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It’s About Two Baby and You: iPad Evaluation and Expansion

March of Dimes
11/1/2013 – 10/31/2014


The purpose of this project is to evaluate the use and effectiveness of an electronic education module promoting smoke-free pregnancies in use in Spokane County, WA and to solicit user and provider input for the development of additional educational modules. The project is a collaborative effort between WSU and Spokane Regional Health District. Recent advances in mobile communications has resulted in tools and applications which may assist women to learn about and modify health behaviors during pregnancy. It is well documented that Tobacco use is the single most preventable cause of death and disease in the United States (CDC, 2011). The association between tobacco and increased risk for low birth weight and premature birth is well established in the literature (CDC, 2001). Tobacco use varies by community and state; in 2011, about 16% of pregnant women in Spokane County smoked, compared to 9% in Washington State and the U.S. (Riffe & Conley, 2013). The Spokane Regional Health District created a Birth Outcomes Task Force (BOTF) in 2009. The group is endeavoring to address issues affective pregnancy and birth outcomes in the state. It’s About Two: Baby and You campaign is part of the BOTF’s effort. The campaign focuses on maternal and child health, and how the community can supports maternal and infant health.

All pregnant women who are patients at selected prenatal and public health practices between April 1 and July 30, 2014 will be eligible to participate in the project. We estimate that the iPad will be available to approximately 300 pregnant patients with up to 60 of those tobacco users. Staff or a research assistant (RAs) will offer the iPad and a survey to pregnant women AFTER the initial prenatal visit. Survey includes demographic information, perceptions about the iPad and tobacco cessation information received at practice. Women turning in a completed survey with the iPad may choose a gift from a basket of small gifts.

Focus groups of the staff at participating sites will be conducted following client data collections. Staff’s perceptions about the impact of the iPad application, changes (if any) in the practices’ tobacco cessation education efforts and ideas for future modules will be solicited. Based on findings from the project, we will modify the existing module as needed. We will also seek resources to create additional modules, and offer the module to additional sites and communities. Practice sites will have feedback about their tobacco cessation prevention efforts.


Jo Ann Dotson
Jo Ann Dotson, PhD