1. 1
A Study of Social
Engagement
Testing the Efficacy of Push Notifications as a Method to Increase
Attempted Post-Enrollment Utilization
August 2016

2. 2
Pacify is a nationwide, video-
enabled telemedicine platform
providing low-income moms with on-
demand access to nurses,
lactation consultants, and
dietitians through a mobile
application. Patients are able to engage
with providers, all at the top of their
fields, 24/7 at the push of a button.
Pacify, an Innovative Necessity

3. 3
Complication: User Utilization is at Risk
Our proposed intervention was to use
push notifications
as a form of social engagement.

4. 4
103
Nevada WIC
moms
Users Were Placed in Two Groups
Group B:
Experimental
Group A:
Control
Hypothesis: Users who receive push notifications as a form of social
engagement will have a higher attempted post-enrollment utilization when
compared to that of a control group, which receives no such engagement.
1The 12 push notifications are presented in Appendix A.
NoPush
Notifications
51
NV WIC
Moms
52
NV WIC
Moms
12push
notifications1
Randomly
Assigned

5. 5
Why Nevada WIC?
Nevada WIC moms are a relatively homogeneous
group, and represent an opportunity to select for a more consistent
study sample, allowing for better control of confounding variables.
Push Notification
Schedule
Push notifications were sent Mondays, Wednesdays,
and Friday. Tuesdays and Thursdays enrollments were adopted into
the MWF schedule after their first push on the day of enrollment.
Why push
notifications?
Push notifications are hypothesized to remind the
user about the app and its services, and to serve as an information
delivery platform.
Study Rationale and Details
What defines
a day?
A day is defined from 5:01 PM EST the previous day to 5:00 PM
EST. This note is important when assigning enrollments to a messaging
schedule.

6. 6
Group B made more calls than Group A
6
M T W Th F
7 8 9 10 11
Call from Group A: Control
Su Sa
Call From Group B: Experimental
5
13 14 15 16 17 1812
20 21 22 23 24 2519
27 28 29 30 1 226
June
LN D L
NN
N
L
N
N N
Start of Study
End of participant collection

7. 7
Group B made more calls than Group A
4
M T W Th F
5 6 7 8 9
Su Sa
3
11 12 13 14 15 1610
18 19 20 21 22 2317
25 26 27 28 29 3024
July
N
N
N
LD
Call from Group A: Control
Call From Group B: Experimental
Last push sent
End of Study

8. 8
Group B made more calls than Group A
N N NN N N
D
L
L
N
N
N LD N N
Call from Group A:
Control
Call From Group B:
Experimental
Start of Study
Last Study Participant
Enrolled
End of Study
D
L
N
RD Call
IBCLC Call
RN Call
Legend

9. 9
Hypothesis Confirmed:
Push Notifications Increased Utilization
16
Total Calls
Post-
Enrollment
13
Calls from
experimental
group
3
Calls from
control
group
4.3x
higher
Users who receive push
notifications have an
attempted post-enrollment
utilization that is
than users who receive
no social engagement

10. 10
Push Number Message
1 – Day of Enrollment Congratulations, you’ve got Pacify! We’re here to support you 24/7
2 Don't guess. Don't Google. Call Pacify!
3 Breastfeeding is a journey. Pacify makes it easier. Call us whenever you need help.
4 Breastfeeding promotes faster healing for you after giving birth. Call us with any questions.
5 What foods are best to eat while pregnant or breastfeeding? Call a Pacify nutritionist to find out.
6 Breast milk is all your baby needs for the first six months of life, saving you money that would have
been spent on formula.
7 Breastfeeding helps protect your baby from diseases and burns lots of calories for you. Call Pacify if
you need help.
8 Worried about finding time for breastfeeding with your busy schedule? Pacify experts are here to
help you make a plan.
9 Feeding often will get your milk flowing, help you make plenty of milk and help your baby grow.
10 Breastfeeding supports stronger bones for mom. Call a Pacify lactation consultant to learn more.
11 What does normal growth and development look like? Pacify experts have the answer.
12 Is my baby latched correctly? My nipples are sore … what can I do? Get help with breastfeeding
24/7.
Appendix A: Push Notifications