About this trial
This is a pragmatic randomized control trial to evaluate the BETTER intervention compared to standard obstetrical care (control) to determine whether it helps to reduce maternal anemia and other adverse pregnancy outcomes. The BETTER intervention includes one motivational interviewing session and bi-weekly text messages to encourage patients to connect with resources that address their social needs, including housing, food, and transportation. Quantitative data will be used to study participant outcomes, including surveys, and electronic health record data.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Less than 20 weeks and 6 days pregnant upon enrollment
At least 18 years of age
Receiving obstetric care at OSU McCampbell Hall or OSU Outpatient Care East
Singleton pregnancy and fetus with a heartbeat
Disqualifiers
Has a significant medical condition (eg sickle cell disease) that is a cause of anemia
Has a plan for transfusion during pregnancy
Trial design
Parallel
Treatments tested in this trial
BETTER: motivational interviewing and text messaging
BehavioralMotivational interviewing to encourage individuals to address their social needs and engage with text messages that allow individuals to connect to their care team, a local organization that can help them address their social needs, and/or a resource that enables them to find help to address their needs based on their zip code.
Standard of care
BehavioralNo motivational interviewing or text messages will be provided.
Treatment groups
Trial outcomes
Primary outcomes
Incidence of maternal anemia
Hemoglobin \< 11.0 g/dL
Secondary outcomes
Incidence of Pre-term birth
Delivery prior to 37 weeks of gestation
Incidence of Hypertensive disorders of pregnancy
Antepartum gestational hypertension or preeclampsia of any severity through the postpartum
Incidence of infection
As determined by clinical diagnosis (e.g., chorioamnionitis, endometritis, pyelonephritis); intrapartum and postpartum
Incidence of Cesarean Delivery
Delivery by Cesarean section
Sponsors and contacts
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Ohio State University
Lead sponsor
American Heart Association
Collaborator