Baby2Home (B2H) Mobile Health Application
COVID-19 Pandemic, Health Knowledge, Attitudes, Practice, Perinatal Depression
About this trial
This is an interventional health services research trial for COVID-19 Pandemic
Eligibility Criteria
Inclusion Criteria:
- Delivery at Prentice Women's Hospital or Women and Infants Hospital of Rhode Island
- Viable term infant (≥ 37 weeks)
- First live born child
- English speaking
- Age 18 years old or greater
- Access to a smartphone
- Access to a working email address
Exclusion Criteria:
- No smartphone access
- Infant death
- Infant requires NICU admission
- Known severe mental illness of either parent (e.g., bipolar disorder, schizophrenia)
- SARS-CoV-2 infection without clinical clearance
- History of IPV (intimate partner violence) with current partner (would exclude partner)
- Concurrent enrollment in studies that may affect the outcome of the trial (or vice versa)
Sites / Locations
- Northwestern Medicine Prentice Women's HospitalRecruiting
- Women and Infant's Hospital
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Usual Care
Baby2Home Intervention
As a pragmatic trial, usual care will be defined by contemporary clinical standards. For maternal care, this includes a comprehensive medical visit between 4-12 weeks postpartum. This visit includes utilization of a validated screen for postpartum depression and, if that screen is positive, a clinical assessment and initiation of treatment (e.g. pharmacotherapy or referral for psychotherapy). In addition, this visit includes a discussion of contraception as well as supportive education on breastfeeding. For paternal care, clinical standards are gleaned from the AAP, ACOG, and USPSTF reports outlining mental health screening, reproductive health, and vaccine uptake. For infant care, standard pediatric care from the AAP and Bright Futures periodicity timeline and guidelines will be used. In addition, assignment in this arm will be given surveys at baseline, 1M, 2M, 4M, 6M, and 12M.
Families randomized to the intervention arm will receive the B2H services. B2H is a novel digitized CC-based intervention delivered via a smartphone app available on iOS or Android phones, built by combining two successful programs: NICU2Home+ app and CC services. Using the UCD methodologies, AI-based communication within the app will include education for mothers and fathers on the standard of care regarding self-care and newborn care after hospital discharge as well as education, reminders and scheduling for recommended preventative healthcare services for themselves and their new infant.