P³OPPY

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P3OPPY: Providing an Optimized and emPowered Pregnancy for You

IMPACT: The P3OPPY study is designed to support the American Heart Association’s mission to improve maternal/infant health outcomes and address inequities in maternal/infant health care. The promise of digital health intervention and community health worker engagement makes P3OPPY interventions potentially transformative, sustainable, and scalable for Non-Hispanic Black mothers and their infants from underserved communities in Alabama and beyond.

Goal

The goal of P3OPPY is to investigate the benefit of an existing digital health intervention (DHI) and community health worker (CHW) program to reduce maternal and infant health disparities.

Team

Waldemar Carlo, M.D.
Waldemar Carlo, M.D.
Rachel Sinkey, M.D.
Rachel Sinkey, M.D.
Alan Tita, M.D.
Alan Tita, M.D.
Brian Casey, MD
Brain Casey, M.D.
Janet Turan, Ph.D., MPH
Janet Turan, Ph.D., MPH
Martha Wingate, Ph.D.
Martha Wingate, Ph.D.
Colm Travers, M.D.
Colm Travers, M.D.
Henna Budhwani, Ph.D.
Henna Budhwani, Ph.D.
Dr. Donna Dunn
Donna Dunn, Ph.D., CNM, FNP-BC
Molly Richardson, Ph.D.
Molly Richardson, Ph.D.
Vivek Shukla, M.D.
Vivek Shukla, M.D.
Angelina Toluhi, MBBS
Angelina Toluhi, M.D., MPH
Denita Lindsey, MD, MPH
Denita Lindsey, M.D., MPH
Rosylen Quinney, Program Manager
Rosylen Quinney, Program Manager
Roy Rosin, MBA
Roy Rosin, MBA
Trinita Ashford, MPH
Trinita Ashford, MPH
Lynetta West, CHW
Lynetta West, CHW
Kayla Torres, MPH
Kayla Torres, MPH

3 Aims

Image depicting the three aims of POPPY 1. Qualitative Interviews 2. Refine & Pilot DHI & CHW Programs 3. Randomized Trial

Aim One

Goal: To understand ways existing P3OPPY DHI and CHW interventions can be tailored to best address the needs of Non-Hispanic Black (NHB) pregnant women and their infants from historically marginalized communities.

Methods: Led by qualitative research expert Dr. Janet Turan, our team will interview patients, families, and community stakeholders to understand how DHI and CHW can help reduce disparities in adverse maternal and infant outcomes.

Aim Two – Pilot

Goal: Pilot the DHI and CHW interventions in 30 NHB pregnant patients from high-area deprivation index communities.

Digital Health Intervention

Short Message Service (SMS) based Digital Health Intervention (DHI) developed by Memora Health and EQUATE partners at UPenn. All content is designed for 7th-grade Flesch-Kincaid level or lower.

This DHI provides the following:

  • 24/7 AI and evidence-based responses, information, and follow-up recommendations related to maternal and infant health FAQs
  • If a question cannot be answered, escalation to a healthcare team member
  • Natural language processing-based follow-up questions to triage the patient and contact the patient’s provider through a HIPPA-compliant electronic medical records interface

ConnectionHealth Team

ConnectionHealth is a 501(c)(3) nonprofit organization founded in December  2014 in Birmingham, Alabama. ConnectionHealth was the first nonprofit organization in Alabama dedicated to training and deploying community health workers (CHWs) to address the needs of Alabama’s most vulnerable citizens. Currently, ConnectionHealth serves citizens in Jefferson County and the Black Belt Region of rural Alabama, providing community-based support with the goal of assisting clients to achieve healthier lives. http://connectionhealth.org

Aim Three – Clinical Trial

Goal: Assess if P3OPPY DHI and/or CHW interventions reduce adverse maternal and perinatal outcomes.

2 x 2 Factorial Design
We will conduct a 2 X 2 factorial randomized controlled trial of NHB patients living in high ADI communities.

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