[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100652879":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":31,"centralContacts":35,"locations":40,"responsibleParty":54,"collaborators":57,"id":66,"slug":67,"hasResults":68,"nctId":69,"briefTitle":70,"officialTitle":71,"acronym":72,"eligibilityCriteria":73,"healthyVolunteers":68,"sex":74,"minAge":75,"maxAge":76,"enrollmentInfo":77,"targetDuration":26,"studyType":80,"phases":81,"briefSummary":83,"conditions":84,"keywords":92,"overallStatus":101,"whyStopped":26,"lastUpdateSubmitDate":102,"lastUpdatePostDateStruct":103,"startDateStruct":106,"completionDateStruct":108,"leadSponsor":110,"locationsCount":111},{"fullName":5,"class":6},"University of Alabama at Birmingham","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Usual Care","ACTIVE_COMPARATOR","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.",[13],"Other: Usual postpartum care with SMBP education and home BP monitor",{"label":15,"type":16,"description":17,"interventionNames":18},"Usual Care + AW2H Community Health Worker Program","EXPERIMENTAL","Usual care (as in Arm 1) plus enrollment in the AW2H community health worker (CHW) program for 6 months.",[19,13],"Behavioral: AW2H Community Health Worker (CHW) Program",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"BEHAVIORAL","AW2H Community Health Worker (CHW) Program","Six-month CHW program delivered in partnership with ConnectionHealth. Visit\u002Fcontact frequency: Approximately 2 times\u002Fweek for weeks 1-5, weekly for weeks 6-12, and monthly for weeks 13-26; visits may be in person or virtual (phone\u002Fvideo). 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.",[15],null,{"type":6,"name":28,"description":29,"armGroupLabels":30,"otherNames":26},"Usual postpartum care with SMBP education and home BP monitor","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.",[9,15],[32],{"name":33,"affiliation":5,"role":34},"Jesse Rattan, PhD, MPH, RN","PRINCIPAL_INVESTIGATOR",[36],{"name":33,"role":37,"phone":38,"phoneExt":26,"email":39},"CONTACT","404-606-3319","jrattan@uab.edu",[41],{"facility":42,"status":26,"city":43,"state":44,"zip":45,"country":46,"countryCode":47,"cosmosGeoPoint":48,"geoPoint":53,"contacts":26},"University of Alabama at Birmingham (UAB Women and Infants Center)","Birmingham","Alabama","35233","United States","US",{"type":49,"coordinates":50},"Point",[51,52],-86.80249,33.52066,{"lat":52,"lon":51},{"type":34,"investigatorFullName":55,"investigatorTitle":56,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"Jesse Rattan","Assistant Professor, Department of Obstetrics & Gynecology",[58,61,64],{"name":59,"class":60},"National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)","NIH",{"name":62,"class":63},"ConnectionHealth","UNKNOWN",{"name":65,"class":6},"Preeclampsia Foundation","100652879","community-health-worker-support-to-lower-blood-pressure-after-a-pregnancy-with-high-blood-pressure-100652879",false,"NCT07778966","Community Health Worker Support to Lower Blood Pressure After a Pregnancy With High Blood Pressure","Alabama Womb to Heart Solution: A Community-Based Cardiovascular Health Intervention After Hypertension in Pregnancy","AW2H","Inclusion Criteria:\n\n* Postpartum patients with pregnancy-associated hypertension (gestational hypertension, preeclampsia, eclampsia, hypertension with superimposed preeclampsia, or HELLP syndrome) or stage 2 hypertension per ACC\u002FAHA guidelines (SBP \\>=140 mmHg or DBP \\>=90 mmHg) on two separate occasions at delivery-related hospital discharge or during the postpartum period\n* Delivered in the last six weeks at \\>=14 weeks gestational age, including pregnancy loss\n* 16-56 years old\n* Speaks and writes in English\n* Delivering at UAB Hospital\n\nExclusion Criteria:\n\n* Declines randomization\n* Does not speak English\n* Currently incarcerated\n* Currently enrolled in other community health worker studies or services","FEMALE","16 Years","56 Years",{"count":78,"type":79},174,"ESTIMATED","INTERVENTIONAL",[82],"NA","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.\n\nA 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.\n\nThe 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\u002Fphone. 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.",[85,86,87,88,89,90,91],"Pregnancy-Associated Hypertension","Gestational Hypertension","Preeclampsia","Eclampsia","HELLP Syndrome","Hypertension, Stage 2","Postpartum Hypertension",[93,94,95,96,97,98,99,44,100],"Community health worker","Postpartum","Blood pressure","Self-measured blood pressure monitoring","Cardiovascular disease prevention","Life's Essential 8","Hypertensive disorders of pregnancy","Primary care linkage","NOT_YET_RECRUITING","2026-08-18",{"date":104,"type":105},"2026-08-21","ACTUAL",{"date":107,"type":79},"2026-08-31",{"date":109,"type":79},"2030-07-30",{"name":5,"class":6},1]