Staying Healthy After Childbirth: My Hypertension Education and Reaching Target Program for Postpartum (STAC-MyHEARTp)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 140
- 试验地点
- 2
- 主要终点
- Number of Participants Who Attend 12 month Postpartum Care Visit
研究概览
简要总结
A study of Staying Healthy After Childbirth (STAC) and My Hypertension Education And Reaching Target (MyHEART) for postpartum (p) patients to determine if health coaching can increase 12-month postpartum care attendance, hypertension control and hypertension self-management behavior compared to usual clinical care in patients with chronic hypertension or persistent pregnancy associated hypertension - postpartum. 140 participants will be enrolled and can expect to be on study for 12 months.
详细描述
To address the critical need for hypertension (HTN) control in young adults, the investigators developed the MyHEART (My Hypertension Education And Reaching Target) program, a multi-component patient-centered, theoretically-based intervention designed to increase self-management using evidence-based health behavior approaches to lower BP among young adults with uncontrolled HTN.
A nonrandomized, single-center pilot study of MyHEART was conducted, which established feasibility, satisfaction, and informed the design of this trial. A large, multi-site randomized-controlled trial to evaluate the effect of MyHEART (home blood pressure monitor distribution and heath coaching) on clinical outcomes, the change in systolic and diastolic blood pressure (primary) and HTN control (secondary) after 6 and 12 months, compared to usual clinical care was completed. Additionally, lifestyle changes and HTN self-management behavior were evaluated.
Incorporating components of the MyHEART intervention with routine clinical care can support HTN behavioral changes in young adults with uncontrolled HTN to support BP lowering in this population. The investigators are in a unique position to partner with the Perinatal Clinic and the current STAC program, to improve health outcomes for women with HTN during pregnancy through health coaching and BP surveillance through 12-months postpartum.
Specific Aims:
- Aim 1: To improve postpartum attendance for 12-month hypertension follow-up care among Staying Healthy After Childbirth patients who have chronic hypertension or persistent hypertension at 6-weeks postpartum.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Willing and capable of giving written informed consent
- •Willing to comply with all study procedures and be available for the duration of the study
- •Genetically female
- •Patients who complete the 6-week program, had a hypertension disorder of pregnancy who have persistent hypertension (systolic blood pressure greater than 130 mmHg or diastolic blood pressure greater than 80 mmHg) and/or are still on antihypertensive medication and those with chronic hypertension (CHTN) will be eligible to participate.
- •Medically homed at UW Health or UPH
排除标准
- •Inability to participate in health coaching (i.e., no reliable phone contact or Wi-Fi
- •History of medically determined Congestive Heart Failure
- •Unable to provide informed consent (i.e., activated healthcare power of attorney)
- •Unable or unwilling to travel to local clinic for research visits
- •Currently residing in a skilled nursing facility
- •Diagnosed with sickle cell anemia or cystic fibrosis
- •Diagnosed with stroke, myocardial infarction, and/or coronary artery revascularization in the past 2 years
- •Syncope while exercising or doing strenuous activity within past 12 months
- •Currently prescribed warfarin, novel oral anticoagulant, or insulin
- •Planned organ transplant or prior transplant in the past 5 years
- •Chemotherapy or radiation therapy within 6 the past months
- •Severely impaired hearing, vision, or speech, as determined by study staff responsible for enrollment
- •Current participation or planning to participate in another clinical trial in the next 12 months that involves hypertension management/control
- •Pregnant or planning to become pregnant in the next 12 months
- •Planning to leave the geographic area in the next 12 months
- •Health condition that will limit both increasing physical activity and changing diet
- •Illegal drug use (other than marijuana) in the past 30 days
- •Unable to read or communicate in English
- •Currently on dialysis or seeing a Nephrologist
- •Unaware or denies history of high blood pressure or hypertension
- •Between-arm blood pressure difference >20 mmHg
- •Inability to comply with or complete the protocol or other reasons at the discretion of the principal and site investigators
- •Prisoners
结局指标
主要结局
Number of Participants Who Attend 12 month Postpartum Care Visit
时间窗: up to 12 months
次要结局
- Hemoglobin A1c at 12 months postpartum(12 months)
- Hypertension Control: Summary of Antihypertensive Type(up to 12 months)
- Dietary Changes: Change in Sodium intake (milligrams/day) as assessed by the Automated Self-Administered 24-hour Dietary Assessment(6 and 12 months)
- Difference in Self-Reported and Electronic Medical Record (EMR) documented BP at 6 months postpartum(up to 6 months)
- Lipid Profile at 12 months postpartum(12 months)
- Hypertension Control: Number of Participants who initiate, titrate, or cease BP medications(up to 12 months)
- Microalbumin Creatine Ratio at 12 months postpartum(12 months)
- Percentage of participants that achieve hypertension control at 12 months postpartum(12 months)
- Change in physical activity as measured by the Godin Physical Activity Questionnaire(6 and 12 months)
- Change in Home Blood Pressure Monitoring Frequency(6 and 12 months)
- Change in Weight (kg)(6 and 12 months)
- Change in Body Mass Index (BMI)(6 and 12 months)