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| ID | Type | Description | Link |
|---|---|---|---|
| 5R00MD015781-04 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Minority Health and Health Disparities (NIMHD) | NIH |
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Pregnancy-related death is a growing public health issues, which are of particular concern to minority groups, including African-Americans and Spanish-speaking Latinas. Our proposal aims to improve a patient's ability to detect warning signs of pregnancy related death and seek medical care.
Pregnancy-related death (PRD) rates have risen 120-200% in the United States in the past two decades, and experts estimate that 40-60% of these cases are preventable. Improvement initiatives are predominantly hospital-based and rely on perinatal people recognizing their own symptoms and seeking care without ample support or education. We hypothesize that we can improve patients' self-efficacy and decision-making about when to seek care by helping them to self-monitor symptoms and by providing decision support. We propose to develop a mHealth-based, patient-reported outcome (PRO) and decision-support system to help mothers determine when to seek care for warning signs of PRD. Our project focuses on diverse populations facing postpartum disparities, particularly African- American and Spanish-speaking Latina women. This protocol involves a single-arm pilot trial assessing the feasibility and preliminary effectiveness of MOMS/MAMA for improving knowledge and patient activation among postpartum patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MOMS intervention | Experimental | Participants in this condition will receive the MOMS symptom monitoring and decision support intervention. This is a single arm trial. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Maternal Outcome Monitoring and Support system | Other | The Maternal Outcome Monitoring and Support system is a mobile health application that allows participants to choose symptoms they may be having that are warning signs of pregnancy related death. They then receive decision support about when they should seek medical care (call their provider or go to an emergency room). |
| Measure | Description | Time Frame |
|---|---|---|
| Patient activation | Change in patient activation measured using the validated Patient Activation Measure (PAM) | Baseline to 6 weeks postpartum |
| Measure | Description | Time Frame |
|---|---|---|
| Knowledge of pregnancy related death warning signs | Change in knowledge of warning signs for pregnancy related death | Baseline to 6 weeks postpartum |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | New York | 10032 | United States | ||
Data will be shared in the aggregate. There is no plan to make IDP available to other researchers.
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| ID | Term |
|---|---|
| D063130 | Maternal Death |
| D010358 | Patient Participation |
| ID | Term |
|---|---|
| D063129 | Parental Death |
| D003643 | Death |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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|
| NewYork-Prebyterian/Weill Cornell Medical Center |
| New York |
| New York |
| 10065 |
| United States |
| D010342 |
| Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |