IMPACT: Improving Maternal Postpartum Access to Care Through Telemedicine
University of Texas Southwestern Medical Center
Summary
The purpose of this study is to compare two complex, multi-component evidence-based postpartum interventions in underserved populations of lower socioeconomic status in an effort to reduce maternal morbidity and mortality.
Description
This large, multi-center randomized controlled trial will compare two multi-component postpartum care models via hybrid type 1 design conducted in two phases. An initial phase (phase 1) will collect baseline data and ensure patient input into final study. In phase 2, women will be randomized. Comparators are evidenced- based approaches: (1) an intensive in-person education with virtual education via push notifications using an electronic health record web portal; (2) a telehealth model using serial encounters. The "push" approach using notifications directly contrasts with the "pull" approach…
Eligibility
- Age range
- 18+ years
- Sex
- Female
- Healthy volunteers
- Yes
Inclusion Criteria: * Postpartum women who deliver a live born infant at Parkland Hospital or Grady Health and receive postpartum care at dedicated community clinics. * Due to the nature of the study, all will be women, and all will be postpartum, thus of reproductive age. Postpartum women 18 years of age and older will be considered for inclusion if informed consent can be obtained. Exclusion Criteria: * Postpartum women who do not deliver at Parkland Hospital or Grady Health will not receive postpartum care in the pre-specified community clinics for Parkland health systems. * Patients wit…
Interventions
- OtherIntensive Education
Intervention will consist of virtual education and communication through scheduled push notifications
- OtherEnhanced Virtual Care
Intervention will utilize a telehealth model consisting of "pull" approach of patient engagement.
Locations (2)
- Emory University School of MedicineAtlanta, Georgia
- University of Texas Southwestern Medical CenterDallas, Texas