Evaluating a Preconceptional eHealth Education Program and Message Delivery Tool

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Evaluating a Preconceptional eHealth Education
Program and Message Delivery Tool

• Elizabeth Fassett, MS, CHES
• June 21, 2005

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Medem, Inc.
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Planning for the future Healthy lifestyles
for women of childbearing age
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What to expect

• Background
• Message development
• Dissemination
• Evaluation
• Next steps

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Background

• 50 of pregnancies in the U.S. are unplanned
• Preconceptional health behaviors important for
  infant development
• Women with unplanned pregnancies less likely to
  adopt healthy behaviors

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Background

• Women likely to perform preconceptional behaviors
  if HCP advises
• HCP barriers include
• lack of time
• too many competing messages

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Background

• SOLUTION

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eHealth BackgroundPhysician-patient Communication

• Provider satisfaction
• 56 prefer online consultation over office visit
• Patient satisfaction
• 66 report online consultation as good or
  excellent compared to an office visit

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eHealth BackgroundPhysician-patient Communication

• Harris Interactive Poll
• 90 want to be able to communicate with physician
  on-line
• Ask questions (77)
• Make appointments (71)
• Refill prescriptions (71)
• Receive medical test results (70)

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eHealth?

• Health Records
• 84 think it would be a good idea to have a
  personal or family health record
• 40 are very or somewhat likely to start a new
  eHealth record
• Medem is answering the Presidents call for a
  health record for all Americans

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Message Development
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Target Audiences

• Contemplators
• Non-contemplators

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Non-Contemplators Healthy living How women of
childbearing age can get and stay healthy
Optimal Nutrition Folic Acid Physical
Activity Healthy Weight Responsible
Drinking Smoke and Drug-free
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Contemplators Pregnancy planning What to know
about your health before you get pregnant
Folic Acid Optimal Nutrition Physical
Activity Not Drinking Alcohol Smoke and
Drug-free Family/ Medical History Environment Prec
onception Visit
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Email View of Message
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Message Testing

• Messages tested via email

Messages cleared
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Dissemination
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1. PhysicianEnrollsPatient
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2.Patient Self-enrolls
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3. iHealthRecord TM
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Education Programs

• Healthy Living How women of childbearing age can
  get and stay healthy
• 40 physician websites
• 115 women enrolled
• Pregnancy Planning What to know about your
  health before you get pregnant
• 28 physician websites
• 114 women enrolled

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EvaluationIn-progress
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Evaluation

• Objective
• To see if contemplator messages change
  preconceptional health awareness and knowledge
• Methods
• Pretest-posttest
• 14 questions

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The Pre and Post Test
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Evaluation

• Examples of Usage Reports
• physician published programs
• of women who are enrolled
• How women became enrolled
• of women who complete

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Next Steps

• Continue tracking and evaluation
• Revise messages
• Share results

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Acknowledgements

• Centers for Disease Control and Prevention
• Prevention Research Team
• Katie Kilker, BS, CHES
• Patricia Mersereau, RN, MS, CPNP
• Christine Prue, PhD
• Fetal Alcohol Syndrome Team
• Elizabeth Parra-Dang, MPH, eff8_at_cdc.gov
• Mary Kate Weber, MPH
• Medem, Inc.
• David Aaronson, BA
• Lisa Blaney-Koan, MA
• Edward Fotsch, M.D.

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Thank you!