Improving Health Outcomes and Equity by Targeting Postpartum Mothers at Highest Risk
Purpose
The goal of this educational clinical trial is to identify Black women most at risk for poor outcomes following delivery, the problems they experience, and to create a system to improve quality of postpartum care for high-risk women. The main question[s] it aims to answer are: - How can the investigators help postpartum Black people who have poor outcomes by decreasing the number of ED visits/readmissions for postpartum people within the first 30 days postpartum? - How can the investigators increase the ability of participants to "obtain needed services" and ability for patients to see their provider when they need to, in the 30-day post discharge period as one of the main pathways of unnecessary ED visits? Participants will be put into the study group or control group. The study group will receive a pamphlet postpartum with helpful information as well as a patient navigator who the participants will be able to reach out to their first 30 days postpartum.
Conditions
- Maternal Behavior
- Postpartum Depression
Eligibility
- Eligible Ages
- Between 18 Years and 55 Years
- Eligible Genders
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Postpartum patients who have delivered a baby at the Hospital of University of Pennsylvania - Ages 18 or older - Self-identify as Black (listed on chart) - Speak English - Able to read - Other characteristics defined by our risk prediction model (algorithm)
Exclusion Criteria
- Unable to provide informed consent - Speaks a language other than English
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Prevention
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Patient Education Pamphlet and Partner Sheet |
The study intervention consists of a patient education pamphlet and partner sheet (physically and virtually accessible) that will educate and prepare post-partum participants about health conditions (hypertension, diabetes, and depression), important health behaviors , physical and emotional postpartum symptoms, teach self-management skills, enhance social support, and connect post-partum participants with community resources. The education materials will provide simple actions that participants can utilize to address symptoms, realistic time frames for healing, danger signs to look out for and contact their physicians, and a list of resources for specific issues. The patient navigator will spend approximately 20 minutes with participants after enrollment, in the hospital. Following discharge, the patient navigator will contact each patient between 4 and 20 times, by phone and/or text with a research phone, to address questions and link participants to medical and community resources. |
|
|
No Intervention Standard Postpartum Care |
These patients will receive Standard postpartum care. |
|
Recruiting Locations
More Details
- Status
- Recruiting
- Sponsor
- University of Pennsylvania
