NCT Number: NCT07807098
This pilot, exploratory qualitative, descriptive study will examine whether standard postpartum discharge education, a free home blood pressure cuff, and an "At-Risk Postpartum" bracelet support self-management among postpartum patients newly diagnosed with preeclampsia or gestational hypertension at Memorial Hermann Memorial City Medical Center. Up to 40 eligible patients will receive standard postpartum education supplemented with blood pressure monitoring instruction, the Preeclampsia Foundation's blood pressure guidance sheet, and a bracelet intended to serve as a visual reminder of postpartum risk. Participants will complete virtual interviews at 6 and 10 weeks post-discharge to assess home blood pressure monitoring, knowledge retention, perceived usefulness of the bracelet, self-advocacy, and barriers to following recommended self-management behaviors. Findings will help determine whether these low-burden educational and practical tools can improve postpartum awareness, engagement, and safety, and will inform the design of a larger future study.
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Interventional
Not applicable
This pilot, exploratory qualitative, descriptive study will evaluate whether standard postpartum discharge education, a free home blood pressure cuff, and an "At-Risk Postpartum" bracelet support self-management among postpartum patients newly diagnosed with preeclampsia or gestational hypertension at Memorial Hermann Memorial City Medical Center. Eligible participants will be postpartum patients admitted to the Family Life Center who receive a newly diagnosis during hospitalization and were not previously taking antihypertensive medications.
The intervention supplements standard discharge education with blood pressure monitoring instruction, a no-cost BP cuff, written guidance from the Preeclampsia Foundation, and a bracelet intended to serve as a visual reminder of postpartum risk. After verbal informed consent, participants will complete virtual semi-structured interviews at approximately 6 and 10 weeks post-discharge to discuss BP monitoring, knowledge retention, bracelet usefulness, self-advocacy, and barriers to recommended self-management behaviors.
The primary outcome is evidence of home blood pressure self-management, including twice-daily monitoring. Additional areas of interest include maternal knowledge, perceived value of the bracelet, retention of preeclampsia signs and symptoms, and barriers to follow-through. Interview data will be analyzed using inductive thematic analysis, with descriptive statistics used to summarize participant demographics. Findings will inform future postpartum education strategies and a larger study aimed at improving safety and reducing preventable complications related to hypertensive disorders of pregnancy.
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
-A new diagnosis of GHTN or PE, who are discharged from FLC, and express willingness to participate in virtual interviews.
Exclusion criteria
In Family Life Center the intervention will be to provide standard education, at-risk bracelet, and BP cuff on discharge day. We are combining these practical tools to enhance self-management, knowledge, and engagement.
Other names: At-Risk bracelet
Time frame: 6-10 weeks
The primary outcome measure assesses whether the intervention supports postpartum blood pressure self-management among participants newly diagnosed with gestational hypertension or preeclampsia. This outcome is evaluated through the 6-week and 10-week semi-structured interview by asking participants if they are using tools to measure their blood pressure, and what action they are taking to manage their blood pressure and what barriers they face.
Time frame: 6-10 weeks
The secondary outcome measure evaluates whether the "At-Risk Postpartum" bracelet serves as a visual reminder that reinforces self-management of preeclampsia and gestational hypertension. The semi-structure interviews address this outcome by asking participants at 6 and 10 weeks whether they wear the postpartum bracelet, why or why not, what value the bracelet adds if they wear it, and whether something else inspires them to take care of themselves if they do not wear it.
Time frame: 6-10 weeks
The tertiary outcome measure determines whether participants retain the in-hospital education they received about preeclampsia signs and symptoms, blood pressure management, and appropriate follow-up actions. This is assessed through the semi-structured interviews by asking participants, in their own words, to describe signs and symptoms associated with preeclampsia, what they would do if they recognized those symptoms, and whether they remember any education about preeclampsia and blood pressure management if they are unable to identify the signs and symptoms.
Contact information is provided by the study sponsor or research team.
Memorial Hermann Health System
Other
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