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Behavioural Intervention

Facilitated Transition Group for High Blood Pressure

N/A
Waitlist Available
Led By Mark A Clapp, MD, MPH
Research Sponsored by Massachusetts General Hospital
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
* Admitted to Mass General Hospital on a postpartum care unit after delivery
* Have anxiety, depression, chronic hypertension, pregnancy-related hypertensive disorder, pre-pregnancy diabetes, gestational diabetes, or pre-pregnancy Class 2 obesity documented in the current "problem list," medical history, or clinical notes that appear in their electronic health record
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 122 days after delivery
Awards & highlights

Summary

The lack of postpartum primary care coordination is a missed opportunity to increase primary care engagement and manage chronic conditions early in life, especially for the \>30% of pregnant people who have or are at risk for these conditions. This study aims to increase postpartum primary care engagement, quality, and experience by strengthening postpartum transitions to primary care using a behavioral economics-informed, multi-component intervention integrated into usual inpatient postpartum care. Using a randomized controlled trial and repeated outcome assessments through administrative and survey data, this study will generate rigorous, actionable evidence to ensure primary care coordination becomes standard postpartum care practice, potentially catalyzing sustained primary care engagement throughout life.

Who is the study for?
This trial is for postpartum individuals with chronic conditions such as high blood pressure, diabetes, depression, anxiety, or obesity. It aims to help those who have just given birth and are at risk of or already dealing with these health issues.
What is being tested?
The study tests a new way to improve the transition from postpartum care to regular primary care. Participants will receive extra support through a program designed using behavioral economics principles to see if it enhances their engagement and management of chronic conditions.
What are the potential side effects?
Since this intervention focuses on improving healthcare coordination rather than medication or medical procedures, there are no direct side effects associated with typical clinical trials. However, participants may experience changes in their healthcare routine.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~122 days after date of delivery
This trial's timeline: 3 weeks for screening, Varies for treatment, and 122 days after date of delivery for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Completion of a primary care visit
Patient report of having a known, reliable primary care clinician
Receipt of recommended health screening and counseling by a primary care clinician

Trial Design

2Treatment groups
Active Control
Group I: Routine CareActive Control1 Intervention
Routine postpartum care
Group II: Facilitated Transition GroupActive Control1 Intervention
The intervention is integrated into routine inpatient postpartum care and includes the following components: default PCP visit scheduling, tailored nudge messages to patients, ongoing care recommendations sent to the PCP, and a summary of recommendations after pregnancy given to the patient.

Find a Location

Who is running the clinical trial?

Harvard School of Public Health (HSPH)OTHER
276 Previous Clinical Trials
16,928,076 Total Patients Enrolled
Massachusetts General HospitalLead Sponsor
2,979 Previous Clinical Trials
13,218,980 Total Patients Enrolled
Mark A Clapp, MD, MPHPrincipal InvestigatorMassachusetts General Hospital
1 Previous Clinical Trials
360 Total Patients Enrolled
~880 spots leftby Mar 2027