Michigan Healthy Mom (MI-MOM) Pregnancy Improvement Web Application Trial

Site Randomized Trial to Evaluate Behavioral Intervention Via Web-Based Application (MI MOM- Michigan Healthy Moms Application) to Improve Pregnancy Outcomes

The purpose of this research study is to see if using the MI MOM App improves pregnancy and postpartum health. There are two study groups, where one group is "treatment as usual" and the other is the "MI MOM App" group. Both groups will be asked to answer questions about their pregnancy health. Researchers will also retrieve vital records and Medicaid claims information related to pregnancy for both groups. Those in the "MI MOM App" group will receive mobile web app content and text messages with informational links and links to videos and micro-interventions. They will also identify up to three close friends or family members who will be invited to receive text messages. Those in the "MI MOM App" will also have the option to contact a community health worker as needed.

The researchers aim to use a site-randomized design to determine whether the Michigan Healthy Mom (MI MOM) app will improve pregnancy health when used by pregnant women, their supporters (partners, mothers, friends, etc.), and healthcare providers, vs treatment as usual. Specifically, the researchers will test:

1. Whether use of the MI MOM app results in improvements to self-reported app targets (e.g., reducing provider bias, increasing treatment-seeking, service connection, early warning sign awareness, and improving mental health)
2. Whether use of the MI MOM app improved overall pregnancy and postpartum health
3. Whether the app reduced disparities in pregnancy/postpartum health, i.e. between Black and White, rural and urban participants

Inclusion Criteria:

• Pregnant at 20 weeks gestation or less
• 18 years of age or older
• Access to smartphone with text messaging and internet access
• Speaks English
• Enrolled in Medicaid for health insurance

Exclusion Criteria:

• Younger than 18 years old
• Not pregnant or pregnant with more than 20 weeks gestation
• No access to a smartphone with text messaging and internet access
• Not English speaking
• Not enrolled in Medicaid for health insurance