Addressing Postpartum Visit Attendance Through Mobile Health: A Feasibility Pilot Randomized Controlled Trial of Postpartum Mobile Van Visits
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Clinic Postpartum Care, Mobile Postpartum Care.
- Who it may be relevant to
- Registry conditions: Postpartum, Neonatal. Basic parameters: from 18 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The goal of this clinical trial is to learn whether offering postpartum checkups in a mobile medical van makes it easier for new mothers to complete their postpartum care after giving birth at Women \& Infants Hospital. The main questions it aims to answer are: Does having a postpartum visit in a mobile medical van make it easier for patients to attend their postpartum checkup? Are patients as satisfied with postpartum care provided in the mobile van as they are with care provided in the clinic? Researchers will compare postpartum visits completed in the mobile medical van with postpartum visits completed in the clinic to see whether the mobile van improves access to postpartum care and the patient experience. Participants will: 1. Be randomly assigned to have their postpartum visit either in the mobile medical van or at the clinic. 2. Complete a standard postpartum checkup with a healthcare provider. 3. Fill out a few short surveys about their experience with their postpartum care.
Interventions
- Other Clinic Postpartum Care
Standard postpartum care delivered in the outpatient clinic. - Other Mobile Postpartum Care
Standard postpartum care delivered in a mobile medical van instead of the traditional outpatient clinic.
Primary outcome measures
- To assess the feasibility of delivering postpartum care via a mobile health van by evaluating the proportion of planned visits successfully conducted in the mobile van. [Time frame: Through study completion, approximately 1 year]
Secondary outcome measures (1)
- Assess postpartum appointment attendance rates at the mobile van versus the standard in-person visit [Time frame: Through study completion, approximately 1 year]
Eligibility criteria
Inclusion criteria
- Age 18 years or older
- Delivered a live infant at Women \& Infants Hospital
- Reside within the geographic area serviced by the mobile van
- Plans to remain in the area for at least 3 months postpartum
- Able to provide informed consent
Exclusion criteria
- Severe maternal medical complications requiring prolonged inpatient postpartum care (e.g., ICU stay beyond routine recovery)
- Plans to relocate outside the mobile van service area within 3 months postpartum
- Cognitive impairment or psychiatric conditions that would interfere with the ability to provide informed consent or participate in study procedures
- Participation in another postpartum intervention study that may influence visit attendance or care delivery
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Supportive care
Study locations
United States · 1 center
- Women & Infants Hospital of Rhode Island — Providence
Publications
- Edgerley LP, El-Sayed YY, Druzin ML, Kiernan M, Daniels KI. Use of a community mobile health van to increase early access to prenatal care. Matern Child Health J. 2007 May;11(3):235-9. doi: 10.1007/s10995-006-0174-z. Epub 2007 Jan 23. PMID 17243022
- Malone NC, Williams MM, Smith Fawzi MC, Bennet J, Hill C, Katz JN, Oriol NE. Mobile health clinics in the United States. Int J Equity Health. 2020 Mar 20;19(1):40. doi: 10.1186/s12939-020-1135-7. PMID 32197637
- Gibson J, McKenzie-McHarg K, Shakespeare J, Price J, Gray R. A systematic review of studies validating the Edinburgh Postnatal Depression Scale in antepartum and postpartum women. Acta Psychiatr Scand. 2009 May;119(5):350-64. doi: 10.1111/j.1600-0447.2009.01363.x. Epub 2009 Mar 2. PMID 19298573
- Bohnert KM, Breslau N. Assessing the performance of the short screening scale for post-traumatic stress disorder in a large nationally-representative survey. Int J Methods Psychiatr Res. 2011 Mar;20(1):e1-5. doi: 10.1002/mpr.331. PMID 21516187
- Lowe B, Decker O, Muller S, Brahler E, Schellberg D, Herzog W, Herzberg PY. Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population. Med Care. 2008 Mar;46(3):266-74. doi: 10.1097/MLR.0b013e318160d093. PMID 18388841
- Stucky BD, Gottfredson NC, Panter AT, Daye CE, Allen WR, Wightman LF. An item factor analysis and item response theory-based revision of the Everyday Discrimination Scale. Cultur Divers Ethnic Minor Psychol. 2011 Apr;17(2):175-185. doi: 10.1037/a0023356. PMID 21604841
- Foronda C, Baptiste DL, Reinholdt MM, Ousman K. Cultural Humility: A Concept Analysis. J Transcult Nurs. 2016 May;27(3):210-7. doi: 10.1177/1043659615592677. Epub 2015 Jun 28. PMID 26122618
- Hook JN, Davis DE, Owen J, Worthington EL, Utsey SO. Cultural humility: measuring openness to culturally diverse clients. J Couns Psychol. 2013 Jul;60(3):353-366. doi: 10.1037/a0032595. Epub 2013 May 6. PMID 23647387
Identifiers
NCT: NCT07747519 · 00000556