Testing Feasibility of Care Coordination and Motivational Interviewing for Women With a Recent Preterm Birth

Feasibility Testing of Care Coordination and Motivational Interviewing for Women With a Recent Preterm Birth

This study continues an adaptation of care coordination to address the needs of women after preterm birth. This is a small single arm open trial designed to test intervention implementation and refine the intervention before ongoing feasibility testing.

Interventionists will be trained in care coordination strategies and Motivational Interviewing (MI) techniques. Following training, investigators will enroll eligible women from a postpartum unit at a single hospital, or within two weeks of birth. Investigators will assess feasibility, adoption, reach, and fidelity of the intervention and of study data collections strategies. The intervention protocol will be revised to reflect these assessments.

Inclusion Criteria:

1. Female
2. Less than 45 years old
3. History of preterm birth (< 34 weeks gestational age or 34 - 36 weeks with identifiable risk factors for recurrent preterm birth which may include low preventive care utilization, tobacco use, obesity, depression or anxiety, or history of unmet contraceptive needs)
4. Intention to seek pediatric care at one of two pediatric primary care sites
5. Medicaid insurance

Exclusion Criteria:

1. History of sterilization procedure.
2. Plan to move away from the area or transfer pediatric primary care within six months of enrollment.
3. Limited English proficiency