Postpartum, Pregnancy Related
Conditions
Brief summary
The goal of this clinical trial is to learn if a program Woman's Hospital has made, called the Her Health Program, can help women be healthy and get healthcare in the first year after having a baby. The main question\[s\] the study aims to answer are: * Can the Her Health program increase access to healthcare in the first year postpartum? * Can the Her Health program increase knowledge about healthcare and change feelings toward the healthcare system? Participants will complete one research visit in which they will be enrolled and told which group they will be in- Her Health Program group or Usual Care group. If they are placed in the Her Health Program group, they will receive their usual care + the addition of an extra healthcare team member(called a community health navigator) to to work with patients and care team for a year postpartum. Researchers will compare those who receive the Her Health Program and those who do not receive the program to see if the Her Health Program can help women get healthcare in the first year after having a baby.
Interventions
BEHAVIORALHer Health Program
Addition of a community health worker navigator to assist subject in navigating their health in the first year postpartum.
Sponsors
Donaghue Medical Research Foundation
Elizabeth F Sutton, PhD
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* At least 16 years old at the time of consent. * Gave birth within 7 days before randomization * Medicaid enrolled * Address of residence within a disadvantaged area (ADI\>5). * Clearly understands the study procedures and visit schedule, alternative treatments, and risks involved with the study, and voluntarily agrees to participate by giving verbal and written informed consent
Exclusion criteria
* Use of private health insurance exclusively * Does not speak English. * Plans to move out of state during the study time period * Unwilling to provide permission to link study records, medical records, and Medicaid and Vital Records Database records. * Unwilling to provide informed consent * Unwilling to be randomized.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postpartum visit attendance | 12 weeks postpartum | Visit attended between 6-12 weeks of delivery (yes/no) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Medical trust | 12 months postpartum | Group-Based Medical Mistrust Scale; scores range from 12-60 with higher scores indicating more mistrust |
| Health literacy | 12 months postpartum | Rapid Estimate of Adult Literacy in Medicine (REALM); scores 0-66; higher score indicates high literacy |
| Self-efficacy | 12 months postpartum | PROMIS General Self-Efficacy; scores range 5-50; higher score indicates higher self-efficacy |
| Healthcare costs | 12 months postpartum | total cost of healthcare from Medicaid Claims Database within the first 12 months after delivery |
Countries
United States
Outcome results
None listed