Please select the eligibility criteria that correspond to the clinical trial below.
Title: Mobile Health Intervention to Improve Perinatal Continuum of Care in Guatemala
Brief Summary: The purpose of the study is to explore ways to improve maternal and child outcomes in the ethnic Maya speaking the Kaqchikel language population, which experiences wide disparities in health care access and outcomes when compared to other inhabitants of Guatemala who are not ethnically Maya and live in other parts of the country.


Options:
A: Inclusion Criteria for Midwives:

* Wuqu' Kawoq's catchment area
* Bilingual speakers of Spanish and Kaqchikel Maya
* Willing to give consent and be trained on the mHealth technology
* Must be under the age of 65
* Must be 18 years-old or older

Exclusion Criteria for Midwives:

* Outside Wuqu' Kawoq's catchment area
* Not a bilingual speaker of Spanish and Kaqchikel Maya
* Over the age of 65
* Under the age of 18
* Unable to give consent and be trained on the mHealth technology

Inclusion Criteria for Pregnant Women:

* Must be 18 years-old or older
* Must be pregnant
* Must have a midwife that has been recruited for the study
* Bilingual speakers of Spanish and Kaqchikel Maya
* Willing to give consent

Exclusion criteria for pregnant women

* Under 18 years of age
* Not pregnant
* Does not have a midwife in the study
* Is not bilingual in Spanish and Kaqchikel Maya
* Unable to consent
B: DISEASE CHARACTERISTICS:

* Overdue for colorectal cancer screening (identified using automated extracts from the electronic medical record), as defined by the following criteria:

  * No fecal occult blood test within the past 12 months
  * No flexible sigmoidoscopy within the past 5 years
  * No colonoscopy within the past 10 years
* Receiving primary care at a Harvard Vanguard Medical Associates (HVMA) center
* Registered to use the HVMA patient portal (MyHealth) AND has an active MyHealth account

PATIENT CHARACTERISTICS:

* Not specified

PRIOR CONCURRENT THERAPY:

* See Disease Characteristics
C: Inclusion Criteria:

* radiographic evidence of hip OA and / or radiographic of or meets clinical criteria for knee OA
* current joint symptoms
* BMI \>=25
* physically inactive

Exclusion Criteria:

* Diagnosis of rheumatoid arthritis, fibromyalgia, or other systemic rheumatic disease
* Hospitalized for a stroke, myocardial infarction or coronary artery revascularization in the past 3 months
* Active diagnosis of psychosis or serious personality disorder
* On waiting list for / planning arthroplasty
* Severely impaired hearing or speech (patients must be able to respond to phone calls)
* Unable to speak English
* No access to a telephone
* Participating in another OA intervention or other lifestyle change study
* Dementia or other memory loss condition
* Current, uncontrolled substance abuse disorder
* Motor neuron diseases, Parkinson's Disease, multiple sclerosis
* Quadriplegic or paraplegic
* Serious / terminal illness as indicated by referral to hospice or palliative care
* Other self-reported health problem that would prohibit participation in the study
* Nursing home resident
* Other health conditions or personal issues judged by a study team member or primary care physician to make the patient inappropriate for the study
* Female participants: pregnant or planning to become pregnant
* Metastatic Cancer
* History of gout in knee or hip
* Total joint replacement (knee or hip) surgery, other knee or hip surgery, meniscus tear (verified by MRI), or ACL tear in the past 6 months
* Have not seen their VA-assigned primary health care provider for more than a year
D: Inclusion Criteria:

* Physicians are eligible for inclusion if they are general practitioners or family physicians in full-time (≥ 4 days/week), fee-for-service practice in Quebec
* Patients where the study physician has written or dispensed prescriptions for beta2-agonists, anti-leukotrienes, or inhaled corticosteroids, and has verified the diagnosis of asthma

Exclusion Criteria:

* Younger than 5 years old
* Diagnosis of COPD

Answer: A