#AreYouReady? A practical example of reaching women with the - - PowerPoint PPT Presentation

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#AreYouReady? A practical example of reaching women with the - - PowerPoint PPT Presentation

#AreYouReady? A practical example of reaching women with the importance of healthy weight before pregnancy Deirdre de Barra, Head of Information, Tommys Planning for Pregnancy 09 November 2018 2 About Tommys Funds 1.5m research


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A practical example of reaching women with the importance of healthy weight before pregnancy

#AreYouReady?

Deirdre de Barra, Head of Information, Tommy’s

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About Tommy’s

Funds 1.5m research annually in four centres across the UK to reduce pregnancy loss and premature birth

  • Research centres are based in hospitals

across the UK

  • All have clinics where women

can take part in trials

  • Clinicians work together and

with international colleagues

Planning for Pregnancy 09 November 2018 2

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Planning for Pregnancy 09 November 2018 3

Phone | Website | Email | Facebook | Instagram | Campaigns

Monthly website reach: 800k unique users 15% (120k) are low income, low employment We provide evidence-based, expert and user-led information and campaigns to support expectant parents to have a healthy pregnancy. Our information and campaigns are geared towards changing behaviour to improve pregnancy outcomes This supports our overall charity aim of reducing the number

  • f babies born prematurely and the number of babies who

die during pregnancy or birth

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Planning for pregnancy 09 November 2018 4

‘Health for women before, during and after pregnancy sets the foundation for pregnancy and the lifelong health of their children….Supporting healthy behaviours brings benefits now and sets a path for long-term health.’ NIHR 2017

Pre-conception

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Planning for pregnancy 09 November 2018 5

High BMI

  • increased risk of pre-eclampsia and

gestational diabetes.

  • less choice on where to give birth as

women, more likely to need an instrumental delivery

  • increased likelihood of child having a

high BMI and ill-health in future

  • NIHR 2017 Better Beginnings: Improving health for pregnancy
  • Davies, S.C. “Annual Report of the Chief Medical Officer, 2014, The Health of

the 51%: Women” London: Department of Health (2015).

  • Galtier-Dereure F, Boegner-Lemoine C, Bringer

J.(2000) Obesity and pregnancy: American Journal of Clinical Nutrition ;71

  • National institute for Health and Care Excellence (2010) Public Health

Guidelines 27: Weight management before, during and after pregnancy.

50% of women aged 25–34 are overweight or obese.

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Planning for pregnancy 09 November 2018 6

Smoking

  • 2,200 premature births
  • 5,000 miscarriages
  • 300 perinatal deaths

www.thelancet.com/series/preconception-health

Percentage of women who smoke in pregnancy: 17%

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Planning for pregnancy 09 November 2018 7

Folic acid

Should ideally be taken two months before conception to build the level up in the body to give maximum protection. Only 30% of women take folic acid at all. Every week:

  • 2 women terminate a pregnancy

because of a neural tube defect

  • 2 women give birth to a baby

affected by one needing lifelong medical care.

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How much do women know now?

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Planning for Pregnancy 09 November 2018 9

https://www.youtube.com/watch?v=tstnBHaln6k

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The tool

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Planning for Pregnancy - a web tool

Planning for pregnancy 09 November 2018 11

  • Usable on phone, tablet or desktop
  • Interactive and engaging
  • Delivers tailored results
  • Easy to link to
  • Download not required
  • No log in
  • No barrier to immediate usage
  • Sustained engagement possible

with email sign up

“a web application is defined by its interaction with the user”

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User journey

Planning for pregnancy 09 November 2018 12

Questions Results Supportive emails

Gathers data from the user

  • n list of health topics

Delivers tailored results with information about potential risks to pregnancy outcomes and future health of the child. Call to Action to sign up to support emails Support - resources, tips and advice in the lead up to pregnancy

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Planning for Pregnancy 09 November 2018 13

Focus on these Think about these

Focusing on the orange and yellow areas will help you have a healthier pregnancy and improve the long term health of your child

Folic acid tablets are available in pharmacies and supermarkets

Tool design

Your result

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Planning for Pregnancy 09 November 2018 14

Email design

Users will receive an email every two weeks with tips and resources on their journey to a healthy pregnancy.

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Topics covered

Tool

  • Healthy weight
  • Physical activity
  • Nutrition
  • Folic acid
  • Pre-existing conditions/medication
  • Mental health
  • Vaccinations
  • STIs
  • Cervical screening
  • Smoking
  • Alcohol, Drugs
  • Age

Planning for pregnancy 09 November 2018 15

Additional on website

  • Long-term conditions
  • Stopping contraception
  • Getting pregnant
  • Maternal age
  • Genetic risks
  • Dad’s health
  • Fertility
  • Mental wellbeing
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Clinical oversight

Professor Judith Stephenson (overview) Dr Judy Shakespeare (overview) Dr Lou Atkinson (physical activity) Professor Adam Balens (Fertility) Dr Kirsty Elliot-Sale (physical activity) Dr Nicola Heslehurst (healthy weight, nutrition) Professor Louise Howard (mental health) Dr Elinor Olander (physical activity) Professor Rebecca Reynolds (healthy weight, diabetes)

Planning for pregnancy 09 November 2018 16

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Campaign

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The #AreYouReady campaign

Planning for Pregnancy 09 November 2018 18

National campaign focused on the Are you ready theme. Distribution digital – mainly on social media - Facebook, Instagram. Some Google Display

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Planning for Pregnancy 09 November 2018 19

  • More likely to be considering pregnancy
  • Recently married or engaged
  • Recently moved house
  • Age 20-40
  • High BMI
  • BAME

Distribution and segmentation

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Paid campaign Tool starts: 77k Tool finishes: 58k

Reach: 1.6m Average CPC: 9p (UK CPC benchmark 76p, Mindshare £1.50) Click Through Rate: 3.22% (UK CTR benchmark is 0.05%) Best performing platform: Facebook (by miles) Cost: £8k

Planning for pregnancy 09 November 2018 20

75% completion rate Additional 10k+ reached organically

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Platform and audience breakdown

09 November 2018 21 Planning for pregnancy

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Who did we reach?

And what were their characteristics?

  • data from 70-86k tool users
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Q1 Already stopped contraception

Planning for Pregnancy 09 November 2018 23

Planning a Pregnancy Tool. Data 14 from June-23 Oct 2018. When do you plan to stop contraception. Data from users who ticked/did not tick ‘I’ve already stopped contraception’. 67269 responses.

0% 10% 20% 30% 40% 50% 60% 70% Yes No

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Q2 Age

Planning for Pregnancy 09 November 2018 24

Planning a Pregnancy Tool. Data 14 from June-23 Oct 2018. What age were you at your last birthday? 63540 responses.

0% 10% 20% 30% 40% 50% 60% 18-24 25-34 35-40 41+

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Q5 Do you drink alcohol?

09 November 2018 25 Planning for pregnancy

Planning a Pregnancy Tool. Data 14 from June-23 Oct 2018. Do you drink alcohol? 63396 responses.

40% 42% 44% 46% 48% 50% 52% 54% 56% Yes No

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Q5 Do you consume foods/drinks containing more than 200mg of caffeine daily?

09 November 2018 26 Planning for pregnancy

Planning a Pregnancy Tool. Data 14 from June-23 Oct 2018.Do you drink alcohol? 63263 responses.

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% Yes No

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0% 5% 10% 15% 20% 25% 30% 35% 40% 45% >18.5 18.5-24.9 25-29 30+

Q6 BMI grouping

09 November 2018 27

31,360

Planning for pregnancy

Planning a Pregnancy Tool. Data 14 from June-23 Oct 2018. Data calculated from two questions: Your weight and Your height. 57567 responses.

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Q7 How would you describe your level of activity?

09 November 2018 28 Planning for pregnancy

Planning a Pregnancy Tool. Data 14 from June-23 Oct 2018. How would you describe your level of activity? 57548 responses.

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% less than 150 min moderate activity At least 150 min moderate activity more than 150 min vigorous activity

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Q8 Do you eat 5 portions of fruit or veg most days of the week?

09 November 2018 29 Planning for pregnancy

Planning a Pregnancy Tool. Data 14 from June-23 Oct 2018. Do you eat 5 portions of fruit or veg most days of the week? 56655 responses.

0% 10% 20% 30% 40% 50% 60% Yes No I don't know

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Q13 Are you currently taking 400 micrograms (mcg) of folic acid a day?

09 November 2018 30 Planning for pregnancy

Planning a Pregnancy Tool. Data 14 from June-23 Oct 2018. Are you currently taking 400 micrograms (mcg) of folic acid a day? 39,431 respondents

0% 10% 20% 30% 40% 50% 60% 70% 80% Yes No

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Evaluation

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Evaluation

  • Baseline survey recruited through Facebook before any activity commenced

in April: 881 women

  • Follow-up survey recruited post-launch from tool users who had signed up

to receive the emails: 82 women Post-campaign survey had an incentive of a draw for £100.

Presentation title in footer 09 November 2018 32

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…having a high BMI (over 25)

09 November 2018 33 10 20 30 40 50 60 70 A little aware Very aware Not at all aware I don't know Pre Post

%

Planning for Pregnancy

Pre-campaign survey. May 2018. Before this were you aware that the following could affect the health of a future pregnancy and baby? Having a high BMI (over 25). 876 respondents. Post-campaign survey. Aug 2018. Before this were you aware that the following could affect the health of a future pregnancy and baby? Having a high BMI (over 25). 85 respondents.

Before this were you aware that the following could affect the health of a future pregnancy and baby?

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…lack of physical activity

09 November 2018 34 10 20 30 40 50 60 A little aware Very aware Not at all aware I don't know Pre Post

%

Planning for Pregnancy

Pre-campaign survey. May 2018. Before this were you aware that the following could affect the health of a future pregnancy and baby? Lack of physical activity. 877 respondents. Post-campaign survey. Aug 2018. Before this were you aware that the following could affect the health of a future pregnancy and baby? Lack of physical activity. 85 respondents.

Before this were you aware that the following could affect the health of a future pregnancy and baby?

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…having a STI

09 November 2018 35 10 20 30 40 50 60 70 80 A little aware Very aware Not at all aware I don't know Pre Post

%

Planning for Pregnancy

Pre-campaign survey. May 2018. Before this were you aware that the following could affect the health of a future pregnancy and baby? Having a Sexually Transmitted Disease. 875 respondents. Post-campaign survey. Aug 2018. Before this were you aware that the following could affect the health of a future pregnancy and baby? Having a Sexually Transmitted Disease. 85 respondents.

Before this were you aware that the following could affect the health of a future pregnancy and baby?

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…having/carrying a gene for sickle-cell disease or thalassaemia

09 November 2018 36 5 10 15 20 25 30 35 40 45 50 A little aware Very aware Not at all aware I don't know Pre Post

%

Planning for Pregnancy

Pre-campaign survey. May 2018. Before this were you aware that the following could affect the health of a future pregnancy and baby? Having/carrying a gene for sickle-cell disease or thalassaemia. 876 respondents. Post-campaign survey. Aug 2018. Before this were you aware that the following could affect the health of a future pregnancy and baby? Having/carrying a gene for sickle-cell disease or thalassaemia. 85 respondents.

Before this were you aware that the following could affect the health of a future pregnancy and baby?

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…having 2 MMR injections in your lifetime

09 November 2018 37 5 10 15 20 25 30 35 40 45 50 A little aware Very aware Not at all aware I don't know Pre Post

%

Planning for Pregnancy

Pre-campaign survey. May 2018. Before this were you aware that the following could affect the health of a future pregnancy and baby? Having 2 MMR injections in your lifetime. 874 respondents. Post-campaign survey. Aug 2018. Before this were you aware that the following could affect the health of a future pregnancy and baby? Having 2 MMR injections in your lifetime. 85 respondents.

Before this were you aware that the following could affect the health of a future pregnancy and baby?

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When should you take folic acid when having a baby?

09 November 2018 38 10 20 30 40 50 60 70 When you are pregnant for 12 weeks When you stop contraception and are trying for a baby Before you stop contraception to try for a baby I don't know Pre Post

%

Planning for Pregnancy

Pre-campaign survey. May 2018. When should you take folic acid when having a baby? 882 respondents. Post-campaign survey. Aug 2018. When should you take folic acid when having a baby? 85 respondents.

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How this project can help you

  • Asset-sharing – we can give you

the film, images and ads to use on your own channels

  • Print materials. You can download

posters for clinics, surgeries and centres at www.tommys.org

  • Funding application in the pipeline

for a free-to-use weight management app/tool as we feel there is a gap in the market for this.

Presentation title in footer 09 November 2018 39

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Questions?