Preeclampsia Educational Program Study (PrEPS)

NCT ID: NCT06373367

Last Updated: 2025-10-09

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-10-01

Study Completion Date

2026-05-31

Brief Summary

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Preeclampsia complicates approximately 8% of all pregnancies. A critical factor of outpatient monitoring is patient education; specifically, education regarding nature of the disease, ongoing short- and long-term risks, and warning signs and symptoms for worsening of disease. This study aims to compare patient knowledge using a novel illustration based app compared to standard discharge instructions.

Detailed Description

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Preeclampsia complicates approximately 8% of all pregnancies. While many patients improve following delivery, the disease process remains a leading cause for postpartum morbidity and mortality. A critical factor of outpatient monitoring is patient education; specifically, education regarding nature of the disease, ongoing short- and long-term risks, and warning signs and symptoms for worsening of disease. There is a gap in the literature regarding effective, patient-centered educational tools specifically addressing these elements, especially in the postpartum period.

The investigators propose a pilot, randomized controlled trial of postpartum patients with preeclampsia. The intervention of interest is an illustration-based, educational mobile device application (app) focused on the short- and long-term risks associated with preeclampsia and warning signs and symptoms of worsening disease postpartum. The control for this study will be the same information in a text-only format, also accessed through a mobile device app.

The investigators central hypothesis is that an illustration-based app will improve knowledge of preeclampsia among postpartum patients compared to text-only educational material.

Specific Aim 1: Compare the difference in preeclampsia knowledge score from text-only versus illustration-based education 24 hours post intervention (short-term). The investigators hypothesize that patients who receive illustration-based education will have a) higher preeclampsia knowledge scores at 24 hours post-intervention compared to text-only educational materials and b) a greater increase in preeclampsia knowledge score from baseline (pre-test) compared to text-only education.

Specific Aim 2: Compare the difference in preeclampsia knowledge score from text-only versus illustration-based education \>4 weeks post intervention (long-term). The investigators hypothesize that patients who receive illustration-based education will have a) higher preeclampsia knowledge scores at \> 4 weeks post-intervention compared to text-only educational materials and b) a greater increase in preeclampsia knowledge score from baseline (pre-test) compared to text-only education.

Conditions

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Preeclampsia Preeclampsia Severe Preeclampsia Mild Preeclampsia Postpartum

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Illustration

This study arm will receive education via an illustration based application

Group Type EXPERIMENTAL

Illustration based application

Intervention Type OTHER

Illustrations regarding the cause, risks, and warning signs of preeclampsia

Text

This study arm will receive education via text based application

Group Type ACTIVE_COMPARATOR

Text based application

Intervention Type OTHER

Standard preeclampsia discharge instructions

Interventions

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Illustration based application

Illustrations regarding the cause, risks, and warning signs of preeclampsia

Intervention Type OTHER

Text based application

Standard preeclampsia discharge instructions

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Preeclampsia with or without severe features
* Able to read and speak English
* Consistent access to mobile device with QR-reading capability and ability to access mobile-device application.
* Pre-and postnatal care provided by OB Clinic (resident clinic) or Magella (maternal-fetal medicine)

Exclusion Criteria

* Patient age \< 18 years old
* Non-English speaking
* Current enrollment in another trial targeting postpartum preeclampsia parameters
* Arm width \>40cm (XL Cuff)
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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MemorialCare Health System

OTHER

Sponsor Role lead

Responsible Party

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Megan Oakes

MD MCSI

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Megan Oakes, MD MSCI

Role: PRINCIPAL_INVESTIGATOR

Magella Medical Group, MemorialCare

Locations

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MemorialCare Long Beach Medical Center

Long Beach, California, United States

Site Status

Countries

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United States

References

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Igdoura SA, Herscovics A, Lal A, Moremen KW, Morales CR, Hermo L. Alpha-mannosidases involved in N-glycan processing show cell specificity and distinct subcompartmentalization within the Golgi apparatus of cells in the testis and epididymis. Eur J Cell Biol. 1999 Jul;78(7):441-52. doi: 10.1016/s0171-9335(99)80071-5.

Reference Type BACKGROUND
PMID: 10472797 (View on PubMed)

Dol J, Hughes B, Bonet M, Dorey R, Dorling J, Grant A, Langlois EV, Monaghan J, Ollivier R, Parker R, Roos N, Scott H, Shin HD, Curran J. Timing of maternal mortality and severe morbidity during the postpartum period: a systematic review. JBI Evid Synth. 2022 Sep 1;20(9):2119-2194. doi: 10.11124/JBIES-20-00578.

Reference Type BACKGROUND
PMID: 35916004 (View on PubMed)

Shree R, Hatfield-Timajchy K, Brewer A, Tsigas E, Vidler M. Information needs and experiences from pregnancies complicated by hypertensive disorders: a qualitative analysis of narrative responses. BMC Pregnancy Childbirth. 2021 Nov 2;21(1):743. doi: 10.1186/s12884-021-04219-0.

Reference Type BACKGROUND
PMID: 34724906 (View on PubMed)

You WB, Wolf MS, Bailey SC, Grobman WA. Improving patient understanding of preeclampsia: a randomized controlled trial. Am J Obstet Gynecol. 2012 May;206(5):431.e1-5. doi: 10.1016/j.ajog.2012.03.006. Epub 2012 Mar 13.

Reference Type BACKGROUND
PMID: 22542120 (View on PubMed)

You WB, Wolf M, Bailey SC, Pandit AU, Waite KR, Sobel RM, Grobman W. Factors associated with patient understanding of preeclampsia. Hypertens Pregnancy. 2012;31(3):341-9. doi: 10.3109/10641955.2010.507851. Epub 2010 Sep 22.

Reference Type BACKGROUND
PMID: 20860492 (View on PubMed)

Chames MC, Livingston JC, Ivester TS, Barton JR, Sibai BM. Late postpartum eclampsia: a preventable disease? Am J Obstet Gynecol. 2002 Jun;186(6):1174-7. doi: 10.1067/mob.2002.123824.

Reference Type BACKGROUND
PMID: 12066093 (View on PubMed)

Collier AY, Molina RL. Maternal Mortality in the United States: Updates on Trends, Causes, and Solutions. Neoreviews. 2019 Oct;20(10):e561-e574. doi: 10.1542/neo.20-10-e561.

Reference Type BACKGROUND
PMID: 31575778 (View on PubMed)

Ditisheim A, Wuerzner G, Ponte B, Vial Y, Irion O, Burnier M, Boulvain M, Pechere-Bertschi A. Prevalence of Hypertensive Phenotypes After Preeclampsia: A Prospective Cohort Study. Hypertension. 2018 Jan;71(1):103-109. doi: 10.1161/HYPERTENSIONAHA.117.09799. Epub 2017 Nov 13.

Reference Type BACKGROUND
PMID: 29133363 (View on PubMed)

Gestational Hypertension and Preeclampsia: ACOG Practice Bulletin, Number 222. Obstet Gynecol. 2020 Jun;135(6):e237-e260. doi: 10.1097/AOG.0000000000003891.

Reference Type BACKGROUND
PMID: 32443079 (View on PubMed)

Other Identifiers

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461-24

Identifier Type: -

Identifier Source: org_study_id

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