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Faculty have requested this content not be shared on social media
CME Credit Offered
CME Credit Offered
Abstract Award
Abstract Award
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Poster Session 1

(322) Evaluating Acceptability of Health Equity Interventions: Providing an Optimized and emPowered Pregnancy for You(POPPY) Pilot

Thursday, January 30, 2025
10:30 AM – 12:30 PM  
Objective: Successful interventions for perinatal disparities are sparse. Our objective was to conduct a pilot randomized controlled trial(RCT) to determine the feasibility of randomizing participants in a health equity intervention trial and whether participants were accepting of the interventions.

Study Design: Single-center, parallel 2x2 RCT including participants of Non-Hispanic Black race/ethnicity, between 16-49 years, 8⁰-22⁶ weeks gestational age(GA), and residing in resource poor communities defined as Area Deprivation Index(ADI) 60-100. Participants were individually randomized to 1 of 4 arms: usual care(UC), UC+digital health intervention(DHI), UC+community health worker(CHW), or UC+DHI+CHW; providers were blinded. The primary outcome for this pilot was acceptability of the intervention defined as participant’s affirmative response to: "I would recommend the care I received to someone in a similar situation”. Secondary outcomes included participant’s intervention satisfaction (1-10 scale, 10 highest satisfaction), number of prenatal care (PNC) visits and clinical outcomes.

Results: Forty participants were randomized from July-October 2023: 10 UC and UC+CHW, 9 UC+DHI, 11 UC+CHW+DHI. All participant data were analyzed. Median age, GA at enrollment and ADI were 29 years, 14 weeks, and 90; 78% were parous, 18% married, 60% ≤high school diploma, and 80% publicly insured. Of those randomized to UC, UC+DHI, UC+CHW, and UC+CHW+DHI, 70%, 89%, 80% and 91% recommended the care they received, respectively. Participants randomized to CHW who completed the satisfaction score were extremely satisfied(100% 10/10; n=18); DHI participants were also highly satisfied (median satisfaction score 8, IQR 7—10, n=18). Participants attended a median 11 PNC visits and delivered at a median GA of 37 weeks, but 5 (13%) experienced pregnancy loss and 25% were admitted to the neonatal intensive care unit(Table).

Conclusion: Participants randomized in a pilot health equity intervention trial reported high rates of satisfaction with DHI and CHW interventions, lending support for a large RCT powered for key clinical outcomes.