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Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT06415942
Other study ID # AAAU9647
Secondary ID 5R00MD015781-04
Status Not yet recruiting
Phase N/A
First received
Last updated
Start date July 1, 2024
Est. completion date January 31, 2026

Study information

Verified date May 2024
Source Columbia University
Contact Natalie Benda
Phone 917-426-3069
Email nb3115@cumc.columbia.edu
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Pregnancy-related death is a growing public health issues, which are of particular concern to minority groups, including African-Americans and Spanish-speaking Latinas. Our proposal aims to improve a patient's ability to detect warning signs of pregnancy related death and seek medical care.


Description:

Pregnancy-related death (PRD) rates have risen 120-200% in the United States in the past two decades, and experts estimate that 40-60% of these cases are preventable. Improvement initiatives are predominantly hospital-based and rely on perinatal people recognizing their own symptoms and seeking care without ample support or education. We hypothesize that we can improve patients' self-efficacy and decision-making about when to seek care by helping them to self-monitor symptoms and by providing decision support. We propose to develop a mHealth-based, patient-reported outcome (PRO) and decision-support system to help mothers determine when to seek care for warning signs of PRD. Our project focuses on diverse populations facing postpartum disparities, particularly African- American and Spanish-speaking Latina women. This protocol involves a single-arm pilot trial assessing the feasibility and preliminary effectiveness of MOMS/MAMA for improving knowledge and patient activation among postpartum patients.


Recruitment information / eligibility

Status Not yet recruiting
Enrollment 80
Est. completion date January 31, 2026
Est. primary completion date December 31, 2025
Accepts healthy volunteers Accepts Healthy Volunteers
Gender Female
Age group 18 Years and older
Eligibility Inclusion Criteria: - Greater than 28 weeks pregnant - Receiving healthcare in the United States - Age 18 years or older - [Identify as Black or African American race AND able to speak and read English, AND preferred language of English] OR [Identify as Hispanic/Latino Ethnicity AND Spanish able to speak and read Spanish AND preferred language of Spanish] - Planned delivery at the following NewYork-Presbyterian hospitals: Children's Hospital of New York, Allen Hospital, Weill Cornell Medical Center, Lower Manhattan Hospital Exclusion Criteria: - Severe cognitive impairment - Major psychiatric illness - Concomitant terminal illness that would preclude participation.

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Maternal Outcome Monitoring and Support system
The Maternal Outcome Monitoring and Support system is a mobile health application that allows participants to choose symptoms they may be having that are warning signs of pregnancy related death. They then receive decision support about when they should seek medical care (call their provider or go to an emergency room).

Locations

Country Name City State
United States NewYork-Prebyterian/Weill Cornell Medical Center New York New York
United States NewYork-Presbyterian Columbia University Irving Medical Center New York New York

Sponsors (2)

Lead Sponsor Collaborator
Columbia University National Institute on Minority Health and Health Disparities (NIMHD)

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Patient activation Change in patient activation measured using the validated Patient Activation Measure (PAM) Baseline to 6 weeks postpartum
Secondary Knowledge of pregnancy related death warning signs Change in knowledge of warning signs for pregnancy related death Baseline to 6 weeks postpartum
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