RecruitingNot ApplicableNCT06557005

Facilitated Transitions From Postpartum to Primary Care Coordination for People With Chronic Conditions

Bridges to Primary Care: Transforming Postpartum Primary Care Coordination for People With Chronic Conditions


Sponsor

Massachusetts General Hospital

Enrollment

1,320 participants

Start Date

May 23, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The lack of postpartum primary care coordination is a missed opportunity to increase primary care engagement and manage chronic conditions early in life, especially for the \>30% of pregnant people who have or are at risk for these conditions. This study aims to increase postpartum primary care engagement, quality, and experience by strengthening postpartum transitions to primary care using a behavioral economics-informed, multi-component intervention integrated into usual inpatient postpartum care. Using a randomized controlled trial and repeated outcome assessments through administrative and survey data, this study will generate rigorous, actionable evidence to ensure primary care coordination becomes standard postpartum care practice, potentially catalyzing sustained primary care engagement throughout life.


Eligibility

Sex: FEMALEMin Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a program to help pregnant women or new mothers with chronic health conditions (like high blood pressure, diabetes, or depression) transition smoothly from obstetric care to ongoing primary care after having a baby. It uses the patient portal and care coordination support. **You may be eligible if...** - You are currently pregnant or recently gave birth (at least 24 weeks) at an MGH-affiliated obstetrics clinic - You have at least one of the following: high blood pressure (including preeclampsia), diabetes (type 1, type 2, or gestational), obesity (BMI ≥ 35), or depression/anxiety - You have a primary care doctor listed in your medical records - You can read and speak English or Spanish **You may NOT be eligible if...** - You are receiving care at the MGH HOPE Clinic (which already provides long-term primary care) - You delivered before 24 weeks gestation - You do not have a primary care provider on record - You are unable to use the electronic patient portal 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.

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Interventions

OTHERFacilitated Transition to Primary Care

The intervention includes default PCP visit scheduling, tailored nudge messages to patients, ongoing care recommendations sent to the PCP, and a summary of recommendations after pregnancy given to the patient.


Locations(1)

Massachusetts General Hospital

Boston, Massachusetts, United States

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NCT06557005


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