsylvania Perelman School of Medicine, United States;3. Pediatrics, Children''s Hospital of Philadelphia and University of Pennsylvania Perelman School of Medicine, United States;1. Division of Newborn Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine and UPMC Children''s Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA;2. Department of Neonatology, Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania and Children''s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA;3. Department of Pediatrics, Section of Neonatology, University of Colorado School of Medicine and Children''s Hospital of Colorado, Denver, Colorado, USA;1. Division of Newborn Medicine, Department of Pediatrics, University of Oklahoma Health Sciences Center, 1200N. Everett Drive , Oklahoma City, OK 73104, USA;2. Division of Newborn Medicine, Department of Pediatrics, Children''s Hospital of Pittsburgh, Pittsburgh, PA, USA;3. Division of Neonatology, Department of Pediatrics, Northwestern University Feinberg School of Medicine and Ann and Robert H. Lurie Children''s Hospital of Chicago, Chicago, IL, USA;1. Children''s Hospital of Philadelphia, Division of Neonatology, United States;2. Perelman School of Medicine, University of Pennsylvania, United States;3. The Pennsylvania State University, United States;4. Department of Pediatrics, Division of Neonatal Medicine, Stanford University School of Medicine, United States;5. Veterans Affairs Palo Alto Health Care System, United States |
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| Abstract: | Preterm birth (PTB) – delivery prior to 37-weeks gestation – disproportionately affects low-income and minority populations and leads to substantial infant morbidity and mortality. The time following a PTB represents an optimal window for targeted interventions that encourage mothers to prioritize their own health and that of their babies. Healthcare teams can leverage digital strategies to address maternal and infant needs in this postpartum period, both in the neonatal intensive care unit and beyond. We therefore developed PretermConnect, a mobile app designed to educate, engage, and empower women at risk for PTB. This article describes the participant-centered design approach of PretermConnect, with preliminary findings from focus groups and co-design sessions in different community settings and suggested future directions for mobile technologies in population health. Apps such as PretermConnect can mitigate social disadvantage by serving as remote monitoring tools, providing social support, preventing recurrent PTB and lowering infant mortality rates. |
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