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| Name | Class |
|---|---|
| Friends of Prentice | OTHER |
| Senior Faculty Academy | UNKNOWN |
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The purpose of this research is to study digital health interventions to prevent cardiovascular disease in individuals who have had a hypertensive disorder of pregnancy (HDP).
The purpose of this research is to test the effect of two digital health interventions on cardiovascular health and subclinical cardiac dysfunction in postpartum individuals after pregnancies complicated by new-onset hypertensive disorder of pregnancy (HDP). All participants will undergo echocardiography and have their blood pressure/weight captured at 3 months and 12 months postpartum. If randomized to the intervention arm, the participant will be given a subscription to a mobile health application and a digital blood pressure monitoring system, and asked to utilize these at home during the one year of the study along with usual care. If randomized to the control arm, the participant will receive care as usual.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Usual Care (Control) | No Intervention | Participant will receive usual care. | |
| Bundled digital health intervention | Experimental | Participant will be enrolled in a digital blood pressure monitoring program and receive a subscription to a mobile health lifestyle change application (Noom) alongside usual care. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Digital Blood Pressure Monitoring System | Other | As a part of the bundled digital health intervention, the participant will receive instructions on how to follow a link in their electronic patient portal that will allow direct input of home blood pressure readings for clinical review. |
| Measure | Description | Time Frame |
|---|---|---|
| Systolic blood pressure | All participants will have systolic blood pressure measured at 3 months and 12 months postpartum | 3 months postpartum; 12 months postpartum |
| Measure | Description | Time Frame |
|---|---|---|
| Weight | All participants will have weight measured at 3 months and 12 months postpartum | 3 months postpartum; 12 months postpartum |
| Subclinical cardiovascular dysfunction via echocardiography | All participants will have echocardiography performed at 3 months and 12 months postpartum to assess subclinical cardiovascular dysfunction |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Priya M Freaney, MD | Northwestern University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Northwestern University, Dept. of Cardiology | Chicago | Illinois | 60611 | United States |
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| Mobile health application | Other | As a part of the bundled digital health intervention, the participant will be given a lifestyle change mobile health application. |
|
| 3 months postpartum; 12 months postpartum |
| Study feasibility | The investigators will assess study feasibility (% enrolled in digital health intervention) at the end of the study | 12 months postpartum |
| Participant engagement | The investigators will assess participant engagement (% continuing to actively use digital health interventions) at the end of the study | 12 months postpartum |
| Anti-hypertensive medication use (%) | The investigators will assess participant anti-hypertensive medication use (%) at 3 months and 12 months | 3 months postpartum; 12 months postpartum |
| ID | Term |
|---|---|
| D046110 | Hypertension, Pregnancy-Induced |
| D011225 | Pre-Eclampsia |
| D004461 | Eclampsia |
| ID | Term |
|---|---|
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D006973 | Hypertension |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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