RecruitingNot ApplicableNCT05884190

Trauma-informed Approach to Timely Detection and Management of Early Postpartum Hypertension

Community-based, Family-centered, Trauma-informed Approach to Timely Detection and Management of Early Postpartum Hypertension


Sponsor

Yale University

Enrollment

6,030 participants

Start Date

Jun 12, 2023

Study Type

INTERVENTIONAL

Conditions

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.


Eligibility

Sex: FEMALEMin Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This trial is testing a trauma-informed, telehealth-based approach to help new mothers with Medicaid or no insurance detect and manage high blood pressure after giving birth, which can be a serious and underdiagnosed condition. You may be eligible if: you have just given birth to a single live baby at 24 weeks or later; you speak English or Spanish; you have Medicaid or no insurance; and you live in Connecticut, Massachusetts, or New York. You may NOT be eligible if: you are carrying multiple babies (twins or higher); you had a stillbirth; you have serious pregnancy complications like active cancer or dialysis; you have active suicidal intent; you have a primary psychotic disorder like schizophrenia; you are incarcerated; or you do not have access to a phone. Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

OTHERRemote 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

OTHERCommunity Health Model (CHM)

Utilization of community health workers trained in a strength-based trauma informed dyadic evidence-based approach.

OTHERSoC

SoC for Postpartum Hypertension


Locations(3)

Yale New Haven Hospital

New Haven, Connecticut, United States

University of Massachusetts Memorial Health

Worcester, Massachusetts, United States

Oishei Children's Hospital University at Buffalo

Buffalo, New York, United States

View Full Details on ClinicalTrials.gov

For the most up-to-date information, visit the official listing.

Visit

NCT05884190


Related Trials