Preeclampsia Clinical Trial
— REMINDOfficial title:
Randomized Evaluation of Hypertensive Moms: Interventional Nudge to Drive Transitions of Care
Verified date | November 2022 |
Source | University of Pennsylvania |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Hypertensive disorders of pregnancy (HDP) are stress tests which may identify women at high risk of future cardiovascular disease (CVD), the leading cause of death among women. Given the public health impact of HDP and CVD, there is a compelling need to identify scalable interventions to improve preventative care among women who have risk identified during pregnancy. We will examine the effects of delivering electronic prompts to obstetric care providers (nudge) on transitions of care in the postpartum period. We will conduct a pilot randomized trial to evaluate whether this nudge intervention will improve postpartum counseling and lead to greater follow-up with preventative care providers among women with HDP.
Status | Active, not recruiting |
Enrollment | 222 |
Est. completion date | March 1, 2023 |
Est. primary completion date | June 22, 2022 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: 1. At least 18 years old. 2. Have a diagnosis of HDP during delivery admission or have a diagnosis made at time of evaluation in the Perinatal Evaluation and Treatment Unit after discharge from the delivery admission. HDP diagnoses are based on criteria from the American College of Obstetricians and Gynecologists (ACOG). 3. Enrolled in Heart Safe Motherhood at Pennsylvania Hospital. 4. Have a postpartum visit with a University of Pennsylvania HealthSystem provider scheduled 4-12 weeks after delivery. Exclusion Criteria: 1. Women diagnosed with chronic hypertension (CHTN) without superimposed pre-eclampsia (PEC). |
Country | Name | City | State |
---|---|---|---|
United States | Pennsylvania Hospital | Philadelphia | Pennsylvania |
Lead Sponsor | Collaborator |
---|---|
University of Pennsylvania |
United States,
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* Note: There are 20 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Number of patients with documented counseling on transitions of care | The primary outcome measure is documentation of counseling about transitioning care to a continuity care provider (primary care or cardiology) at the postpartum visit. | 4-12 weeks postpartum | |
Secondary | Number of providers who access the nudge | Electronic prompts opened by obstetric care providers within 1 week of receipt in the electronic medical record | Prior to postpartum visit | |
Secondary | Number of patients with documented counseling on cardiovascular disease (CVD) risk at the postpartum visit | Documentation in the postpartum visit note regarding ongoing cardiovascular risk related to HDP | 4-12 weeks postpartum | |
Secondary | Number of postpartum visit notes using example text | Use of scripted dot phrases (available in Epic) for counseling on transitions of care and CVD risk in the postpartum note. | 4-12 weeks postpartum | |
Secondary | Number of patients with preventative care follow-up | Attendance at a primary care or cardiology visit for preventative care within 6 months of delivery. | 6 months postpartum |
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