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Table 4 New updates to add to the MyHealthyPregnancy prototype

From: Using implementation science frameworks to translate and adapt a pregnancy app for an emerging Latino community

Domain

Topics

Suggested app content

Language and communication

Services offered in their native language

Translation services

Information on what to expect is offered in the patient’s native language

Include direct links to access translation services available at different healthcare providers, including ways to schedule them ahead of time

Provide in-app information on what to expect during appointments and during labor, including questions to discuss with the provider

Financial concerns

Access to Federally Qualified Health Centers

Include in-app information on how to access care in Federally Qualified Health Centers and how to apply for different types of medical assistance

Social Support

Support programs for services offered in the patient’s native language

Include information on how to access programs with Spanish-speaking doulas

Discuss different available services that cater to Spanish speakers in the area

Immigration Status

Access to information on how immigration status will influence access to care

Include in-app information on access to prenatal care and alternatives to emergency room care

Cultural Differences

Acknowledge the importance of family and advice received about traditional care practices

Nutritional advice based on staples of Latino diets

Update nutritional information to include staples of Latino/Hispanic diets

Provide in-app information on what to expect during an appointment, highlighting possible differences from care in other countries

Healthcare Navigation

Educate providers on the different doctor-patient relationships in Latino cultures

Educate users to ask questions and participate in their own healthcare decisions

Present in-app information on the different healthcare resources available and how to access each level of care

Offer information on how to facilitate involvement in their healthcare

Connection to Local Resources

Offer spaces for community organizations to collaborate and form a network to support users

Maintain an up-to-date list of resources that have been verified as accessible to pregnant Latino individuals independent of their immigration status and that offer services in the patient’s native language