Randomized Controlled Trial of Two Mobile Health Strategies to Manage Postpartum Hypertension
SMART BP
1 other identifier
interventional
770
1 country
3
Brief Summary
A multicenter randomized trial that will compare the effectiveness of two postpartum blood pressure (BP) management strategies in improving blood pressure and cardiac function and increasing patient engagement and feeling of control over one's health
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2026
Longer than P75 for not_applicable
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 30, 2025
CompletedFirst Posted
Study publicly available on registry
October 6, 2025
CompletedStudy Start
First participant enrolled
March 2, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2029
ExpectedStudy Completion
Last participant's last visit for all outcomes
November 1, 2029
May 22, 2026
April 1, 2026
3.6 years
September 30, 2025
May 20, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Mean diastolic blood pressure (DBP)
Assessed by 24-hour ambulatory blood pressure monitor (ABPM)
12 months postpartum
Secondary Outcomes (10)
Blood pressure outcome: Mean systolic blood pressure (SBP)
12 months postpartum
Blood pressure outcome: Mean nocturnal DBP
12 months postpartum
Blood pressure outcome: Mean nocturnal SBP
12 months postpartum
Blood pressure outcome: Mean DBP
12 months postpartum
Chronic Hypertension
12 months postpartum
- +5 more secondary outcomes
Study Arms (2)
High-touch blood pressure management
EXPERIMENTALLow-touch blood pressure management
EXPERIMENTALInterventions
Twelve weeks of text-based home blood pressure monitoring with BP self-management and team-based care
10 days of text-based home blood pressure monitoring
Eligibility Criteria
You may qualify if:
- Age ≥18 years
- Delivery within 14 days
- Diagnosis of preeclampsia or gestational hypertension with or without severe features during pregnancy or within 14 days postpartum
- Initiation of blood pressure medication prior to hospital discharge and up to 14 days postpartum
- English or Spanish speaking (able to read/understand consent and instructions)
- Has phone texting capabilities
You may not qualify if:
- Diagnosis of chronic hypertension prior to delivery (would therefore include super imposed preeclampsia)
- Pre-existing cardiovascular disease (including prior myocardial infarction, stroke, heart failure with reduced ejection fraction, ventricular tachycardia, prior cardiac arrest, pacemaker, severe valvular heart disease, or prior cardiac surgery)
- Chronic kidney disease (stage 3 or higher)
- Using ≥3 BP medications at time of enrollment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
NYU Langone Health
New York, New York, 10022, United States
The Ohio State University
Columbus, Ohio, 43210, United States
University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jennifer Lewey, MD, MPH
University of Pennsylvania
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Assistant Professor of Medicine (Cardiovascular Medicine)
Study Record Dates
First Submitted
September 30, 2025
First Posted
October 6, 2025
Study Start
March 2, 2026
Primary Completion (Estimated)
October 1, 2029
Study Completion (Estimated)
November 1, 2029
Last Updated
May 22, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will share