A Community Health Worker Intervention to Address Adverse Pregnancy Outcomes

Completed · Not applicable

Conditions studied: Preeclampsia Postpartum, Adverse Pregnancy Outcomes

In brief

United States maternal mortality and preterm birth rates are among the highest among high-income countries due in part to a combination of racial, regional and socioeconomic disparities in access to care and overall health. The research proposed focuses on adapting and expanding a perinatal community health worker intervention for Black postpartum patients with preeclampsia (PE) and other adverse pregnancy outcomes (APOs). Investigators will partner with a community-based organization that trains and deploys community health workers. Investigators will test an intervention for urban and rural Black postpartum patients with APOs to 1) enhance blood pressure control postpartum and 2) promote long-term cardiovascular disease prevention for this underserved population. This pilot study will determine if randomizing and implementing a community health worker intervention tailored to pregnant people experiencing preeclampsia is feasible and found to be acceptable by participants.

Key facts

Study ID

NCT06353256

Run by

University of Alabama at Birmingham

People needed

61

Starts

2024-09-03

Expected to finish

2025-06-02

Last updated by the study team

2026-08-05

Who can join

Age: 16 and older, up to 56. Sex: female. Healthy volunteers: accepted.

You may qualify if…

• Self Identifies as Black
• Between 16-56 years old
• Experiencing adverse pregnancy outcomes defined as hypertensive disorders of pregnancy, preterm birth, placental abruption, pregnancy loss (loss at greater or equal to 14 weeks gestation), gestational diabetes, delivering a small for gestational age infant
• Planning to deliver at UAB Hospital
• Speaks and writes in English

You may not qualify if…

• Declines Randomization
• Speaks or writes in languages other than English
• Currently incarcerated
• Previously enrolled in P3OPPY

Where it is running

• UAB Medicine — Birmingham, Alabama, United States
• The University of Alabama at Birmingham — Birmingham, Alabama, United States

Full record on ClinicalTrials.gov

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