TEXT4TEENS TEEN PREGNANCY LOW BIRTHWEIGHT BABY INTERVENTION GRANT PROPOSAL Pubblico

Grant, Frederic James (2011)

Permanent URL: https://etd.library.emory.edu/concern/etds/gq67jr96n?locale=it
Published

Abstract








Abstract

TEXT4TEENS
TEEN PREGNANCY LOW BIRTHWEIGHT BA


This thesis develops a public health grant proposal to reduce the incidence low birthweight baby
occurrences among pregnant teens in Georgia. Georgia's low birthweight baby incidence rate is
among the highest in the United States and worse than most of the developing world. The
proposed Text4Teens grant proposal addresses the three primary causes of low birthweight baby
occurrences--inadequate maternal healthcare, poor nutrition, and smoking. The Text4Teens
grant proposal represents an innovation in traditional community engagement programs. The
intervention methodology leverages social networking technology-texting-to connect teens to
information and community services. The program outcomes target improved utilization of
available social services; strengthened ties and collaboration between state and local prenatal
care and prenatal nutritional services; and, improved birthweight outcomes for pregnant teens.

TEXT4TEENS
TEEN PREGNANCY LOW BIRTH WEIGHT BA


M.P.H., Emory University, 2011
B.S. Ohio State University
M.B.A., Georgia State University
Ph.D., Capella University of Minnesota

Thesis Committee Chair: Melissa Alperin, M.P.H., MCHES

An abstract of
A Thesis submitted to the Faculty of the
Rollins School of Public Health of Emory University
In partial fulfillment of the requirements of the degree of
Master of Public Health in the Career MPH program
2011

Table of Contents

Text4Teens

TABLE OF CONTENTS

Table of Contents ............................................................................................................................ 3
Guide to Tables ............................................................................................................................... 6
Guide to Figures .............................................................................................................................. 6
Preface............................................................................................................................................. 8
Thesis Organization .................................................................................................................... 8
Chapter I........................................................................................................................................ 10
Part A: Low Birthweight babies .................................................................................................. 10
Introduction ............................................................................................................................... 10
Prevalence in United States ...................................................................................................... 11
Global Comparison - Low Birthweight and Infant Mortality ................................................... 12
LBWB in Georgia ..................................................................................................................... 14
Economic Impact of Low Birthweight ..................................................................................... 15
Causes of Low Birthweight ...................................................................................................... 17
Teen Pregnancy and LBWB ..................................................................................................... 17
Savings through Greater Collaboration .................................................................................... 21
Definition of Terms .................................................................................................................. 22
Chapter I - Part A Summary ..................................................................................................... 28
Chapter I........................................................................................................................................ 29
Part B: Text4Teens (T4T) intervention........................................................................................ 29
Introduction ............................................................................................................................... 29
Major Components ................................................................................................................... 30
Text4baby Leveraging New Science ........................................................................................ 31
Text4babyProgram Overview ................................................................................................... 33
Text2quit ................................................................................................................................... 34
Improving Access to Health Information and Services ............................................................ 36
Text4Teen Target Audience ..................................................................................................... 37
Recruitment ............................................................................................................................... 38
Enrollment ................................................................................................................................ 38
Community Awareness Campaign ........................................................................................... 39
Overcoming Barriers to Participation ....................................................................................... 40
Ethical Considerations .............................................................................................................. 40
Call for Innovations .................................................................................................................. 41
Chapter I - Part B Summary ..................................................................................................... 42
CHAPTER II: Literature Review ................................................................................................. 43
Introduction ............................................................................................................................... 43
Relevant Studies ....................................................................................................................... 45
Cole-Lewis and Kershaw (2010), ......................................................................................... 45
Preston, Walhart, and O'Sullivan (2011). ............................................................................. 47
Pew Internet and American Life Project (Per, 2010a; 2010b; 2010c; 2011). ....................... 50
Kaiser Family Foundation Study (Kaiser, 2010). ................................................................. 52
CDC Social Media Tool Kit (2011). ..................................................................................... 54
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Text4Teens
RAND (Rand, 2011), Vital Wave Consulting(2008) and Vodaphone (2010) Reports on
Mobile Health (mHealth). ..................................................................................................... 55
Other Noteworthy Studies ........................................................................................................ 56
Chapter Summary ..................................................................................................................... 57
CHAPTER III: Proposal review Methodology ............................................................................ 59
Introduction ............................................................................................................................... 59
Potential Funding ...................................................................................................................... 59
Six Expert Reviewers ................................................................................................................ 61
Review Criteria and Scoring ..................................................................................................... 62
Overall Impact .......................................................................................................................... 64
Overall Significance ................................................................................................................. 65
Scored Criteria Review ............................................................................................................. 66
Review and Scoring Procedures ............................................................................................... 66
Criterion Scoring ....................................................................................................................... 67
Written Critique ........................................................................................................................ 70
Chapter Summary ..................................................................................................................... 70
CHAPTER IV: Proposal Review Results .................................................................................... 72
Introduction ............................................................................................................................... 72
Summary of Results .................................................................................................................. 72
Results of the Specific Criteria Review Factors ....................................................................... 75
1 - Cover Page: Specific Criteria Review Factors Worksheet. ............................................. 75
2 - Introduction. .................................................................................................................... 75
3 - Problem Statement ........................................................................................................... 76
4 - Goals and Objectives. ...................................................................................................... 77
5 - Methods. .......................................................................................................................... 78
6 - Data Analysis and Program Evaluation. .......................................................................... 78
7 - Timeline and Budget. ...................................................................................................... 79
Significance Scoring ................................................................................................................. 81
Overall Significance Score ....................................................................................................... 81
Overall Significant Strengths. ............................................................................................... 81
Overall Significant Weaknesses. .......................................................................................... 83
Overall Impact Scoring ............................................................................................................. 84
Overall Impact Score. ........................................................................................................... 85
Overall Impact Strengths. ..................................................................................................... 85
Overall Impact Weaknesses. ................................................................................................. 87
Chapter Summary ..................................................................................................................... 89
CHAPTER V: Recommended Proposal Modifications ............................................................... 90
Introduction ............................................................................................................................... 90
Cover Page ................................................................................................................................ 90
Introduction ............................................................................................................................... 90
Problem Statement .................................................................................................................... 91
Goals and Objectives ................................................................................................................ 91
Methods .................................................................................................................................... 92
Data Analysis and Program Evaluation .................................................................................... 92
Timeline and Budget ................................................................................................................. 92
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Text4Teens
Overall Significance Scoring .................................................................................................... 93
Overall Impact Scoring ............................................................................................................. 93
Chapter Summary ..................................................................................................................... 94
References ..................................................................................................................................... 95
Appendix A: COVERPAGE Text4Teens Grant Proposal ......................................................... 104
Abstract ................................................................................................................................... 104
Introduction ................................................................................................................................. 105
Team Approach ....................................................................................................................... 106
Problem Statement ...................................................................................................................... 110
Low Birthweight ..................................................................................................................... 110
Problem Prevalence ................................................................................................................ 111
Causes of Low Birthweight .................................................................................................... 112
Economic Impact of Low Birthweight ................................................................................... 112
Teen Pregnancy/LBWB is Preventable .................................................................................. 113
Goals & Objectives ..................................................................................................................... 114
Improving Health Outcomes ................................................................................................... 114
Communicating Information ................................................................................................... 114
Supporting Positive Behavioral Changes ............................................................................... 115
Key Research Questions ......................................................................................................... 115
Methods....................................................................................................................................... 117
Major Components ................................................................................................................. 117
Target Audience ...................................................................................................................... 117
Recruitment ............................................................................................................................. 119
Enrollment .............................................................................................................................. 121
Community Awareness Campaign ......................................................................................... 122
Overcoming Barriers to Participation ..................................................................................... 122
Ethical Considerations ............................................................................................................ 123
Key Applicant Partners & Personnel .......................................................................................... 124
Collaboration with Other Agencies and Programs ................................................................. 126
Data Analysis & Program Evaluation ......................................................................................... 127
Data Collection ....................................................................................................................... 127
Data Analysis and Evaluation Plan ......................................................................................... 127
Six Month Assessment Measures - Program Management .................................................... 129
Method for Tracking Program Progress ................................................................................. 129
Final Analysis & Report ......................................................................................................... 130
Anticipated Outcomes ............................................................................................................. 131
Capacity Building ................................................................................................................... 131
Dissemination of Results ........................................................................................................ 132
Timeline ...................................................................................................................................... 133
Overview ................................................................................................................................. 133
Year 1-3 Budget .......................................................................................................................... 135
Budget Overview .................................................................................................................... 136
Second and Third Year Costs ................................................................................................. 137
Attachment: Guide to Missing components ............................................................................... 138
Attachment: Voxiva Systems Descriptions ............................................................................... 139
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