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Preeclampsia Educational Program Study (PrEPS)

Not Applicable
Active, not recruiting
Conditions
Preeclampsia Severe
Preeclampsia
Preeclampsia Mild
Preeclampsia Postpartum
Registration Number
NCT06373367
Lead Sponsor
MemorialCare Health System
Brief Summary

Preeclampsia complicates approximately 8% of all pregnancies. A critical factor of outpatient monitoring is patient education; specifically, education regarding nature of the disease, ongoing short- and long-term risks, and warning signs and symptoms for worsening of disease. This study aims to compare patient knowledge using a novel illustration based app compared to standard discharge instructions.

Detailed Description

Preeclampsia complicates approximately 8% of all pregnancies. While many patients improve following delivery, the disease process remains a leading cause for postpartum morbidity and mortality. A critical factor of outpatient monitoring is patient education; specifically, education regarding nature of the disease, ongoing short- and long-term risks, and warning signs and symptoms for worsening of disease. There is a gap in the literature regarding effective, patient-centered educational tools specifically addressing these elements, especially in the postpartum period.

The investigators propose a pilot, randomized controlled trial of postpartum patients with preeclampsia. The intervention of interest is an illustration-based, educational mobile device application (app) focused on the short- and long-term risks associated with preeclampsia and warning signs and symptoms of worsening disease postpartum. The control for this study will be the same information in a text-only format, also accessed through a mobile device app.

The investigators central hypothesis is that an illustration-based app will improve knowledge of preeclampsia among postpartum patients compared to text-only educational material.

Specific Aim 1: Compare the difference in preeclampsia knowledge score from text-only versus illustration-based education 24 hours post intervention (short-term). The investigators hypothesize that patients who receive illustration-based education will have a) higher preeclampsia knowledge scores at 24 hours post-intervention compared to text-only educational materials and b) a greater increase in preeclampsia knowledge score from baseline (pre-test) compared to text-only education.

Specific Aim 2: Compare the difference in preeclampsia knowledge score from text-only versus illustration-based education \>4 weeks post intervention (long-term). The investigators hypothesize that patients who receive illustration-based education will have a) higher preeclampsia knowledge scores at \> 4 weeks post-intervention compared to text-only educational materials and b) a greater increase in preeclampsia knowledge score from baseline (pre-test) compared to text-only education.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
Female
Target Recruitment
36
Inclusion Criteria
  • Preeclampsia with or without severe features
  • Able to read and speak English
  • Consistent access to mobile device with QR-reading capability and ability to access mobile-device application.
  • Pre-and postnatal care provided by OB Clinic (resident clinic) or Magella (maternal-fetal medicine)
Exclusion Criteria
  • Patient age < 18 years old
  • Non-English speaking
  • Current enrollment in another trial targeting postpartum preeclampsia parameters
  • Arm width >40cm (XL Cuff)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Preeclampsia knowledge score - shortMeasured at 24 hours postpartum

Short term preeclampsia knowledge score. Scored from 0-24, with 24 demonstrating the most correct answers to the assessment

Secondary Outcome Measures
NameTimeMethod
Preeclampsia knowledge score - longMeasured between 4 - 6 weeks postpartum

Long term preeclampsia knowledge score. Scored from 0-24, with 24 demonstrating the most correct answers to the assessment

GAD-7 scoreMeasured between 4-6 weeks postpartum

Generalized anxiety score. A score of 0-4 demonstrating none or minimal anxiety, 5-9 mild anxiety, 10-14 moderate anxiety, 15-21 severe anxiety

Number of participants who attend a postpartum visitMeasured within 6 weeks postpartum

Adherence to one postpartum visit

Daily BP recordingsMeasured within 6 weeks postpartum

Percent of daily blood pressure recordings at home

Accessed materialMeasured at 6 weeks postpartum

Number of times information accessed postpartum

Unplanned readmissionMeasured at 6 weeks postpartum

Number of unplanned readmissions related to preeclampsia

72 hour BP checkMeasured 72 hours after hospital discharge

Adherence to a blood pressure check

Trial Locations

Locations (1)

MemorialCare Long Beach Medical Center

🇺🇸

Long Beach, California, United States

MemorialCare Long Beach Medical Center
🇺🇸Long Beach, California, United States

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