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Newborn Care Paper Presentation Purpose for the Program Text4baby is an innovative example of using interactive mobile health to provide evidence-based information. Proposed Change Perinatal nurses can now use this free mobile health service as an evidence-based tool to connect pregnant and postpartum women to key health information. This contemporary approach may supplement and/or replace numerous educational pamphlets. Implementation, Outcomes, and Evaluation Messages include information on elective induction, the infant's development, and breastfeeding. New interactive features, including mobile pages, videos, appointment reminders, quizzes, and modules on specific health issues and resources, have been integrated into the service. Results from two text4baby interactive modules show text4baby is reminding participants to get the influenza vaccine and is connecting uninsured participants to health care. In October 2012, text4baby launched an influenza module designed to assess and measure the effectiveness of tailored education and the use of an additional reminder to overcome barriers to obtaining vaccination. Among women who were initially planning to get the flu shot, those who received an additional reminder had an increased likelihood of getting the flu shot (for mothers; adjusted odds ratio [AOR] = 1.96, p = Additionally, through a similar module designed to connect participants with health insurance coverage, more than one half of the respondents reported they were Medicaid/Children's Health Insurance Program (CHIP) recipients, whereas 13% were uninsured. When text4baby provided those uninsured respondents with a resource for obtaining coverage and checked in 1 week later, 51% of those respondents indicated they applied for Medicaid/CHIP during that 1-week period. External evaluations confirm text4baby is facilitating interaction with health care providers, reminding participants of appointments and immunizations, and connecting them with health services. Furthermore, participants are three times more likely to report they are better prepared for motherhood than nonparticipants. Implications for Nursing Practice Text4baby supports pregnant and postpartum women through the convenience and interactivity of texting. Perinatal nurses can use this innovative strategy to advance their practice and for delivering evidence-based health messages. Text4baby continues to strive to advance the science of mobile health through content enhancements, monitoring participant feedback, and program evaluation. |
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