This study seeks to determine pregnant patients in the Philadelphia area can be recruited to a conversational AI texting platform. The trial will be considered feasible if recruitment goals are met in proportion to delivery volume at the hospital.
The investigators developed a conversational AI platform to improve periconception care (CIRCA) to engage individuals in their healthcare decision making, reduce barriers to care, and ultimately reduce widespread inequities in reproductive and maternal health. CIRCA was developed to enable care from positive pregnancy test onward. After a positive test, patients scan a QR code to onboard via SMS to the program. A positive pregnancy test is confirmed, and an estimated gestational duration is calculated from last menstrual period, if known. If unknown, the patient is directed to schedule a visit at a nearby early pregnancy assessment center where they can receive routine testing and counseling to confirm the pregnancy and its gestational duration. They are then able to receive triage and scheduled educational content.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
2,637
Two-way texting platform that uses artificial intelligence to match patient texts to clinician-vetted responses and send educational content
Penn Medicine
Philadelphia, Pennsylvania, United States
Feasibility of citywide recruitment of pregnant patients in Philadelphia.
Proportion of pregnant patients in Philadelphia who sign up to use CIRCA texting platform
Time frame: 12 months
Platform engagement
Percentage of surveys completed by participant
Time frame: Between platform enrollment up until 12 weeks, 6 days gestation
Platform acceptability
Net promoter score (Range 0-10, with a higher score indicating a better rating)
Time frame: To be completed at 1 week of use and at final study survey (up to 12 weeks 6 days gestation)
Birth outcome
Early pregnancy loss, ectopic pregnancy, abortion, severe maternal morbidity, preterm birth
Time frame: From platform enrollment up until the event of a live birth or other pregnancy outcome.
Emergency Department Utilization
Emergency Department visits
Time frame: From platform enrollment until 12 weeks, 6 days gestation.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.