Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03956810
Other study ID # 2019H0009
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date May 31, 2019
Est. completion date December 13, 2022

Study information

Verified date October 2023
Source Ohio State University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The prenatal trip assistance project is a study comparing two methods of delivering transportation assistance to pregnant women living in communities with high rates of infant mortality. Franklin County, Ohio, home of the state's capital of Columbus, has one of the highest rates of infant mortality in the U.S. at 8.2 per 1,000 live births.There have been many advances in "smart" applications in transportation over the past 10 years. However, despite the fact that the vast majority of impoverished women have a mobile phone, the transportation providers currently used by the Medicaid managed care plans are low tech with no mobile alerts or two-way communication with the woman. The purpose of the proposed study is to examine the preliminary efficacy of providing expanded and "smart" transportation services to increase communications, reliability, and customer satisfaction and reduce adverse pregnancy outcomes among women whose children are at high risk of infant mortality. The investigators aim to enroll and randomize 500 eligible pregnant women to either on-demand services or usual transportation services as provided by their Medicaid managed care organization. The primary outcome for the proposed trial will be overall satisfaction with transportation services as assessed by the final study questionnaire (i.e., two months after delivery or miscarriage) and secondary outcome measures will include: adequacy of prenatal care, preterm birth and infant mortality.


Recruitment information / eligibility

Status Completed
Enrollment 143
Est. completion date December 13, 2022
Est. primary completion date January 15, 2021
Accepts healthy volunteers No
Gender Female
Age group 18 Years and older
Eligibility Inclusion Criteria: - Willing to consent to communication by phone, text, and email - Access to a telephone (mobile or landline), tablet or computer - Pregnant & <32 weeks of gestation - Last menstrual period on or before 2/9/2020 or due by November 15, 2020 - At least 18 years old - Enrolled in one of two Medicaid managed care organizations - Residence in Franklin County, Ohio - Ambulatory - English speaking Exclusion Criteria: - No plans to move out of Franklin County prior to delivery - Able to read, understand, and communicate in English - Woman has not been previously enrolled in this study - Race/ethnicity stratum is not full - Willing to meet staff to be interviewed

Study Design


Related Conditions & MeSH terms


Intervention

Other:
On-demand transportation
On-demand scheduling via telephone, web portal, or the broker's mobile application.
Usual transportation
Usual transportation scheduling via call-center.

Locations

Country Name City State
United States The Ohio State University Wexner Medical Center Columbus Ohio

Sponsors (1)

Lead Sponsor Collaborator
Ohio State University

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Satisfaction with transportation services: scale Participants will be asked in one question to rate their level of overall satisfaction with transportation services measured on a five-point scale (5=very satisfied, 1=Very dissatisfied). Those who rate their satisfaction as either somewhat (4) or very satisfied (5) will be considered satisfied with transportation services in analysis. Obtained 8 weeks postpartum
Secondary Kotelchuck Adequacy of Prenatal Care Utilization index The Adequacy of prenatal care utilization index, as defined by Kotelchuck (AJPH, 1994). This index utilizes information on: gestational age at entry to prenatal care, the number of prenatal care visits, and the gestational age at delivery (to determine an expected number of prenatal visits). The index includes two dimensions which are combined (adequacy of initiation of prenatal care and adequacy of received services) into a single summary prenatal care utilization index category (Adequate plus utilization, Adequate utilization, Intermediate utilization, Inadequate utilization). Through study completion, an average of 9 months after enrollment.
Secondary The proportion of deliveries < 37 weeks gestation The proportion of preterm deliveries occurring before 37 weeks gestation Through study completion, an average of 9 months after enrollment.
Secondary The proportion of infants who die within one year of birth Death of a live born infant within the first year of life One year post delivery
See also
  Status Clinical Trial Phase
Recruiting NCT05520021 - The Treatment of Magnesium Sulfate and Nifedipine in Preterm Labor Threat N/A
Recruiting NCT04154423 - Engaging Mothers & Babies; Reimagining Antenatal Care for Everyone (EMBRACE) Study N/A
Completed NCT03785795 - Multichannel EMG Diagnosing True Preterm Labor
Recruiting NCT06110143 - Oral Health and Adverse Pregnancy Complications N/A
Completed NCT05430633 - Laparoscopic Versus Open Appendectomy in Pregnancy
Recruiting NCT05651347 - Antenatal Melatonin Supplementation for Neuroprotection in Fetal Growth Restriction Phase 3
Recruiting NCT04332393 - Metformin to Treat Corticosteroids-induced Hyperglycemia Phase 4
Completed NCT04074525 - Evaluating Decisional Regret Among Mothers
Completed NCT02707237 - Maternal Counseling for Preterm Deliveries, Assessing an Effective Method of Counseling N/A
Recruiting NCT02166645 - Comparison Between Preterm Infants Who Are Placed on Their Back or Stomach in the Immediate Postextubation Period N/A
Completed NCT03076775 - Euglycemia After Antenatal Late Preterm Steroids, the E-ALPS Study N/A
Recruiting NCT05264779 - The Periviable GOALS Decision Support Tool N/A
Not yet recruiting NCT05412056 - Metformin to Prevent Preterm Birth in Twin Pregnancy Phase 2/Phase 3
Active, not recruiting NCT04433364 - COPE - COVID-19 in Pregnancy and Early Childhood
Completed NCT04989673 - Materno-fetal Consequences of Symptomatic Dengue in Pregnant Wowen in French Guiana
Recruiting NCT05345457 - Outpatient Antibiotics Following Previable Rupture of Membranes (pPPROM) Between 18 0/7 and 22 6/7 Weeks Gestational Age Phase 4
Completed NCT04362579 - Advanced Multi-Modal Wearable Sensing for the Prediction of Pre-Term Labor
Completed NCT03429257 - Maternal EED and Aflatoxin Birth Outcomes Study Uganda N/A
Withdrawn NCT03738293 - Continuous Glucose Monitoring of Late Preterm Birth After Corticosteroids
Completed NCT03675061 - Evaluation of Vaginal PAMG-1 Detection by PartoSure Test in Preterm Delivery Threat in Actual Clinical Situation: Randomized Controlled Trial N/A