Facilitated Transitions to Primary Care for Postpartum Individuals with Chronic Conditions
This study is looking at ways to improve healthcare for people with chronic conditions like high blood pressure (hypertension), diabetes, or anxiety after giving birth. Many people with these conditions don't get the primary care they need after delivery. This study is testing an intervention called "Facilitated Transition to Primary Care." This includes scheduling your primary care doctor (PCP) visit for you, sending you helpful messages, and sharing care recommendations with your PCP. The goal is to see if these steps help more people complete a primary care visit, get recommended health screenings, and feel like they have a reliable PCP within about five months after delivery. This study is for women aged 18 and older who are receiving obstetric care at an MGH-affiliated practice and are pregnant or have recently delivered.
- Study design
- This is an interventional study planning to enroll 1320 participants. It is a randomized controlled trial, meaning participants will be assigned by chance to different groups.
- What's involved
- Not specified in the trial record.
- Compensation
- Not stated in the trial record.
- Follow-up
- The study will measure outcomes up to 155 days (about 5 months) after your delivery date.
AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.
Facilitated Transitions From Postpartum to Primary Care Coordination for People With Chronic Conditions
At a glance
Conditions
Where it's being run
1 sites across 1 statesStudy leadership
- Mark A Clapp, MD, MPH · PRINCIPAL_INVESTIGATOR · Massachusetts General Hospital
Who to contact
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Do you actually qualify for this trial?
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Inclusion
What this trial measures
- Completion of a primary care visit155 days after date of delivery
Observation of a visit with a primary care practitioner (defined as physicians and advanced practice clinicians affiliated with the following medical specialties: internal medicine, family medicine, pediatrics and adolescent medicine, and gynecology).
- Receipt of condition-specific recommended health screening and counseling by a primary care practitioner155 days after date of delivery
For individuals with gestational hypertensive disorders, appropriate management is defined as blood pressure screening by a primary care practitioner as documented in the electronic health record. For individuals with gestational diabetes, appropriate management is defined as observation of a postpartum glucose screening testing (e.g., GTT, HgbA1c) in the electronic health record. For individuals with chronic conditions, appropriate management is defined as receipt of both condition-specific screening (mood, weight, blood pressure and/or diabetes screening) and receipt of counseling, discussion of a management, and/or referral for or acknowledgment of subspecialist management for that condition by a primary care practitioner as documented in the electronic health record. "
- Self-report of having a known, reliable primary care practitioner155 days after date of delivery
The outcome is the Self-report of having a known, reliable primary care practitioner (doctor, nurse practitioner, or physician's assistant).
- Self-report of mental health155 days after date of delivery
Edinburgh Perinatal Depression Scale will be administered and the total EPDS score compared.