Community Health Worker Support to Lower Blood Pressure After a Pregnancy With High Blood Pressure

Part of paid clinical trials in Birmingham, Alabama.

Sponsor
University of Alabama at Birmingham
Study ID
NCT07778966
Status
Not Yet Recruiting

Notify me when recruiting opens

Save your spot on the interest list for this study. We'll keep your details with this study so our team can follow up when recruiting opens.

Not yet recruiting

Add your contact details and location so we can keep your interest tied to this study.

Conditions

  • Eclampsia
  • Gestational Hypertension
  • HELLP Syndrome
  • Hypertension, Stage 2
  • Postpartum Hypertension
  • Preeclampsia
  • Pregnancy-Associated Hypertension

Eligibility Criteria

Sex
FEMALE
Age
16 Years - 56 Years
Healthy Volunteers
Not accepted

Interventions

  • AW2H Community Health Worker (CHW) Program — BEHAVIORAL
    Six-month CHW program delivered in partnership with ConnectionHealth. Visit/contact frequency: Approximately 2 times/week for weeks 1-5, weekly for weeks 6-12, and monthly for weeks 13-26; visits may be in person or virtual (phone/video). CHWs coach home blood pressure monitoring with ACOG-concordant escalation guidance, reinforce antihypertensive medication adherence, educate on postpartum danger signs and long-term cardiovascular risk, remind about postpartum and pediatric visits, counsel on breastfeeding and contraception, coach on AHA Life's Essential 8 behaviors, assist with scheduling and attending a primary care appointment, provide mother-baby guidance (safe sleep, immunizations, developmental milestones), and offer trauma-informed emotional support.
  • Usual postpartum care with SMBP education and home BP monitor — OTHER
    Standardized self-measured blood pressure (SMBP) education and a pregnancy-validated iHealth BP Cuff Kit provided before hospital discharge, plus written educational materials on hypertensive disorders of pregnancy and other adverse pregnancy outcomes, long-term CVD risk, and postpartum danger signs.

Study Details

High blood pressure during or after pregnancy (such as preeclampsia, gestational hypertension, eclampsia, or HELLP syndrome) raises a mother's risk of heart disease later in life. Many patients do not return for follow-up care after delivery, missing a key window to protect their heart health. The Alabama Womb to Heart Solution (AW2H) trial will test whether pairing postpartum patients with a trained community health worker (CHW) for 6 months lowers blood pressure compared with usual care. A total of 174 postpartum patients who had pregnancy-associated hypertension or stage 2 high blood pressure will be randomly assigned (1:1) to usual care or usual care plus the AW2H CHW program. All participants receive education on measuring their own blood pressure and a pregnancy-validated home blood pressure monitor. Participants in the CHW group are also contacted regularly by a CHW for 6 months. CHWs coach home blood pressure monitoring, support taking blood pressure medications as prescribed, encourage heart-healthy habits based on the American Heart Association's Life's Essential 8, help schedule a primary care visit, provide mother-baby education (such as safe sleep and immunizations), and offer emotional support. The main outcome is systolic blood pressure 6 months after enrollment, measured at home with the study-provided monitor while a research coordinator observes in person or by video/phone. The study will also look at diastolic blood pressure and whether participants scheduled a primary care visit. Interviews and focus groups will explore participant, CHW, and provider experiences with the program.

Key Dates

First listed
Aug 21, 2026
Start date
Aug 31, 2026
Status verified
Aug 2026
Primary completion
Jul 30, 2029
Completion
Jul 30, 2030

Study Design

Enrollment
174 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Active Comparator: Usual Care
    CVD-prevention education before hospital discharge from the delivery-associated hospitalization, including brief self-measured blood pressure education, a pregnancy-validated iHealth BP Cuff Kit, and written education on hypertensive disorders of pregnancy, long-term cardiovascular risk, and postpartum danger signs.
  • Experimental: Usual Care + AW2H Community Health Worker Program
    Usual care (as in Arm 1) plus enrollment in the AW2H community health worker (CHW) program for 6 months.

Primary Outcome Measure

Systolic Blood Pressure (SBP) [ Time Frame: 6 months post-enrollment ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
University of Alabama at Birmingham (UAB Women and Infants Center)BirminghamAlabama35233-

Find similar trials in Birmingham, AL

By research site
University of Alabama at Birmingham (UAB Women and Infants Center)· Birmingham, AL

Related Studies