The benefits of introducing a pregnancy support tool for low-income women during routine obstetrics care
The objective of the CONTINUE (conversations in routine OB care) pilot study was to gather preliminary data on the benefits of integrating a well-designed pregnancy support tool ("CONTINUE Tool") in low-income prenatal care. A total of 184 tools were distributed by 21 OB providers during t...
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2023
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Online Access: | https://institutionalrepository.aah.org/advocategme/167 https://doi.org/10.1177/21501319231164545 https://libkey.io/libraries/1712/10.1177/21501319231164545 |
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ftaurorahc:oai:institutionalrepository.aah.org:advocategme-1168 2023-07-23T04:18:25+02:00 The benefits of introducing a pregnancy support tool for low-income women during routine obstetrics care Rivelli, Anne Fitzpatrick, Veronica Shields, Maureen Erwin, Kim Delfinado, Leah Cabiya, Marie Wennerberg, Karen 2023-01-01T08:00:00Z https://institutionalrepository.aah.org/advocategme/167 https://doi.org/10.1177/21501319231164545 https://libkey.io/libraries/1712/10.1177/21501319231164545 unknown Advocate Aurora Health Institutional Repository https://institutionalrepository.aah.org/advocategme/167 doi:10.1177/21501319231164545 https://libkey.io/libraries/1712/10.1177/21501319231164545 Advocate GME community health pregnancy underserved communities Advocate Aurora Research Institute Advocate Ob/Gyn Faculty - Illinois Masonic Obstetrics and Gynecology text 2023 ftaurorahc https://doi.org/10.1177/21501319231164545 2023-07-05T20:22:10Z The objective of the CONTINUE (conversations in routine OB care) pilot study was to gather preliminary data on the benefits of integrating a well-designed pregnancy support tool ("CONTINUE Tool") in low-income prenatal care. A total of 184 tools were distributed by 21 OB providers during the study implementation period. Follow-up data were collected from 71 (38.5%) prenatal patients across three community-based midwestern OB clinics serving a diverse prenatal patient population. Early-gestation prenatal patients received the strategically designed CONTINUE Tool during routine prenatal care and later completed a semi-structured interview or electronic survey to report pre-determined individual benefit items experienced due to tool usage. Factor analysis used individual benefit items to identify factors representing common underlying benefits ("factor benefits"). Logistic regression analyses were performed to describe the relative odds of participants with low income (public insurance) experiencing individual and factor benefits of tool use compared to participants of higher income (private insurance). Chi square tests (or Fisher's exact tests) were performed to generate P values reflecting statistically significant differences by income group. More low-income prenatal participants reported experiencing individual benefits as compared to higher-income participants. Among factor benefits, low-income participants were statistically more likely to report experiencing a time-related logistics benefit (OR = 4.00; 95% CI 1.02-15.73; P = .045). Low-income participants reported experiencing an overall logistics factor benefit (OR = 4.29; 95% CI 0.47-38.75), including a cost-related logistics benefit (OR = 3.08; CI 0.59-16.00), as well as an understanding benefit (OR = 1.90; 95% CI 0.72-5.04) and a self-efficacy benefit (OR = 1.30; 95% CI 0.44-3.87). While this study is limited by sample size due to being a pilot study, the findings suggest there may be tangible benefits to introducing the CONTINUE Tool among low-income ... Text Aurora Research Institute Aurora Health Care Digital Repository Journal of Primary Care & Community Health 14 215013192311645 |
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Aurora Health Care Digital Repository |
op_collection_id |
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community health pregnancy underserved communities Advocate Aurora Research Institute Advocate Ob/Gyn Faculty - Illinois Masonic Obstetrics and Gynecology |
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community health pregnancy underserved communities Advocate Aurora Research Institute Advocate Ob/Gyn Faculty - Illinois Masonic Obstetrics and Gynecology Rivelli, Anne Fitzpatrick, Veronica Shields, Maureen Erwin, Kim Delfinado, Leah Cabiya, Marie Wennerberg, Karen The benefits of introducing a pregnancy support tool for low-income women during routine obstetrics care |
topic_facet |
community health pregnancy underserved communities Advocate Aurora Research Institute Advocate Ob/Gyn Faculty - Illinois Masonic Obstetrics and Gynecology |
description |
The objective of the CONTINUE (conversations in routine OB care) pilot study was to gather preliminary data on the benefits of integrating a well-designed pregnancy support tool ("CONTINUE Tool") in low-income prenatal care. A total of 184 tools were distributed by 21 OB providers during the study implementation period. Follow-up data were collected from 71 (38.5%) prenatal patients across three community-based midwestern OB clinics serving a diverse prenatal patient population. Early-gestation prenatal patients received the strategically designed CONTINUE Tool during routine prenatal care and later completed a semi-structured interview or electronic survey to report pre-determined individual benefit items experienced due to tool usage. Factor analysis used individual benefit items to identify factors representing common underlying benefits ("factor benefits"). Logistic regression analyses were performed to describe the relative odds of participants with low income (public insurance) experiencing individual and factor benefits of tool use compared to participants of higher income (private insurance). Chi square tests (or Fisher's exact tests) were performed to generate P values reflecting statistically significant differences by income group. More low-income prenatal participants reported experiencing individual benefits as compared to higher-income participants. Among factor benefits, low-income participants were statistically more likely to report experiencing a time-related logistics benefit (OR = 4.00; 95% CI 1.02-15.73; P = .045). Low-income participants reported experiencing an overall logistics factor benefit (OR = 4.29; 95% CI 0.47-38.75), including a cost-related logistics benefit (OR = 3.08; CI 0.59-16.00), as well as an understanding benefit (OR = 1.90; 95% CI 0.72-5.04) and a self-efficacy benefit (OR = 1.30; 95% CI 0.44-3.87). While this study is limited by sample size due to being a pilot study, the findings suggest there may be tangible benefits to introducing the CONTINUE Tool among low-income ... |
format |
Text |
author |
Rivelli, Anne Fitzpatrick, Veronica Shields, Maureen Erwin, Kim Delfinado, Leah Cabiya, Marie Wennerberg, Karen |
author_facet |
Rivelli, Anne Fitzpatrick, Veronica Shields, Maureen Erwin, Kim Delfinado, Leah Cabiya, Marie Wennerberg, Karen |
author_sort |
Rivelli, Anne |
title |
The benefits of introducing a pregnancy support tool for low-income women during routine obstetrics care |
title_short |
The benefits of introducing a pregnancy support tool for low-income women during routine obstetrics care |
title_full |
The benefits of introducing a pregnancy support tool for low-income women during routine obstetrics care |
title_fullStr |
The benefits of introducing a pregnancy support tool for low-income women during routine obstetrics care |
title_full_unstemmed |
The benefits of introducing a pregnancy support tool for low-income women during routine obstetrics care |
title_sort |
benefits of introducing a pregnancy support tool for low-income women during routine obstetrics care |
publisher |
Advocate Aurora Health Institutional Repository |
publishDate |
2023 |
url |
https://institutionalrepository.aah.org/advocategme/167 https://doi.org/10.1177/21501319231164545 https://libkey.io/libraries/1712/10.1177/21501319231164545 |
genre |
Aurora Research Institute |
genre_facet |
Aurora Research Institute |
op_source |
Advocate GME |
op_relation |
https://institutionalrepository.aah.org/advocategme/167 doi:10.1177/21501319231164545 https://libkey.io/libraries/1712/10.1177/21501319231164545 |
op_doi |
https://doi.org/10.1177/21501319231164545 |
container_title |
Journal of Primary Care & Community Health |
container_volume |
14 |
container_start_page |
215013192311645 |
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1772180749517062144 |