Telehealth Multi-Component Optional Model (MOM) Study

NCT ID: NCT06095960

Last Updated: 2025-03-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

1500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-02-12

Study Completion Date

2027-12-31

Brief Summary

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The aim of this study is to conduct a comparative effectiveness evaluation using a randomized control trail design among diverse women to compare two postpartum care models: 1) Telehealth Multicomponent Optimal Model (Telehealth MOM) and 2) enhanced standard of care (ESoC). This study will address critical gaps in knowledge about how best to deliver comprehensive postpartum care that ensures timely identification and treatment of complications and meets the needs and preferences of diverse patients, including disproportionately-impacted racial groups and rural residents.

Detailed Description

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Conditions

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Maternal Health

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Telehealth MOM

Telehealth MOM. Each patient will receive ESoC which includes: education on the symptoms to watch for and when to call their healthcare provider, an in-person comprehensive postpartum visit around 6 weeks postpartum, and any additional care deemed necessary by their health care providers. Patients in the Telehealth MOM arm will be also provided with a remote monitoring blood pressure cuff and thermometer and will be instructed to take their blood pressure and temperature twice a day for 14 days after discharge from the hospital. A Registered Nurse will monitor blood pressure and temperature readings over the 14-day period and will contact the patient if the readings are out of range to discuss symptoms and the recommend a course of action. A Registered Nurse will conduct an early postpartum telehealth visit between 10-14 days postpartum.

Group Type EXPERIMENTAL

Telehealth MOM

Intervention Type BEHAVIORAL

Patients will receive enhanced standard of care plus remote blood pressure monitoring, remote thermometer, and a 10- to 14-day post-partum telehealth visit.

Enhanced Standard of Care

Enhanced standard of care (ESoC). Each patient will be provided education on the symptoms to watch for and when to call their healthcare provider. Patients will be scheduled for a comprehensive postpartum visit around 6 weeks postpartum and any additional care deemed necessary by their health care providers.

Group Type ACTIVE_COMPARATOR

Enhanced Standard of Care

Intervention Type OTHER

Patients will receive enhanced standard of care which includes: education on symptoms and when to call their healthcare provider, comprehensive 6-week post-partum visit, and any healthcare deemed necessary by providers.

Interventions

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Telehealth MOM

Patients will receive enhanced standard of care plus remote blood pressure monitoring, remote thermometer, and a 10- to 14-day post-partum telehealth visit.

Intervention Type BEHAVIORAL

Enhanced Standard of Care

Patients will receive enhanced standard of care which includes: education on symptoms and when to call their healthcare provider, comprehensive 6-week post-partum visit, and any healthcare deemed necessary by providers.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Pregnant women between 16-35 weeks gestation
* Age 18-44 years
* Ability to speak English, Spanish, or Marshallese
* Participants may have either a vaginal birth or cesarean section birth

Exclusion Criteria

* Type 1 diabetes on an insulin pump followed closely by endocrinology
* Uncontrolled Type 2 diabetes
* End stage renal disease followed closely by nephrology
* ICU admission at any point during pregnancy or delivery hospitalization
* Other maternal conditions requiring additional surgeries (i.e. cesarean hysterectomy or intrapartum or postpartum oophorectomy/appendectomy)
* Incarceration
* Mental disability limiting decision-making capacity
* Uncontrolled chronic hypertension
* HELLP syndrome during pregnancy
* Sickle cell disease
* Maternal heart condition or heart disease
* Opioid use disorder
* Lupus
* Thrombophilia or blood clots
* Need for blood transfusion during delivery hospitalization
* Other maternal conditions or complications, known during pregnancy or delivery hospitalization, requiring prolonged hospitalization postpartum
Minimum Eligible Age

18 Years

Maximum Eligible Age

44 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Patient-Centered Outcomes Research Institute

OTHER

Sponsor Role collaborator

University of Arkansas

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jennifer Callaghan-Koru, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Arkansas

Pearl McElfish, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Arkansas

Locations

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UAMS El Dorado FMC

El Dorado, Arkansas, United States

Site Status NOT_YET_RECRUITING

UAMS Fayetteville FMC

Fayetteville, Arkansas, United States

Site Status RECRUITING

UAMS Fort Smith FMC

Fort Smith, Arkansas, United States

Site Status RECRUITING

UAMS Jonesboro FMC

Jonesboro, Arkansas, United States

Site Status NOT_YET_RECRUITING

UAMS Health Women's Center

Little Rock, Arkansas, United States

Site Status RECRUITING

UAMS Springdale FMC

Springdale, Arkansas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Brett Rowland, MA

Role: CONTACT

4797138661

Kacie Simpson, BS

Role: CONTACT

4797138661

Facility Contacts

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Kenny Halloran

Role: primary

Kenny Halloran

Role: primary

Kenny Halloran

Role: primary

Kenny Halloran

Role: primary

Kenny Halloran

Role: primary

Kenny Halloran

Role: primary

Other Identifiers

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276311

Identifier Type: -

Identifier Source: org_study_id

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