Preeclampsia Educational Program Study (PrEPS)
- Conditions
- Preeclampsia SeverePreeclampsiaPreeclampsia MildPreeclampsia 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
- 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)
- 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
Name Time Method Preeclampsia knowledge score - short Measured 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
Name Time Method Preeclampsia knowledge score - long Measured 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 score Measured 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 visit Measured within 6 weeks postpartum Adherence to one postpartum visit
Daily BP recordings Measured within 6 weeks postpartum Percent of daily blood pressure recordings at home
Accessed material Measured at 6 weeks postpartum Number of times information accessed postpartum
Unplanned readmission Measured at 6 weeks postpartum Number of unplanned readmissions related to preeclampsia
72 hour BP check Measured 72 hours after hospital discharge Adherence to a blood pressure check
Related Research Topics
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Trial Locations
- Locations (1)
MemorialCare Long Beach Medical Center
🇺🇸Long Beach, California, United States
MemorialCare Long Beach Medical Center🇺🇸Long Beach, California, United States