Trauma-informed Approach to Timely Detection and Management of Early Postpartum Hypertension
NCT05884190 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 6030
Last updated 2025-04-09
Summary
The investigators primary project goal is to improve clinical outcomes, including mental health outcomes, among postpartum at-risk women experiencing health disparities by increasing awareness, detection, and timely care of postpartum hypertension, mental health and cardiovascular complications. The investigators will accomplish this by comparing the effectiveness of two multi-component multi-level healthcare delivery models focused on early detection and control of postpartum hypertension and the social and mental health factors known to impact maternal outcomes, with the current standard of care and with each other.
Conditions
- Postpartum Hypertension
Interventions
- OTHER
-
Remote Medical Model (RMM)
Remote home blood pressure (BP) monitoring once a day for the first 7 days and then at least weekly or more frequently as per a standardized blood pressure protocol up to six weeks and weekly virtual visits for 6 weeks and up to 12 weeks as needed by a physician extender (e.g. Nurse Practitioner, Pharmacist, etc.), and screening for social determinants of health and anxiety/ depression with referral for services if positive
- OTHER
-
Community Health Model (CHM)
Utilization of community health workers trained in a strength-based trauma informed dyadic evidence-based approach.
- OTHER
-
SoC
SoC for Postpartum Hypertension
Sponsors & Collaborators
-
Patient-Centered Outcomes Research Institute
collaborator OTHER -
Yale University
lead OTHER
Principal Investigators
-
Rafael Pérez-Escamilla, PhD · Yale University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-06-12
- Primary Completion
- 2027-10-31
- Completion
- 2027-10-31
Countries
- United States
Study Locations
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