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Active, not recruitingNo phase

Living Healthy for Moms RCT

Key facts

Who runs it
Columbia University
Where
Brooklyn, Jamaica, and New York, United StatesSee the 4 sites
Trial code
Status
Active, not recruiting
People taking part
21 people enrolled
Started
17 Jan 2025
Expected to end
1 Jun 2030
Type of study
Interventional, 2 groupsOne group gets an existing treatment, for comparison.
Treatments tested
  • LHMoms Intervention
Record updated
14 January 2026

Who can take part

Age
18 years and older
Sex
Women only
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 15 criteriaShow less

Who can take part

  • Birthing individuals aged 18 years or older
  • Delivery of singleton live birth; and
  • Minority race (self-identified Black), minority ethnicity (self-identified Latinx), and/or Medicaid beneficiary

Who cannot take part

  • active user of IV drugs
  • known primary psychotic disorder
  • Younger than 18 years
  • gestational age less than 24 weeks at delivery
  • Individuals unable to conduct visits and complete surveys via computer or phone,
  • Individuals unable to communicate (reading, writing, speaking) in English, Spanish or Haitian Creole
  • multifetal pregnancy
  • known major fetal anomaly in current pregnancy
  • known fetal demise
  • on hemodialysis
  • active suicidal ideation with intent and plan
  • plans to move out of the area within 6 months

Where in United States

  • New York-Presbyterian/Brooklyn Methodist HospitalBrooklyn, United States
  • New York City Health + Hospitals/ QueensJamaica, United States
  • NewYork-Presbyterian Allen HospitalNew York, United States
  • Weill Cornell MedicineNew York, United States

About the trial

What the trial wants to find out

LHMoms is a novel integrated care intervention that focuses intensively on care continuity and community-to-healthcare linkages for postpartum birthing individuals. The intervention starts prior to discharge in the delivery hospitalization and extends to six months post-partum, thus covering critical windows to prevent long-term physical and mental health sequelae.

The 2 groups in the trial

  • Attention ControlExisting treatment, for comparison

    The attention control arm (N=300) will receive standard doula care and the same number of telephone or video-delivered sessions and will last the same amount of time on general postpartum health topics not related to CV health or depression. Attention control participants will not receive doula-initiated outreach during the first 7 days.

  • LHMoms Intervention ArmTreatment being tested

    The LHM arm (N=300) will receive a CBT+ Cardiovascular Health (CVH) Intervention to reduce CV risk. LHM employs a cognitive behavioral training (CBT) + cardiovascular health (CVH) intervention delivered by doulas and integrating a healthy lifestyle intervention to reduce CV risk. The LHM intervention integrates the following key elements: (1) doula-led emergency detection in the first 7 days post-discharge; (2) home BP monitoring (HBPM); and (3) 11-sessions of the doula-delivered intervention to prevent PPD and reduce CV risk from 1 week to 6 months post-discharge, supported by (4) education through the Patient-Activated Learning System (PALS), a novel education platform used to engage low-literacy, racially marginalized individuals. LHM is based on the Thinking Healthy Programme (THP), an intervention originally designed to treat PPD in low and middle-income countries using community health workers.

    Treatment: LHMoms Intervention

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Living Healthy for Moms (LHM) Randomized Type I Hybrid EffectivenessImplementation Trial: A Doula-Delivered Cognitive Behavioral Training (CBT) + Cardiovascular Health (CVH) Intervention for Birthing Individuals
Publications
Record updated
14 January 2026