Preeclampsia, Preeclampsia Mild, Preeclampsia Postpartum, Preeclampsia Severe
Conditions
Keywords
preeclampsia, education
Brief summary
Preeclampsia complicates approximately 8% of all pregnancies. A critical factor of outpatient monitoring is patient education; specifically, education regarding nature of the disease, ongoing short- and long-term risks, and warning signs and symptoms for worsening of disease. This study aims to compare patient knowledge using a novel illustration based app compared to standard discharge instructions.
Detailed description
Preeclampsia complicates approximately 8% of all pregnancies. While many patients improve following delivery, the disease process remains a leading cause for postpartum morbidity and mortality. A critical factor of outpatient monitoring is patient education; specifically, education regarding nature of the disease, ongoing short- and long-term risks, and warning signs and symptoms for worsening of disease. There is a gap in the literature regarding effective, patient-centered educational tools specifically addressing these elements, especially in the postpartum period. The investigators propose a pilot, randomized controlled trial of postpartum patients with preeclampsia. The intervention of interest is an illustration-based, educational mobile device application (app) focused on the short- and long-term risks associated with preeclampsia and warning signs and symptoms of worsening disease postpartum. The control for this study will be the same information in a text-only format, also accessed through a mobile device app. The investigators central hypothesis is that an illustration-based app will improve knowledge of preeclampsia among postpartum patients compared to text-only educational material. Specific Aim 1: Compare the difference in preeclampsia knowledge score from text-only versus illustration-based education 24 hours post intervention (short-term). The investigators hypothesize that patients who receive illustration-based education will have a) higher preeclampsia knowledge scores at 24 hours post-intervention compared to text-only educational materials and b) a greater increase in preeclampsia knowledge score from baseline (pre-test) compared to text-only education. Specific Aim 2: Compare the difference in preeclampsia knowledge score from text-only versus illustration-based education \>4 weeks post intervention (long-term). The investigators hypothesize that patients who receive illustration-based education will have a) higher preeclampsia knowledge scores at \> 4 weeks post-intervention compared to text-only educational materials and b) a greater increase in preeclampsia knowledge score from baseline (pre-test) compared to text-only education.
Interventions
OTHERIllustration based application
Illustrations regarding the cause, risks, and warning signs of preeclampsia
OTHERText based application
Standard preeclampsia discharge instructions
Sponsors
MemorialCare Health System
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Preeclampsia with or without severe features * Able to read and speak English * Consistent access to mobile device with QR-reading capability and ability to access mobile-device application. * Pre-and postnatal care provided by OB Clinic (resident clinic) or Magella (maternal-fetal medicine)
Exclusion criteria
* Patient age \< 18 years old * Non-English speaking * Current enrollment in another trial targeting postpartum preeclampsia parameters * Arm width \>40cm (XL Cuff)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Preeclampsia knowledge score - short | Measured at 24 hours postpartum | Short term preeclampsia knowledge score. Scored from 0-24, with 24 demonstrating the most correct answers to the assessment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| GAD-7 score | Measured between 4-6 weeks postpartum | Generalized anxiety score. A score of 0-4 demonstrating none or minimal anxiety, 5-9 mild anxiety, 10-14 moderate anxiety, 15-21 severe anxiety |
| 72 hour BP check | Measured 72 hours after hospital discharge | Adherence to a blood pressure check |
| Number of participants who attend a postpartum visit | Measured within 6 weeks postpartum | Adherence to one postpartum visit |
| Preeclampsia knowledge score - long | Measured between 4 - 6 weeks postpartum | Long term preeclampsia knowledge score. Scored from 0-24, with 24 demonstrating the most correct answers to the assessment |
| Accessed material | Measured at 6 weeks postpartum | Number of times information accessed postpartum |
| Unplanned readmission | Measured at 6 weeks postpartum | Number of unplanned readmissions related to preeclampsia |
| Daily BP recordings | Measured within 6 weeks postpartum | Percent of daily blood pressure recordings at home |
Countries
United States
Outcome results
None listed