Conversational AI Platform for Early Pregnancy Care City-wide Recruitment: A Feasibility Study
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: CIRCA Texting Platform.
- Who it may be relevant to
- Registry conditions: Early Pregnancy. Basic parameters: from 15 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
This study seeks to determine pregnant patients in the Philadelphia area can be recruited to a conversational AI texting platform. The trial will be considered feasible if recruitment goals are met in proportion to delivery volume at the hospital.
Detailed description
The investigators developed a conversational AI platform to improve periconception care (CIRCA) to engage individuals in their healthcare decision making, reduce barriers to care, and ultimately reduce widespread inequities in reproductive and maternal health.
CIRCA was developed to enable care from positive pregnancy test onward. After a positive test, patients scan a QR code to onboard via SMS to the program. A positive pregnancy test is confirmed, and an estimated gestational duration is calculated from last menstrual period, if known. If unknown, the patient is directed to schedule a visit at a nearby early pregnancy assessment center where they can receive routine testing and counseling to confirm the pregnancy and its gestational duration. They are then able to receive triage and scheduled educational content.
Interventions
- Other CIRCA Texting Platform
Two-way texting platform that uses artificial intelligence to match patient texts to clinician-vetted responses and send educational content
Primary outcome measures
- Feasibility of citywide recruitment of pregnant patients in Philadelphia. [Time frame: 12 months]
Secondary outcome measures (4)
- Platform engagement [Time frame: Between platform enrollment up until 12 weeks, 6 days gestation]
- Platform acceptability [Time frame: To be completed at 1 week of use and at final study survey (up to 12 weeks 6 days gestation)]
- Birth outcome [Time frame: From platform enrollment up until the event of a live birth or other pregnancy outcome.]
- Emergency Department Utilization [Time frame: From platform enrollment until 12 weeks, 6 days gestation.]
Eligibility criteria
Inclusion criteria
- Willing and able to provide informed consent
- Access to a working mobile phone
- Ability to read English
- Pregnant with a gestational age less than 12 weeks, 6 days by last menstrual period or by ultrasound, or per patient self-report
Exclusion Criteria: N/A
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Health services research
Study locations
United States · 1 center
- Penn Medicine — Philadelphia
Identifiers
NCT: NCT07197892 · 859274