Optimizing Cardiovascular Preventive Care for Women Following Hypertensive Disorders of Pregnancy
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Decisional conflict
研究概览
简要总结
Cardiovascular disease is the leading cause of death among women in the United States, and women with hypertensive disorders of pregnancy have a 2-fold higher risk for cardiovascular disease later in life compared to women with uncomplicated pregnancies. This research investigates a patient-centered intervention during the postpartum period to promote engagement in cardiovascular preventive care.
详细描述
Current evidence demonstrates that women with hypertensive disorders of pregnancy have 2-fold higher risk for the later development of cardiovascular disease (CVD) compared to women with healthy pregnancies. CVD prevention is a high priority for women's health, as it is the leading cause of death among women in the United States. In order to improve women's cardiovascular health, interventions for cardiovascular prevention could be initiated shortly after a pregnancy complicated by a hypertensive disorder. However, patient-centered interventions to promote preventive care engagement among postpartum women are lacking. Our objective is to address current gaps in knowledge regarding needs, values, and barriers regarding cardiovascular prevention among postpartum women with hypertensive disorders of pregnancy, and to remedy the lack of available evidence-based interventions for this at-risk population. To this end, we will conduct a pilot study to demonstrate feasibility and preliminary efficacy of a patient decision aid to improve patient knowledge and self-efficacy regarding CVD prevention during the postpartum period
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Delivered a pregnancy complicated by a hypertensive disorder of pregnancy at the University of Utah during the current hospital admission
- •Ability to speak and read English or Spanish
- •Written informed consent obtained
排除标准
- •Cardiovascular disease diagnosis (history of peripheral artery disease, stroke, or myocardial infarction)
- •Impairment of cognitive function or vision that prohibits communication and/or reading the decision aid.
研究组 & 干预措施
Decision aid
Participants will use the decision aid in the postpartum period
干预措施: Decision aid (Other)
Usual care
Participants will receive standard postpartum care
结局指标
主要结局
Decisional conflict
时间窗: 6-8 weeks postpartum
Measured via the validated Decisional Conflict Scale. Scores range from 0 (no decisional conflict) to 100 (extremely high decisional conflict)
次要结局
- Decisional conflict(One month after the initial assessment)
研究者
Lauren Theilen
Assistant Professor, Obstetrics & Gynecology
University of Utah
