NCT05543265Completed
Bridging the Gap From Postpartum to Primary Care
Bridging the Gap From Postpartum to Primary Care: A Behavioral Science Informed Intervention to Improve Chronic Disease Management Among Postpartum Women
Source: ClinicalTrials.gov · Last updated 19 Sept 2024
Brief summary (registry, in English)
Chronic health conditions affect most older adults. Preventative medicine and risk management strategies, especially when applied earlier in life, are essential to altering the trajectory of a disease and ultimately improving health outcomes. Primary care providers (PCP) often provide most of these services, though younger adults are the least likely to receive primary care. This project leverages a period of high engagement and health activation during an individual's life (pregnancy) to nudge her toward use of primary care after the pregnancy episode. This randomized controlled trial will test the hypothesis that a behavioral science-informed intervention, incorporating defaults and salience, can increase the rates of PCP follow-up within 4 months following a delivery for individual with hypertension, diabetes, obesity. If successful, this intervention could serve as a scalable solution to increase primary care use and preventative health services in a population that currently has low rates of engagement and utilization of these services.
- Status (registry)
- Completed
- Study type
- Interventional
- Enrollment
- 360 (actual)
- First submitted
- 6 Sept 2022
- Start date
- 3 Nov 2022
- Primary completion date
- 11 Oct 2023
- Lead sponsor
- Massachusetts General Hospital
- Diseases
- Obesity, High blood pressure
- NCT number
- NCT05543265
What you commit to
- Study type: Interventional
- Participants enrolled: 360
- From 3 Nov 2022 to the primary completion date, 11 Oct 2023
- 1 site in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Other
- No primary care provider listed in the EHR
- Primary language other than English or Spanish
- No access to online patient EHR portal
Who the study is looking for
- Estimated date of delivery and the following 4-month postpartum outcome assessment window completed prior to study end date
- Currently pregnant or within 2 weeks of delivery
- Have one or more of the following conditions: 1) Chronic hypertension, 2) Hypertensive disorders of pregnancy or risk factors for hypertensive disorders of pregnancy per the USPSTF aspirin prescribing guidelines (e.g., history of pre-eclampsia, kidney disease, multiple gestation, autoimmune disease), 3) Type 1 or 2 diabetes, 4) Gestational diabetes, 5) Obesity (pre-pregnancy body mass index ≥30 kg/m2), 6) Depression or anxiety disorder
- Have a primary care provider listed in the electronic health record (EHR)
- Receive obstetric care at the study institution's outpatient prenatal clinic
- Have access to and be enrolled in the EHR patient portal and consents to be contacted via these modalities
- Able to read/speak English or Spanish language
- Age ≥18 years old
- Not actively known to have or undergoing work-up for fetal demise
Age in the registry: 18 years to - · Sex: Female · Does not accept healthy volunteers
Sites (1)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Massachusetts General Hospital Coordinator of this site? Confirm its status | Boston | United States | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.