%0 Journal Article %@ 2291-5222 %I JMIR Publications %V 7 %N 8 %P e14668 %T The Elusive Path Toward Measuring Health Outcomes: Lessons Learned From a Pseudo-Randomized Controlled Trial of a Large-Scale Mobile Health Initiative %A Mechael,Patricia %A Kaonga,Nadi Nina %A Chandrasekharan,Subhashini %A Prakash,Muthu Perumal %A Peter,Joanne %A Ganju,Aakash %A Murthy,Nirmala %+ HealthEnabled, 4101 Albemarle St NW Apt 521, Washington, DC, 20016, United States, 1 9732228252, pmechael@gmail.com %K India %K mHealth %K maternal health %K child health %K research %D 2019 %7 21.08.2019 %9 Viewpoint %J JMIR Mhealth Uhealth %G English %X Mobile health (mHealth) offers new opportunities to improve access to health services and health information. It also presents new challenges in evaluating its impact, particularly in linking the use of a technology intervention that aims to improve health behaviors with the health outcomes that are impacted by changed behaviors. The availability of data from a multitude of sources (paper-based and electronic) provides the conditions to facilitate making stronger connections between self-reported data and clinical outcomes. This commentary shares lessons and important considerations based on the experience of applying new research frameworks and incorporating maternal and child health records data into a pseudo-randomized controlled trial to evaluate the impact of mMitra, a stage-based voice messaging program to improve maternal, newborn, and child health outcomes in urban slums in India. %M 31436165 %R 10.2196/14668 %U http://mhealth.jmir.org/2019/8/e14668/ %U https://doi.org/10.2196/14668 %U http://www.ncbi.nlm.nih.gov/pubmed/31436165