Formative Research to Inform the Development of an Innovative eHealth Application to Promote Oral Health during Prenatal Care Visits
Purpose: To conduct the formative research necessary to guide the development of an innovative eHealth application that would facilitate the translation of the prenatal oral health guidelines into practice for prenatal providers.
Methods: Guided by the Consolidated Framework for Implementation Research and Diffusion of Innovations, mixed-methods were used to assess the clinic’s current technology infrastructure, capacities, workflow processes and contextual factors that would influence adoption/integration of an eHealth application: (1) technology assessment; (2) clinic observations; and (3) interviews and focus groups (> 25 diverse clinic staff: prenatal/oral health providers; medical assistants; clinic administrators, nurse supervisors, IT personnel).
Results: Critical information emerged, including: clinic workflow (e.g., staff roles, clinic pace, current patient data collection/documentation, clinic communication patterns, referral processes, patient wait time); intervention characteristics that would facilitate adoption (e.g., easy to use; time efficient); benefits and barriers to adopting new technology at clinic, provider and patient levels; cultural factors unique to clinic; and other internal and external system demands.
Discussion: This formative, theoretical-based, and consumer-driven research provided vital information needed prior to the development of an innovative eHealth application. Furthermore, key lessons were learned, including the importance of aligning scientific rigor with the time and workflow constraints faced by community health clinics. Findings support the importance of gathering diverse clinic team members’ perspectives, and the unique involvement of an academic-private partnership when using eHealth to improve quality of care.
Learning Areas:Communication and informatics
Implementation of health education strategies, interventions and programs
Public health or related research
Social and behavioral sciences
Describe how formative research is crucial in guiding the development of an innovative eHealth application that would facilitate the translation of the prenatal oral health guidelines into practice for prenatal providers Discuss how clinic workflow, intervention characteristics, perceived benefits and barriers to adopting technology, cultural factors and other internal/external system demands inform the development of an eHealth application. Describe how an innovative eHealth application could facilitate the integration of oral health promotion during prenatal visits
Keyword(s): Information Technology, Prenatal Care
Qualified on the content I am responsible for because: I am the Multiple-PI of this study and have conducted previous research regarding gaps and opportunities related to improving oral-systemic health among MCH populations for providers and pregnant women.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.