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Implementation and Dissemination of 'Gabby,' a Health Information Technology (HIT) System for Young Women, into Community-Based Clinical Sites

Award Number: R18HS025131
ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY
OPDIV: AHRQ
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: KDA (KNOWLEDGE/DEVELOPMENT/APPLICATION)

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Project Summary/ Abstract Background. The Gabby Preconception Care system is an innovative communication system designed to identify and mitigate or resolve health risks for young Black and African American (AA) women before pregnancy, as a means of reducing racial health disparities in birth outcomes. “Gabby” is an online animated character that simulates face-to-face conversation and engages women in an empathic dialogue to educate them about their health risks. The system was shown to significantly reduce participants’ risks in a randomized control trial. Goal. The project’s goal is to disseminate the Gabby Health Information Technology system in the real-world setting of 12 community-based health providers, study the implementation process, and prepare an implementation toolkit to facilitate broader dissemination. Significance. This work will introduce Gabby into Healthy Start and Community Health Center (CHC) sites serving low-income, minority women, a group AHRQ has identified as a high priority population. The dissemination of a low-cost, user-friendly, culturally competent, evidence- based, scalable intervention to improve the health of young AA women is critical to reaching a number of Healthy People 2020 objectives including: 1) Maternal, Infant, and Child Health: reducing the number of infant deaths (MICH-1.3) and preterm live births (MICH-9.1); and 2) Reproductive and Sexual Health service delivery to females aged 15-44 years (FP-7.1). Methods. Our implementation approach includes: 1) Engaging 6 Healthy Start sites and 6 CHCs; 2) assessing the workflow and readiness of clinical sites; 3) implementing Gabby at clinical sites; 4) assembling a preliminary, revised, and final implementation toolkit; and 5) broadly disseminating the toolkit and results of the implementation. Input from an Advisory Board and a modified Delphi panel will guide implementation efforts and toolkit development. Data sources include qualitative and quantitative methods, such as surveys/ assessments, key informant interviews, system-generated data, learning communities, and implementation logs. Evaluation will focus on site recruitment, training, and engagement; client engagement; clinical risk reduction; toolkit, technical assistance, and support resources; and dissemination efforts. Outcomes. This project will determine the extent to which Gabby is successfully disseminated to and implemented at community-based clinical sites. A comprehensive toolkit will be created for use in future dissemination of the evidence-based Gabby system, which is unprecedented in its innovative delivery of health promotion and risk reduction messaging—a promising approach for the reduction of health disparities for Black and AA women.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = -$4,025 )
2023	2020	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CTR PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Research on Healthcare Costs, Quality and Outcomes	000	4	11/2/2022	NON-COMPETING CONTINUATION	$0
2023	2020	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CTR PL	BOSTON	MA	02118	SUFFOLK	USA	Research on Healthcare Costs, Quality and Outcomes	001	4	4/28/2023	NON-COMPETING CONTINUATION	-$4,025
														Subtotal = -$4,025

Issue Date FY: 2020 ( Subtotal = $388,124 )
2020	2020	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CENTER PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Research on Healthcare Costs, Quality and Outcomes	000	4	6/26/2020	NON-COMPETING CONTINUATION	$388,124
														Subtotal = $388,124

Issue Date FY: 2019 ( Subtotal = $394,708 )
2019	2019	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CENTER PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	5/23/2019	NON-COMPETING CONTINUATION	$394,708
														Subtotal = $394,708

Issue Date FY: 2018 ( Subtotal = $399,999 )
2018	2018	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CENTER PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Research on Healthcare Costs, Quality and Outcomes	001	2	7/2/2018	NON-COMPETING CONTINUATION	$399,999
2018	2017	BOSTON MEDICAL CENTER CORPORATION	88 EAST NEWTON ST	BOSTON	MA	02118	SUFFOLK	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	1/22/2018	NEW	$0
														Subtotal = $399,999

Issue Date FY: 2017 ( Subtotal = $400,000 )
2017	2017	BOSTON MEDICAL CENTER CORPORATION	88 EAST NEWTON ST	BOSTON	MA	02118	SUFFOLK	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	8/4/2017	NEW	$400,000
														Subtotal = $400,000

Grand Total All Awards = $1,578,806

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Implementation and Dissemination of 'Gabby,' a Health Information Technology (HIT) System for Young Women, into Community-Based Clinical Sites

Award Number: R18HS025131

ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY

OPDIV: AHRQ

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: KDA (KNOWLEDGE/DEVELOPMENT/APPLICATION)

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