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NCT Number: NCT07213284

Michigan Healthy Mom (MI-MOM) Pregnancy Improvement Web Application Trial

The purpose of this research study is to see if using the MI MOM App improves pregnancy and postpartum health. There are two study groups, where one group is "treatment as usual" and the other is the "MI MOM App" group. Both groups will be asked to answer questions about their pregnancy health. Researchers will also retrieve vital records and Medicaid claims information related to pregnancy for both groups. Those in the "MI MOM App" group will receive mobile web app content and text messages with informational links and links to videos and micro-interventions. They will also identify up to three close friends or family members who will be invited to receive text messages. Those in the "MI MOM App" will also have the option to contact a community health worker as needed.

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Key information

Conditions

Pregnancy Alzheimer Disease Brain Diseases Central Nervous System Diseases Dementia Female Urogenital Diseases and Pregnancy Complications Mental Disorders Nervous System Diseases Neurocognitive Disorders Neurodegenerative Diseases Pregnancy Complications Pregnancy Outcomes Pregnancy, Complications Tauopathies Urogenital Diseases

Age range

18 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Shiawasee Health Department, Corunna, Michigan, United States

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About this study

The researchers aim to use a site-randomized design to determine whether the Michigan Healthy Mom (MI MOM) app will improve pregnancy health when used by pregnant women, their supporters (partners, mothers, friends, etc.), and healthcare providers, vs treatment as usual. Specifically, the researchers will test:

  • Whether use of the MI MOM app results in improvements to self-reported app targets (e.g., reducing provider bias, increasing treatment-seeking, service connection, early warning sign awareness, and improving mental health)
  • Whether use of the MI MOM app improved overall pregnancy and postpartum health
  • Whether the app reduced disparities in pregnancy/postpartum health, i.e. between Black and White, rural and urban participants

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Pregnant at 20 weeks gestation or less
  • 18 years of age or older
  • Access to smartphone with text messaging and internet access
  • Speaks English
  • Enrolled in Medicaid for health insurance

Exclusion criteria

  • Younger than 18 years old
  • Not pregnant or pregnant with more than 20 weeks gestation
  • No access to a smartphone with text messaging and internet access
  • Not English speaking
  • Not enrolled in Medicaid for health insurance

Treatment and study plan

MI MOM App

Behavioral

Participants enrolled in the Michigan Healthy Moms (MI MOM) app will receive initial interactive app content followed by regular text messages with information related to pregnancy health, designed to increase patient awareness of warning signs, help them with self-advocacy, and otherwise improve health in pregnancy and postpartum. They will also have online live chat (text) access to a community healthcare worker who can assist them in enrolling in services to improve their health. They will also have the option of enrolling support persons (partners, family members, close friends, etc.) in the MI MOM app to receive similar information designed to help them support the pregnant participant. Providers at intervention sites will also receive information designed to improve their awareness of techniques for preventing maternal morbidity and mortality.

Primary outcomes

  1. Total pregnancy-associated morbidity through one year postpartum

    Time frame: Start of pregnancy through 1 year postpartum

    Total pregnancy-associated non-severe and severe maternal morbidity through 1 year postpartum. Non-severe maternal morbidity will be indexed using ICD codes taken from Medicaid records, with conditions taken from World Health Organization-identified Maternal Morbidity conditions (e.g., anemia, hypertension, depression). Severe maternal morbidity will use ICD codes identified for the 21 severe maternal morbidity indicators developed by the CDC.

  2. Pregnancy-Associated Mortality through one year postpartum

    Time frame: Start of Pregnancy through 1 year postpartum

    Total pregnancy-associated mortality through 1 year postpartum as measured using a preexisting linked dataset of Medicaid claims, deaths, birth records, and Evidence-Based Practice Center (EPC) program data.

  3. Composite Index, total number of maternal morbidity and mortality risk factors

    Time frame: Measured at 6 weeks post-baseline, 35 weeks of pregnancy, 6 weeks postpartum, 6 months postpartum, and 1 year postpartum.

    A composite index evaluating multiple maternal morbidity and mortality behavioral risk factors including the Tobacco, Alcohol, Prescription medication, and other Substance use Tool for substance use (TAPS); the Humiliation, Afraid, Rape, Kick questionnaire for intimate partner violence (HARK); the Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder Screener (GAD-7) for symptoms of depression and anxiety; patient understanding of early warning signs of pregnancy complications and appropriate responses; confidence in ability to communicate effectively with healthcare providers; help-seeking behaviors/service utilization, and prenatal care adherence. Total score on this composite index will be the number of risks on which the participant is positive at that assessment point. All risks will refer to the time since becoming pregnant (baseline) or since the last assessment point (follow-up observations) except for depression and anxiety, which refer to the past two weeks.

Study contacts

Contact information is provided by the study sponsor or research team.

Claire E Margerison, PhD

CONTACT

[email protected]

517-353-8623

Steven J Ondersma, PhD

CONTACT

[email protected]

313-444-9797

Sponsors and collaborators

Lead sponsor

Michigan State University

Other

Collaborators

  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Registry information

Official study title

Site Randomized Trial to Evaluate Behavioral Intervention Via Web-Based Application (MI MOM- Michigan Healthy Moms Application) to Improve Pregnancy Outcomes

Acronym: MI-MOM App

Important dates

Study start
2026
Primary completion
2030
Study completion
2031
First posted
Oct 8, 2025
Registry last updated
Jul 24, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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