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NCT Number: NCT07572604

Community Health Worker Assessment for Postpartum Health

The goal of this randomized controlled trial is to compare the CAREPATH intervention with standard of care on postpartum outcomes among up to 500 postpartum individuals. The CAREPATH includes 3 postpartum telehealth visits from a perinatal CHW.

The study will address the following aims:

Aim 1: Compare: A) CARE PATH and B) standard of care among postpartum individuals on:

Aim 1.A: postpartum visit completion.

* Hypothesis 1.A: Patients assigned to the CARE PATH will have higher completion of their postpartum visit compared to those receiving standard of care.

Aim 1.B: early detection of postpartum complications.

* Hypothesis 1.B: Patients assigned to the CARE PATH will be more likely to experience early detection of postpartum complications that arise compared to those receiving standard of care.

Aim 1.C: hospital readmission and ED visits postpartum.

* Hypothesis 1.C: Patients assigned to the CARE PATH will be less likely to have hospital readmission or an ED visit compared to those receiving standard of care.

Aim 2: Explore the impact of A) CARE PATH and B) standard of care on reproductive life planning/contraceptive counseling.

* Hypothesis 2: Patients assigned to the CARE PATH will be more likely to report reproductive life planning/contraceptive counseling.

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Key information

Conditions

Postpartum Complication Behavior Health Behavior Health Care Seeking Behavior Patient Acceptance of Health Care Treatment Adherence and Compliance

Age range

16 year–44 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Age 16-44 years old
≤ 38 weeks pregnant
Ability to speak English, Spanish or Marshallese

Exclusion criteria

Type 1 diabetes on an insulin pump followed closely by endocrinology
Uncontrolled Type 2 diabetes
End stage renal disease followed closely by nephrology
ICU admission at any point during pregnancy or delivery hospitalization
Other maternal conditions requiring additional surgeries (i.e. cesarean hysterectomy or intrapartum or postpartum oophorectomy/appendectomy)
Incarceration
Mental disability limiting decision-making capacity
Uncontrolled chronic hypertension
HELLP syndrome during pregnancy
Sickle cell disease
Maternal heart condition or heart disease
Opioid use disorder
Lupus
Thrombophilia or blood clots
Other maternal conditions or complications, known during pregnancy or delivery hospitalization, requiring prolonged hospitalization postpartum

Treatment and study plan

CAREPATH

Behavioral

Patients will received standard of care plus three telehealth visits with a perinatal community health worker.

Standard of care

Other

Patients will receive standard of care which includes: education on postpartum complications symptoms and when to call their healthcare provider, assistance scheduling their postpartum visit, and any healthcare deemed necessary by providers.

Primary outcomes

Postpartum visit completion

Time frame: 6 weeks postpartum

Binary measure (yes/no) of visit completion

Study contacts

Contact information is provided by the study sponsor or research team.

Brett Rowland, MA

CONTACT

[email protected]

4797138661

Kenny Halloran

CONTACT

[email protected]

4797138661

Sponsors and collaborators

Lead sponsor

University of Arkansas

Other

Collaborators

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Registry information

Official study title

Community Health Worker Assessment for Postpartum Health (CAREPATH)

Acronym: CAREPATH

Important dates

Study start: 2026
Primary completion: 2029
Study completion: 2029
First posted: May 7, 2026
Registry last updated: May 7, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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