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Am J Health Promot. 2013 Jan-Feb;27(3 Suppl):eS11-20. doi: 10.4278/ajhp.1200113-QUAN-18.

Reaching women through health information technology: the Gabby preconception care system.

Author information

1
Department of Family Medicine, Boston Medical Center, 1 BMC Place, Boston, MA 02118, USA. paula.gardiner@bmc.org

Abstract

PURPOSE:

The Centers for Disease Control and Prevention have endorsed the concept of preconception care (PCC). New tools must be developed to promote PCC.

DESIGN:

Development and testing of a health information technology system to provide PCC.

SETTING:

An urban safety net hospital and an urban university.

SUBJECTS:

Community recruitment of 31 women in focus groups and 15 women participating in observed usability testing; 9 students recruited from the Office of Minority Health Preconception Peer Educators program participated in pilot testing for 2 months.

INTERVENTION:

Online interactive animated character ("Gabby") designed to identify and modify preconception risks.

MEASURES:

Qualitative transcripts, preconception risk assessment, server data for system usage, self-administered satisfaction surveys, and follow-up phone calls.

ANALYSIS:

Descriptive statistics of subjects' demographics, satisfaction, PCC risks, and system usage. Transcripts coded using NVIVO.

RESULTS:

Subjects (n = 24) reported an average of 23 preconception risks; in the pilot, 83% of risks added to the "My Health To-Do List" were addressed by the subject. Seventy-three percent of risks identified as contemplative progressed to action or maintenance. Differences were noted in effectiveness of the system based on initial stage of change for each risk.

CONCLUSION:

Results suggest that the PCC system could be effective in influencing positive behavior change. Adding stage of change-focused functionality might have added benefits. This system has great potential to assist in the delivery of PCC.

PMID:
23286652
PMCID:
PMC3779885
DOI:
10.4278/ajhp.1200113-QUAN-18
[Indexed for MEDLINE]
Free PMC Article
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