Ignite Creation Date:
2024-10-26 @ 3:38 PM
Last Modification Date:
2024-10-26 @ 3:38 PM
Study NCT ID:
NCT06557005
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-08-13
Brief Title:
Facilitated Transitions From Postpartum to Primary Care Coordination for People With Chronic Conditions
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Bridges to Primary Care Transforming Postpartum Primary Care Coordination for People With Chronic Conditions
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The lack of postpartum primary care coordination is a missed opportunity to increase primary care engagement and manage chronic conditions early in life especially for the 30 of pregnant people who have or are at risk for these conditions This study aims to increase postpartum primary care engagement quality and experience by strengthening postpartum transitions to primary care using a behavioral economics-informed multi-component intervention integrated into usual inpatient postpartum care Using a randomized controlled trial and repeated outcome assessments through administrative and survey data this study will generate rigorous actionable evidence to ensure primary care coordination becomes standard postpartum care practice potentially catalyzing sustained primary care engagement throughout life
Detailed Description:
Over 30 of pregnant people have at least one chronic medical condition and 20 have certain prenatal conditions eg pregnancy-related hypertension gestational diabetes that increase the risk of chronic disease later in life While patients with these conditions are typically highly engaged in prenatal care they encounter a postpartum cliff in health system support after delivery many receive no postpartum primary care at all despite having ongoing medical needs At a time of increased stress sleep deprivation and competing demands they must navigate administrative burdens in accessing primary care often without scheduling assistance or any formal handoff between their obstetric and primary care clinician PCP These burdens may lead to avoided or delayed postpartum primary care exacerbating health inequities that existed prenatally even for those fortunate enough to have a PCP Given the many benefits of primary care this lack of obstetric-to-primary care coordination represents a missed opportunity to increase primary care engagement and manage chronic conditions earlier in life The primary objective is to increase postpartum primary care engagement quality and experience by strengthening obstetric-to-primary care coordination using a behavioral economics-informed intervention The intervention integrated into routine inpatient postpartum care includes default PCP visit scheduling tailored nudge messages to patients ongoing care recommendations sent to the PCP and a summary of recommendations after pregnancy given to the patient Using a robust randomized controlled trial of 1320 participants that is built off of the teams pilot study the proposed study will Aim 1 measure the interventions impact on postpartum primary care visit completion sustained engagement and disparities in these outcomes Aim 2 measure the interventions impact on high-value primary care service use and Aim 3 measure the interventions impact on patient experience The study will generate rigorous actionable evidence to ensure primary care coordination becomes standard postpartum care practice and will provide insight into postpartum patients health care experiences By targeting a vulnerable population at a time of great need and opportunity postpartum-to-primary care coordination has the potential to catalyze sustained primary care engagement throughout life and improve long-term health
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None