Addressing Postpartum Visit Attendance Through Mobile Health: A Feasibility Pilot Randomized Controlled Trial of Postpartum Mobile Van Visits
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Clinic Postpartum Care, Mobile Postpartum Care.
- Кому может быть актуально
- Состояния в реестре: Postpartum, Neonatal. Базовые параметры: от 18 лет · Женщины.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- США
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Обзор
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.
Вмешательства
- Другое Clinic Postpartum Care
Standard postpartum care delivered in the outpatient clinic. - Другое Mobile Postpartum Care
Standard postpartum care delivered in a mobile medical van instead of the traditional outpatient clinic.
Первичные конечные точки
- 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. [Срок оценки: Through study completion, approximately 1 year]
Вторичные конечные точки (1)
- Assess postpartum appointment attendance rates at the mobile van versus the standard in-person visit [Срок оценки: Through study completion, approximately 1 year]
Критерии участия
Критерии включения
- 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
Критерии исключения
- 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
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Открытое
- Основная цель
- Поддерживающая терапия
Центры проведения
США · 1 центр
- Women & Infants Hospital of Rhode Island — Providence
Публикации
- 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
Идентификаторы
NCT: NCT07747519 · 00000556