Pregnancy RelatedNCT06636110
Piloting JUN_Pregnancy Mobile Medical App
A study testing Jun mHealth app in people with Pregnancy Related and Pregnancy, run by The University of Texas Health Science Center at San Antonio at 1 site in United States.
Trial summary
This research activity looks at the safety of an investigational intervention, a mobile health (mHealth) app called JUN, that uses artificial intelligence (AI) to track symptoms and give time-sensitive feedback to pregnant women. Read more about this study
- Who is it for?
- Ages 18 to 50 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Pregnancy Related, Pregnancy
- What is being tested?
- Jun mHealth app
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 50 participants
- Where
- 1 siteUnited States
- Study dates
- 3 Mar 2025to 31 Dec 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 50 years
- Women only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Pregnant female 18-50 years
- Within first 6 months of pregnancy
- Either on community supervision or without criminal system involvement
- Located in Texas, Minnesota or Oregon
Who cannot join
- Individuals who do not identify as women
- Later pregnancy, beyond the first 6 months
Trial locations and contacts
1 site in 1 country.
United States1 site
University of Texas Health Science Center at San Antonio
San Antonio, Texas, 78229
About this study
Official title: Piloting of JUN to Enhance Self-Efficacy Pregnant Women
This research activity looks at the safety of an investigational intervention, a mobile health (mHealth) app called JUN, that uses artificial intelligence (AI) to track symptoms and give time-sensitive feedback to pregnant women.
JUN is an intervention being developed to provide education and assist with decision making during pregnancy.
The researchers hope to learn differences in how effectively the participant use of the app is amongst women with and without criminal justice oversight such as adult probation or parole.
Read the detailed description
In this proposed pilot study, the investigators will use mixed methods to examine differences across three months among pregnant women. Sampling will be within three ethnically and geographically diverse sites, Texas, Oregon, and Minnesota to determine if there are differences in self-efficacy amongst pregnant women on Community Service (CS) compared to pregnant women without criminal justice oversight.
- Conditions
- Pregnancy Related, Pregnancy
- Being tested
- Jun mHealth app
- Keywords
- Community Supervision, Criminal Justice Oversight, Jun App
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Jun mHealth appDevice
Also called Mobile Medical Health App
The intervention will be a mHealth app, JUN, across 3 months during pregnancy.
| Study group | Role | What they receive |
|---|---|---|
| Pregnant without Criminal Justice Oversight | Experimental | Pregnant women who are without criminal justice oversight Receives: Device: Jun mHealth app |
| Pregnant with Criminal Justice Oversight | Experimental | Pregnant women who are under Community Supervision (CS), on probation or parole with criminal justice oversight Receives: Device: Jun mHealth app |
What is being measured
The primary outcome is the main question the study is designed to answer.
Self Rated Abilities for Health Practice (SRAHP)
The Self Rated Abilities for Health Practices Scale (SRAHP) is a 28-item, 5-point scale to measure self-perceived ability to implement health-promoting behaviors. SRAHP contains four subscales: Exercise, Nutrition, Responsible Health Practice, and Psychological Well Being. Each subscale has seven items. Respondents are asked to rate the extent to which they are able to perform health practices related to these four domains. An example of an item from the Health Practices subscale is "I am able to get help from others when I need it." Items are rated from 0 (not at all) to 4 (completely). Ratings for each subscale are summed to yield subscale scores. Subscale scores are summed to obtain a total score. Total scores range from 0-112. Higher scores indicate greater self-efficacy for health practices.
Measured: Baseline to Post-Intervention survey (approximately 3 months)
JUN mHealth app Timing
Timing of use of JUN app.
Measured: Month 1 to Month 3
JUN mHealth app Frequency
Frequency of use of the JUN app
Measured: Month 1 to Month 3
Secondary outcomes (5)
Accountable Health Communities Health-Related Social Needs Screening (AHC HRSN)
There are five core domains of the AHC HRSN Screening Tool: (1) living situation, (2) food, (3) transportation, (4) utilities, and (5) safety. For each domain, if the participant answers yes to one of the items, it is a positive screen. There is not a total score for this measure. Rather, it assesses what participants have and do not have.
Measured: Baseline to Post-Intervention survey (approximately 3 months)
Sigma-Related Rejection Scale
A 9 item scale which uses multiple answer formats. The Stigma-Related Rejection Scale (SRS) (or its variations, like the Substance Abuse version) is a survey measuring interpersonal stigma and rejection experiences, with higher scores indicating greater perceived stigma and rejection.
The SRS assesses the ongoing experiences of personal rejection related to enacted stigma, focusing on how individuals with mental health conditions or substance abuse problems perceive and experience stigma in their daily lives. Items are typically scored on a scale of 1 to 7, with higher scores indicating greater agreement with the statement and thus, higher levels of perceived rejection.
Measured: Baseline to Post-Intervention survey (approximately 3 months)
Abuse Assessment Screening tool (AAS)
This five-item tool detects abuse perpetrated against childbearing women with a sensitivity of 93%-94% and specificity of 55%-99% related to the question specific to abuse during pregnancy (e.g., "Since you were pregnant, have you been slapped, kicked, or otherwise physically hurt by someone," Within the past year, has anyone forced you to have sexual activities?"). Evidence: Women with SUD often live in potentially abusive or violent environments, which can negatively affect their perinatal health and may lead to a return to using illicit substances. Items 1 and 5 are answered yes/no; if items 2, 3, or 4 are answered yes, participant is asked to indicate category of abuser (Circle all that apply: husband, ex-husband, boyfriend, stranger, other, multiple); for items 2 and 3, participants are asked to mark the area of injury on a body map.
For each violence incident, items are scored based on severity of (1-6)ǂ Cutoff for IPV: Affirmative response to ≥1 item(s)
Measured: Baseline to Post-Intervention survey (approximately 3 months)
Patient Health Questionnaire (PHQ)
Patient Health Questionnaire (PHQ2) measures the frequency and severity of depressed mood, anhedonia, and anxiety in the past weeks (e.g., "Over the last two weeks, how often have you been bothered by the following problems…feeling down, depressed, or hopeless?"). Responses are summed across items to yield a total score (e.g., cut-off scores >3 are considered elevated). PHQ-2 has 2 questions scored on a scale of 0-3 with a total score of 0-6. A score of 3 or higher indicates a need for further evaluation.
Measured: Baseline to Post-Intervention survey (approximately 3 months)
Generalized Anxiety Disorder (GAD2)
Patient Generalized Anxiety Disorder Survey (GAD2) measures the frequency and severity of depressed mood, anhedonia, and anxiety in the past weeks (e.g., "Over the last two weeks, how often have you been bothered by the following problems…feeling down, depressed, or hopeless?"). Responses are summed across items to yield a total score (e.g., cut-off scores >3 are considered elevated).
GAD-2 has 2 questions scored on a scale of 0-3 with a total score of 0-6. A score of 3 or higher needs further diagnostic evaluation
Measured: Baseline to Post-Intervention survey (approximately 3 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Oct 2024
- Study start3 Mar 2025
- Primary completion31 Dec 2025
- Study completion31 Dec 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Pregnancy RelatedStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Model description
- 1:1 selection of pregnant women with and without criminal justice oversight. There will be further random selection of a sub-sample (n=20) (n=10 with and n=10 without criminal justice oversight to interview using Health Belief Model (HBM)
- Masking
- None (open label)
- Enrolment
- 50 participants (actual)
Sponsor and investigators
- Lead sponsor
- The University of Texas Health Science Center at San Antonio
- Sponsor type
- University, hospital or other
- Collaborators
- The University of Texas at San Antonio
- Responsible party
- Sponsor
- Investigators
- Allison Ihle, PhD, Principal investigator, The University of Texas Health Science Center at San Antonio
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06636110
- Sponsor's protocol ID
- STUDY00000755
- Status last verified
- Jan 2026
- First submitted
- 8 Oct 2024
- Last updated
- 27 Jan 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- Yes: No personally identifying data is anticipated to be recorded from human subjects, neither through survey responses or other interactions. The PI, Co-PIs, researchers, and staff plan to make all data generated from this IIMS proposal freely available to the research community after publication. Through the freedom of information act, the data in the publications and the raw data documents will be made available upon written request to the laboratory. Should intellectual property be generated which requires a patent, we will ensure that the technology (materials and data) remains widely available to research community in accordance with the NIH Principles and Guidelines referenced above.
Publications
Ihle AD, Wicks B, Metsis V, Starfall A, Clapham F, Gorbachev A, Shanley S, Strauser C, McGrath JM. Training an AI Chatbot to Manage Health in Underserved Populations: Methodological Approach. JMIR AI. 2026 Apr 1;5:e84145. doi: 10.2196/84145.
PubMed 41921209
Study at a glance
From the registry record, last updated by the sponsor on 27 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Piloting of JUN to Enhance Self-Efficacy Pregnant Women
- ClinicalTrials.gov ID
- NCT06636110
- Acronym / sponsor ID
- STUDY00000755
- Conditions
- Pregnancy Related, Pregnancy
- Keywords
- Community Supervision, Criminal Justice Oversight, Jun App
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 50 participants (actual)
- Lead sponsor
- The University of Texas Health Science Center at San AntonioUniversity, hospital or other
- Collaborators
- The University of Texas at San Antonio
- Study start
- 3 Mar 2025 (actual)
- Primary completion
- 31 Dec 2025 (actual)
- Study completion
- 31 Dec 2025 (actual)
- First posted
- 10 Oct 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This research activity looks at the safety of an investigational intervention, a mobile health (mHealth) app called JUN, that uses artificial intelligence (AI) to track symptoms and give time-sensitive feedback to pregnant women.
JUN is an intervention being developed to provide education and assist with decision making during pregnancy.
The researchers hope to learn differences in how effectively the participant use of the app is amongst women with and without criminal justice oversight such as adult probation or parole.
Detailed description
In this proposed pilot study, the investigators will use mixed methods to examine differences across three months among pregnant women. Sampling will be within three ethnically and geographically diverse sites, Texas, Oregon, and Minnesota to determine if there are differences in self-efficacy amongst pregnant women on Community Service (CS) compared to pregnant women without criminal justice oversight.
Study design
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- 1:1 selection of pregnant women with and without criminal justice oversight. There will be further random selection of a sub-sample (n=20) (n=10 with and n=10 without criminal justice oversight to interview using Health Belief Model (HBM)
| Arm | Type | Receives |
|---|---|---|
| Pregnant without Criminal Justice Oversight | Experimental | Device: Jun mHealth appPregnant women who are without criminal justice oversight |
| Pregnant with Criminal Justice Oversight | Experimental | Device: Jun mHealth appPregnant women who are under Community Supervision (CS), on probation or parole with criminal justice oversight |
Who may qualify
- Ages
- 18 to 50 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Pregnant female 18-50 years
- Within first 6 months of pregnancy
- Either on community supervision or without criminal system involvement
- Located in Texas, Minnesota or Oregon
Key exclusion criteria (2 listed)
- Individuals who do not identify as women
- Later pregnancy, beyond the first 6 months
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Jun mHealth appAlso: Mobile Medical Health AppThe intervention will be a mHealth app, JUN, across 3 months during pregnancy. | Device | Pregnant with Criminal Justice Oversight, Pregnant without Criminal Justice Oversight |
Primary outcome
Self Rated Abilities for Health Practice (SRAHP)
Time frame: Baseline to Post-Intervention survey (approximately 3 months)
The Self Rated Abilities for Health Practices Scale (SRAHP) is a 28-item, 5-point scale to measure self-perceived ability to implement health-promoting behaviors. SRAHP contains four subscales: Exercise, Nutrition, Responsible Health Practice, and Psychological Well Being. Each subscale has seven items. Respondents are asked to rate the extent to which they are able to perform health practices related to these four domains. An example of an item from the Health Practices subscale is "I am able to get help from others when I need it." Items are rated from 0 (not at all) to 4 (completely). Ratings for each subscale are summed to yield subscale scores. Subscale scores are summed to obtain a total score. Total scores range from 0-112. Higher scores indicate greater self-efficacy for health practices.
JUN mHealth app Timing
Time frame: Month 1 to Month 3
Timing of use of JUN app.
JUN mHealth app Frequency
Time frame: Month 1 to Month 3
Frequency of use of the JUN app
5 secondary outcomes
Accountable Health Communities Health-Related Social Needs Screening (AHC HRSN)
Time frame: Baseline to Post-Intervention survey (approximately 3 months)
Sigma-Related Rejection Scale
Time frame: Baseline to Post-Intervention survey (approximately 3 months)
Abuse Assessment Screening tool (AAS)
Time frame: Baseline to Post-Intervention survey (approximately 3 months)
Patient Health Questionnaire (PHQ)
Time frame: Baseline to Post-Intervention survey (approximately 3 months)
Generalized Anxiety Disorder (GAD2)
Time frame: Baseline to Post-Intervention survey (approximately 3 months)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Jan 2026.
- Derived from this study: PubMed 41921209Ihle AD, Wicks B, Metsis V, Starfall A, Clapham F, Gorbachev A, Shanley S, Strauser C, McGrath JM. Training an AI Chatbot to Manage Health in Underserved Populations: Methodological Approach. JMIR AI. 2026 Apr 1;5:e84145. doi: 10.2196/84145.
- Individual participant dataSharing planned: Yes. No personally identifying data is anticipated to be recorded from human subjects, neither through survey responses or other interactions. The PI, Co-PIs, researchers, and staff plan to make all data generated from this IIMS proposal freely available to the research community after publication. Through the freedom of information act, the data in the publications and the raw data documents will be made available upon written request to the laboratory. Should intellectual property be generated which requires a patent, we will ensure that the technology (materials and data) remains widely available to research community in accordance with the NIH Principles and Guidelines referenced above.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Allison Ihle, PhD principal investigator
The University of Texas Health Science Center at San Antonio
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Jun mHealth app in people with Pregnancy Related and Pregnancy, run by The University of Texas Health Science Center at San Antonio at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 27 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Self Rated Abilities for Health Practice (SRAHP) (time frame: Baseline to Post-Intervention survey (approximately 3 months)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06636110, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jan 2026.