Page 18 - Delaware Medical Journal - February 2017
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TABLE 2: Monitoring results of 4 case example participants
Participant
# days monitored
# tests scheduled
# tests submitted later than 1hr
# tests missed completely
# tests showing alcohol-positive
$ earned
1
134
268
108
12
0
$595.00
2
31
62
23
9
0
$60.00
3
118
354*
10
2
0
$530.00
4
56
112
23
7
0
$60.00
*Participant 3 was scheduled to provide 3 breath samples a day because of her high risk status.
Minnesota Department of Health and Human Services to develop agreements with other counties allowing expansion of the program service to provide
service to at-risk pregnant mothers in other counties and maintain the service when participants move to a different county. The challenge has been that
each county offers different services
for mothers at risk for drinking and substance use and the HBC program into the existing care to avoid overlap of clinical services. Once the HBC program service is implemented in other counties, protocol implementation is going to be an anticipated challenge that the HBC program can start to address.
The last column in the Table 2 shows earned for each participant. The
average daily earning per participant was $2.98. Those who completed the program throughout pregnancy (i.e., Participants 1 and 3) earned $595 and $530, comparable to the average amount earned in prior studies with smoking cessation among pregnant mothers
incentives contingent on smoking cessation.12
FUTURE DEVELOPMENT
The community-based program using mobile technology and incentives alcohol abstinence has been compatible with CWCSS case management and
has promise to increase opportunities
to reinforce healthy lifestyle during pregnancy. HBC staff intend to
continue My Baby’s Breath project with the promising case examples. They considered using monitoring technology only without voucher incentives because of the contingent legal consequences and cost management; however, they prefer adding voucher incentives to reward monitoring compliance and alcohol abstinence. Other planned adjustments based on case examples above can be summarized as using a debit card that can be reloaded remotely, addressing a pattern of missed samples by switching to an unpredictable monitoring schedule, and expanding the program service to other counties so that participants can continue the program after moving out of the county.
ACKNOWLEDGEMENTS
The community program, My Baby’s Breath, was supported by the for Children (HBC).
CONTRIBUTING AUTHORS
■ YUKIKO WASHIO, PhD is a Maternal and Infant Health Researcher at Christiana Care Health System Value Institute in Newark, Del.
■ JULIE FREDERICK, DBA, MBA, BSN, RN is an Assistant Professor in the School of Nursing at Minnesota State University in Mankato, Minn.
■ ANNE ARCHIBALD, CMA, MBA is a member of the Board of Directors of Healthy Brains for Children, Inc. in Baxter, Minn.
■ NATHAN BERTRAM BA, PHR is a Program Coordinator of Crow Wing County Social Services in Brainerd, Minn.
■ JODY ALLEN CROWE, MEd is Founder and Executive Director of Healthy Brains for Children, Inc. and Adjunct Professor at Concordia University in St. Paul, Minn.
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Del Med J | February 2017 | Vol. 89 |
No. 2
