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Wyoming PRAMS Roadshow
Amy Spieker, MPH
Ashley Busacker, PhD
Big “Wonderful Wyoming”
Pregnancy Risk Assessment
Monitoring System (PRAMS)
• Population-based
surveillance system
• Monitors maternal
behaviors and
experiences before,
during, and after
pregnancy
Cheyenne, WY
Data Collection
• Random sample from birth
certificates
• 3 mailings (address)
– General information
– Survey
– Incentive
• Phone phase (phone
number)
• Reward for completion
• 65% weighted response
WY PRAMS
•
•
•
•
Began operations in 2006
WY data 2007-2011
4,442 responses
Represents ~37,800 women
– 1 in 7 women receive
• Oversample
• Incentives/rewards
WY Weighted Response Rates
100
Weighted Response Rate
90
80
70
60
50
40
30
67.8
69.1
67.9
66.7
70.5
2007
2008
2009
2010
2011
20
10
0
Year
Raising Response Rates
•
•
•
•
•
•
•
•
•
Adding phone number to birth certificate
WIC phone numbers
American Indian survey cover
Online completion of survey
Attending health fairs
Shorter survey
Better incentives/rewards
Relationship building with providers
Marketing of survey
Raising Response Rates
•
•
•
•
•
•
•
•
Adding phone number to birth certificate
WIC phone numbers
American Indian survey cover
Online completion of survey
Attending health fairs
Shorter survey
Better incentives/rewards
Relationship building with service providers
WYOMING PRAMS
ROADSHOW
Original Plan
• PRAMS staff travel to 5 regional sites
• Invite WIC and PHN staff
– Learn about PRAMS
– How to use PRAMS data
• Barriers
– Time constraints of local offices
– Difficulty traveling
Wyoming PRAMS Road Show
• Visited 31 sites in all 23 counties
–
–
–
–
What is PRAMS?
How to request and use
Importance of response rates
General willingness to collaborate on PRAMS
• How?
Alternative Methods
• Developed 4 potential alternative methods
– Assessed willingness/ability to help (Likert scale)
•
•
•
•
Drop site
In office phone completion
In office paper completion
Follow-up
RESULTS
Results of Road Show Survey
100.0
90.0
Percent of Offices
80.0
70.0
60.0
50.0
40.0
30.0
20.0
10.0
0.0
Work with
PRAMS
Drop Site
Up to Date
Contact
Phone
Acitivity
Paper
Follow-up
Barriers
Time
Weather
Resources
Distance
Staff
Lessons Learned
• PHN and WIC staff are trusted community
members
• Make the trip
– In person discussion is key
• Specificity
– Be clear in your message, all MCH related topics
become PRAMS
• Flexibility
– Original plan wouldn’t work for counties, adapt
Positive Outcomes
• Increased data requests
– PRAMS
– State’s home visiting program (Best Beginnings)
– Quarterly reports
• Connecting counties with state level resources
– Multicultural health
– Chronic disease
• Connecting state to individual communities
– Reached out for needs assessment
Next Steps
• Implementation of alternative methods
• County/region specific data
• County birth factsheets
Contact Information
Amy Spieker
PRAMS Coordinator
amy.spieker@wyo.gov
307-777-5769
Ashley Busacker
CDC MCH EPI Assignee
ashley.busacker@wyo.gov
307-777-6936