Study Results
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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ACTIVE_NOT_RECRUITING
NA
450 participants
INTERVENTIONAL
2024-01-22
2026-11-30
Brief Summary
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Secondary administrative data on infant birth outcomes, health care use during the first year of life (appointment adherence), and interaction with government services (such as public assistance or child welfare) will be compared between the groups.
For the intervention group, we will secondarily also assess home visit compliance and satisfaction with the intervention.
Participants will be asked to complete questionnaires that include questions about the participant, their pregnancy, their feelings, their family, and their use of social/community services. Half of the women in this study will be randomly offered free home visitation services and the other half of women in this study will receive standard services from the clinic. The intervention group will be offered at least two free home visits with a non-nurse home visitor. During these visits, the home visitor will provide them with resources and tools to help the participant prepare for their baby. All participants will complete a second round of electronic surveys at approximately 2 months postpartum.
Intervention participant outcomes will be compared to a control group that receive standard care from an obstetric clinic.
Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
SINGLE
Study Groups
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Intervention Group
Demographic and baseline measures will be obtained from the participants electronically. The participant will receive at least 1 prenatal home visit and at least 1 postpartum home visit. During the visits, the home visitor will review the screening assessments that were completed at baseline, identify health and social needs (including but not limited to referrals to substance use treatment providers, domestic violence hotline/shelters, mental health providers, applications for public assistance, and basic needs provision),work with the client to prioritize their needs, assist with applications and connections to community resources, support the participant in communicating with medical and social service providers, and provide education to help the participant advocate for their health, think ahead for after delivery (prenatal), and understand infant health and safety. At 2 months postpartum, both intervention and control groups will receive a post- survey through REDCap.
upREACH Home Visitation Program
upREACH is a brief perinatal home visitation program delivered by community health workers or similarly qualified personnel. The mission statement of the program is: Families are prepared to bring home their newborn to a safe, stable, and nurturing environment, and have access to tools, resources, and knowledge that promote family health and well-being. Through the program, families will receive a minimum of 2 home visits during pregnancy and/or postpartum from a home visitor (community health worker (CHW) or similarly qualified personnel). The home visitor will assess each family's strengths and needs so they may provide tailored support and brief education to promote maternal health and self-care, infant health and safety, and connection to and knowledge of resources (community orientation).
Control Group
Demographic and baseline measures will be obtained from the participants electronically through REDCap surveys. The participants will receive standard care from the obstetric clinic. At approximately 2 months postpartum, both intervention and control groups will receive a post- survey through REDCap.
No interventions assigned to this group
Interventions
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upREACH Home Visitation Program
upREACH is a brief perinatal home visitation program delivered by community health workers or similarly qualified personnel. The mission statement of the program is: Families are prepared to bring home their newborn to a safe, stable, and nurturing environment, and have access to tools, resources, and knowledge that promote family health and well-being. Through the program, families will receive a minimum of 2 home visits during pregnancy and/or postpartum from a home visitor (community health worker (CHW) or similarly qualified personnel). The home visitor will assess each family's strengths and needs so they may provide tailored support and brief education to promote maternal health and self-care, infant health and safety, and connection to and knowledge of resources (community orientation).
Eligibility Criteria
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Inclusion Criteria
* Receiving prenatal or postpartum care from Harris Health Clinic obstetric clinics
* Speak and read English or Spanish language.
Exclusion Criteria
* Women that do not receive perinatal or postpartum care at Harris Health obstetric clinics
* Women that are not pregnant or greater than 4 weeks postpartum (at enrollment)
FEMALE
No
Sponsors
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Baylor College of Medicine
OTHER
Responsible Party
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Cary Cain
Assistant Professor
Principal Investigators
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Cary M Cain, PhD
Role: PRINCIPAL_INVESTIGATOR
Baylor College of Medicine
Locations
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Harris Health/Baylor College of Medicine
Houston, Texas, United States
Countries
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Other Identifiers
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62823-S1
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
H-53998
Identifier Type: -
Identifier Source: org_study_id