Adapting the Pregnancy Risk Assessment Monitoring Survey to Enhance Locally Available Data: Methods
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Despite the increasing emphasis on pre- and interconception planning, perinatal data available to local municipalities and organizations is often limited to that on the birth certificate. A partnership between a local health department and an academic medical center sought to overcome this gap. Using the core questions from the Pregnancy Risk Assessment Monitoring System (PRAMS) and a stratified random sample methodology (by income) in a county with ~8,000 annual births we mailed 2,462 surveys to mothers who gave birth between May 2009 and April 2010. Mailings occurred at 4–5 months postpartum. Low income mothers (those with a Medicaid-funded delivery and/or prenatal WIC enrollment) were oversampled based on a projected response rate of 35 % (rate for non-low income was 55 %). Over 1,000 usable surveys were returned and linked with birth certificate data. Target response rates were achieved. 9.4 % of addresses for low income mothers were undeliverable (vs. 4.2 % of non-low income). Both low and non-low income respondents were more likely to be over age 18 and White. After statistical adjustments the survey dataset was demographically similar to the original birth data. Personnel and non-personnel costs per usable survey exceeded $20. Collecting local data using a modified PRAMS methodology is feasible but requires expertise in survey, data management and birth certificate data and local knowledge about survey response patterns. These types of data can serve to inform policy and program planning and provide data to support relevant funding requests.
- Cochran, W. G. (1977) Sampling techniques, 3rd edn. New York: Wiley.
- Doniger, A. S. (1998). Enlisting managed care organizations to participate in community health improvement. Journal of Public Health Management and Practice 4(1):vii–viii.
- Monroe County Health Information & Data/Health Action. http://www2.monroecounty.gov/health-healthdata.php. Accessed 14 April 2012.
- Doniger, A. S., Adams, E., Utter, C. A., & Riley, J. S. (2001). Impact evaluation of the “not me, not now” abstinence-oriented, adolescent pregnancy prevention communications program, Monroe County, New York. Journal of Health Communication, 6(1), 45–60. CrossRef
- Gilbert, B. C., Shulman, H. B., Fischer, L. A., & Rogers, M. M. (1999). The pregnancy risk assessment monitoring system (PRAMS): Methods and 1996 response rates from 11 states. Maternal and Child Health Journal, 3(4), 199–209. CrossRef
- CDC-Pregnancy Risk Assessment Monitoring System-Reproductive Health. http://www.cdc.gov/prams/. Accessed 14 April 2012.
- CDC-PRAMS Questionairres. http://www.cdc.gov/prams/Questionnaire.htm. Accessed 14 April 2012.
- Allen, A. M., Dietz, P. M., Tong, V. T., England, L., & Prince, C. B. (2008). Prenatal smoking prevalence ascertained from two population-based data sources: Birth certificates and PRAMS questionnaires, 2004. Public Health Reports, 123(5), 586–592.
- Dietz, P. M., Adams, M. M., Kendrick, J. S., & Mathis, M. P. (1998). Completeness of ascertainment of prenatal smoking using birth certificates and confidential questionnaires: Variations by maternal attributes and infant birth weight. PRAMS working group. Pregnancy risk assessment monitoring system. American Journal of Epidemiology, 148(11), 1048–1054. CrossRef
- Hosler, A. S., Nayak, S. G., & Radigan, A. M. (2010). Agreement between self-report and birth certificate for gestational diabetes mellitus: New York State PRAMS. Maternal and Child Health Journal, 14(5), 786–789. CrossRef
- CDC-PRAMS MMWR. http://www.cdc.gov/prams/MMWRs.htm. Accessed 14 April 2012.
- Healthy People 2020 Maternal, Infant, and Child Health. http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=26. Accessed 14 April 2012.
- PRAMS Model Protocol 2009. http://www.cdc.gov/prams/Methodology.htm. Accessed 1 June 2012.
- Dillman, D. A., Smyth, J. D., & Christian, L. M. (2008). Internet, mail, and mixed-mode surveys: The tailored design method, 3rd Edn. Hoboken: Wiley.
- Korfmacher, K. S. (2008). Collaborating for primary prevention: Rochester’s new lead law. Journal of Public Health Management and Practice, 14(4), 400–406. CrossRef
- PRAMS Phase Five Questionnaire Topic Reference. http://www.cdc.gov/prams/PDF/Phase5_TopicsReference.pdf. Accessed 14 April 2012.
- Barnett, S., Klein, J. D., Pollard, R. Q, Jr, Samar, V., Schlehofer, D., Starr, M., et al. (2011). Community participatory research with deaf sign language users to identify health inequities. American Journal of Public Health, 101(12), 2235–2238. CrossRef
- Adams, M. M., Shulman, H. B., Bruce, C., Hogue, C., & Brogan, D. (1991). The pregnancy risk assessment monitoring system: Design, questionnaire, data collection and response rates. PRAMS working group. Paediatric and Perinatal Epidemiology, 5(3), 333–346. CrossRef
- Shulman, H. B., Gilbert, B. C., Msphbrenda, C. G., & Lansky, A. (2006). The pregnancy risk assessment monitoring system (PRAMS): Current methods and evaluation of 2001 response rates. Public Health Reports, 121(1), 74–83.
- CDC-Methodology-PRAMS http://www.cdc.gov/prams/Methodology.htm. Accessed 14 April 2012.
- Technical Notes. Vital Event Registration. January, 2009. http://www.health.ny.gov/statistics/vital_statistics/2007/technote.htm. Accessed 1 May 2013.
- Adapting the Pregnancy Risk Assessment Monitoring Survey to Enhance Locally Available Data: Methods
Maternal and Child Health Journal
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- Pregnancy risk assessment monitoring system
- Health department
- Local surveillance methods
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- Author Affiliations
- 1. Department of Public Health Sciences, University of Rochester, 265 Crittenden Blvd. CU 420644, Rochester, NY, 14642-0644, USA
- 2. Division of Neonatology, Department of Research, Connecticut Children’s Medical Center, Cincinnati, OH, USA
- 3. Department of Biostatistics and Computational Biology, University of Rochester, Rochester, NY, USA
- 4. Department of Pediatrics, University of Rochester, Rochester, NY, USA
- 5. Rochester, NY, USA