Use of Allied-health Professionals to Improve Treatment of Disease

Not Applicable

Not yet recruiting

Brief Summary: The goal of this clinical trial is to learn if allied-health professionals can recruit and follow research participants, sustain engagement, and improve and diagnose treatment of diseases by facilitating transitions of care.

Participants will:

Take their blood pressure at home and return it to the research team; Follow up with a research pharmacist for 12 months; Return for a follow up visit after 12 months.

Detailed Description: After consent, a research pharmacist will virtually monitor the participant's blood pressure until the 12-month follow up visit. The research pharmacists will have access to the participant's electronic medical records to monitor and document medications and clinic blood pressures for analysis . Participants will be asked to measure and return 14 blood pressure measurements (2x per day for 7 days) using our text messaging platform. They will be allowed to choose the times that they are sent reminders to measure their blood pressure. If a participant has blood pressure values sufficient for a hypertension diagnosis, the pharmacist will communicate via electronic medical record with the participant's primary care team. If they do not have a primary care provider, the pharmacist will facilitate finding one. The pharmacist will continue monitoring the participant and making recommendations to the primary care team through the electronic medical record to quickly adjust therapy to improve blood pressure control. The pharmacists will typically contact the participants (via participant's choice of phone, text, or email) every 2-3 weeks while their hypertension is uncontrolled. Once under control, the pharmacist will continue to contact the participant at least every 2 months to support adherence and reassess control.

Recruitment & Eligibility

Inclusion Criteria

Biological mothers delivering at UIHC or attending a well-child visit for an infant between 1 month and 9 months
Preeclampsia during pregnancy
Preceived prenatal care at UIHC
Owns a smartphone

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
Research Pharmacist Monitoring	Research Pharmacist	The research pharmacist will help the mother find a primary care physician if she doesn't have one and discuss strategies to lower blood pressure, if needed. The pharmacist interactions will occur 7 days after enrollment and then approximately every 2 weeks to 2 months during 12 months of follow up, depending on blood pressure control. They may recommend medications to the participant's physician. The pharmacist will have access to the participant's electronic medical record to obtain any blood pressure-related medications that the mother is prescribed as well as throughout the follow up to ensure any health-related conditions can be discussed.

Primary Outcome Measures

Name	Time	Method
Number of Subjects Exposed to a Screening Clinic	Through study completion, an average of 12 months	We will calculate the number of participants who visited a screening clinic during the course of the intervention.
Number of Subjects Screened at a Screening Clinic	Through study completion, an average of 12 months	We will calculate the number of participants who were screened at a screening clinic during the intervention.
Number of Subjects Diagnosed with Hypertension	Through study completion, an average of 12 months	We will calculate the number of participants who were diagnosed with hypertension by their provider during the intervention.
Number of Subjects Followed-Up by the Research Pharmacist	Through study completion, an average of 12 months	We will calculated the number of participants who were followed-up by a research pharmacist during the intervention.
Number of Subjects at Risk for Hypertension	Through study completion, an average of 12 months	We will calculate the number of participants who are at risk for hypertension during the course of the intervention.
Number of Subjects Treated for Hypertension, if Diagnosed	Through study completion, an average of 12 months	We will calculate the number of participants who were treated for their hypertension diagnosis by their provider, if they were diagnosed with hypertension, during the intervention.

Secondary Outcome Measures

Name	Time	Method