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NCT06337799 | Not yet recruiting | Preeclampsia


Use of Allied-health Professionals to Improve Treatment of Disease
Sponsor:

University of Iowa

Information provided by (Responsible Party):

Philip Polgreen

Brief Summary:

The goal of this clinical trial is to learn if allied-health professionals can recruit and follow research participants, sustain engagement, and improve and diagnose treatment of diseases by facilitating transitions of care. Participants will: Take their blood pressure at home and return it to the research team; Follow up with a research pharmacist for 12 months; Return for a follow up visit after 12 months.

Condition or disease

Preeclampsia

Intervention/treatment

Research Pharmacist

Phase

Not Applicable

Detailed Description:

After consent, a research pharmacist will virtually monitor the participant's blood pressure until the 12-month follow up visit. The research pharmacists will have access to the participant's electronic medical records to monitor and document medications and clinic blood pressures for analysis . Participants will be asked to measure and return 14 blood pressure measurements (2x per day for 7 days) using our text messaging platform. They will be allowed to choose the times that they are sent reminders to measure their blood pressure. If a participant has blood pressure values sufficient for a hypertension diagnosis, the pharmacist will communicate via electronic medical record with the participant's primary care team. If they do not have a primary care provider, the pharmacist will facilitate finding one. The pharmacist will continue monitoring the participant and making recommendations to the primary care team through the electronic medical record to quickly adjust therapy to improve blood pressure control. The pharmacists will typically contact the participants (via participant's choice of phone, text, or email) every 2-3 weeks while their hypertension is uncontrolled. Once under control, the pharmacist will continue to contact the participant at least every 2 months to support adherence and reassess control.}}

Study Type : Interventional
Estimated Enrollment : 200 participants
Masking : None (Open Label)
Primary Purpose : Prevention
Official Title : Use of Non-physician Allied-health Professionals to Recruit (and Follow) Research Participants, Sustain Engagement, and Improve and Diagnose Treatment of Diseases by Facilitating Transitions of Care
Actual Study Start Date : October 2026
Estimated Primary Completion Date : March 2030
Estimated Study Completion Date : March 2030
Arm Intervention/treatment

Experimental: Research Pharmacist Monitoring

The research pharmacist will help the mother find a primary care physician if she doesn't have one and discuss strategies to lower blood pressure, if needed. The pharmacist interactions will occur 7 days after enrollment and then approximately every 2 weeks to 2 months during 12 months of follow up, depending on blood pressure control. They may recommend medications to the participant's physician. The pharmacist will have access to the participant's electronic medical record to obtain any blood pressure-related medications that the mother is prescribed as well as throughout the follow up to ensure any health-related conditions can be discussed.

Behavioral: Research Pharmacist

Ages Eligible for Study: 18 Years to 55 Years
Sexes Eligible for Study: Female
Accepts Healthy Volunteers: No
Criteria
Inclusion Criteria
  • Biological mothers delivering at UIHC or attending a well-child visit for an infant between 1 month and 9 months
  • Preeclampsia during pregnancy
  • Preceived prenatal care at UIHC
  • Owns a smartphone
Exclusion Criteria
  • Arm circumference greater than 17 inches
  • Prisoner status
  • Unable to provide own written informed consent

Use of Allied-health Professionals to Improve Treatment of Disease

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Use of Allied-health Professionals to Improve Treatment of Disease

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