A Culturally Adapted Digital Intervention to Promote Maternal Care Utilization Using Multifaceted Approaches

Jiayao Xu

Status: Not yet enrolling

Conditions: Pregnancy Complications; Antenatal Care; Pregnancy Outcomes

Treatments: Behavioral: Health education, capacity building and economic incentives

Study type: Interventional

Funder types: Other

Identifiers

NCT07091188

ZGL202408-7

Details and patient eligibility

About

Maternal healthcare utilization is crucial for reducing maternal mortality, yet remains low in many underserved regions. The CALCIUM intervention, a culturally tailored, digital platform-integrated intervention, was developed to promote antenatal care (ANC) and institutional deliveries in Liangshan Yi Autonomous Prefecture, an ethnic minority community in China. The CALCIUM intervention was developed to address barriers including limited healthcare awareness, traditional norms and low-quality services. This intervention will evaluate the effectiveness, and cost-effectiveness of improving maternal healthcare utilization and pregnancy outcomes in an ethnic minority community.

Full description

A cluster quasi-randomised control trial will be conducted in two counties, Xide and Yuexi, in Liangshan Yi Autonomous Prefecture, Sichuan province, China. In total, 12 towns will be randomly selected from each of the two counties (i.e., Yuexi and Xide). Within each county, the selected towns will be randomly and evenly assigned to the intervention and control groups. In each town, 80 newly pregnant women will be invited to participate. The comprehensive intervention was designed based on the Behaviour Change Wheel (BCW) including digital health education via social media platform, capacity building for healthcare providers and economic incentives for village doctors. Primary outcomes include the rates of hospital delivery and ANC utilization. Secondary outcomes include participants' pregnancy-related diseases and pregnancy outcomes. Primary and secondary outcomes will be collected through the local maternal and newborn health monitoring system. Sociodemographic and process information will be gathered through postpartum interviews. A logistic mixed model with an intention-to-treat approach will be used to evaluate the effectiveness of the intervention. Additionally, intervention costs and cost-effectiveness will be assessed.

Enrollment: 1,920 estimated patients

Sex: Female

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Pregnant women

Exclusion criteria

• Not pregnant women

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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1,920 participants in 2 patient groups

Intervention group

Experimental group

Description:

Interventions including digital health education via social media platform, capacity building for healthcare providers and economic incentives for village doctors will be applied

Treatment:

Behavioral: Health education, capacity building and economic incentives

Control group

No Intervention group

Description:

No intervention will be applied