Addressing Postpartum Visit Attendance Through Mobile Health: A Feasibility Pilot Randomized Controlled Trial of Postpartum Mobile Van Visits
MVP
1 other identifier
interventional
100
1 country
1
Brief Summary
The goal of this clinical trial is to learn whether offering postpartum checkups in a mobile medical van makes it easier for new mothers to complete their postpartum care after giving birth at Women \& Infants Hospital. The main questions it aims to answer are: Does having a postpartum visit in a mobile medical van make it easier for patients to attend their postpartum checkup? Are patients as satisfied with postpartum care provided in the mobile van as they are with care provided in the clinic? Researchers will compare postpartum visits completed in the mobile medical van with postpartum visits completed in the clinic to see whether the mobile van improves access to postpartum care and the patient experience. Participants will: 1. Be randomly assigned to have their postpartum visit either in the mobile medical van or at the clinic. 2. Complete a standard postpartum checkup with a healthcare provider. 3. Fill out a few short surveys about their experience with their postpartum care.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jun 2026
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 17, 2026
CompletedFirst Submitted
Initial submission to the registry
July 19, 2026
CompletedFirst Posted
Study publicly available on registry
August 5, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 17, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
June 17, 2027
August 5, 2026
June 1, 2026
1 year
July 19, 2026
July 30, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
To assess the feasibility of delivering postpartum care via a mobile health van by evaluating the proportion of planned visits successfully conducted in the mobile van.
Through study completion, approximately 1 year
Secondary Outcomes (1)
Assess postpartum appointment attendance rates at the mobile van versus the standard in-person visit
Through study completion, approximately 1 year
Other Outcomes (2)
Mean Trust in Physician Score Measured by the Trust in Physician Scale
Through study completion, approximately 1 year
Mean Cultural Humility Score Measured by the Cultural Humility Scale
Through study completion, approximately 1 year
Study Arms (2)
Clinic Postpartum Visit
ACTIVE COMPARATORParticipants receive their routine postpartum visit in the outpatient clinic according to standard practice.
Mobile Postpartum Visit
ACTIVE COMPARATORParticipants receive their routine postpartum visit in a mobile medical van located in their community. The visit includes the same standard postpartum care that would be provided in the outpatient clinic.
Interventions
Standard postpartum care delivered in the outpatient clinic.
Standard postpartum care delivered in a mobile medical van instead of the traditional outpatient clinic.
Eligibility Criteria
You may qualify if:
- Age 18 years or older
- Delivered a live infant at Women \& Infants Hospital
- Reside within the geographic area serviced by the mobile van
- Plans to remain in the area for at least 3 months postpartum
- Able to provide informed consent
You may not qualify if:
- Severe maternal medical complications requiring prolonged inpatient postpartum care (e.g., ICU stay beyond routine recovery)
- Plans to relocate outside the mobile van service area within 3 months postpartum
- Cognitive impairment or psychiatric conditions that would interfere with the ability to provide informed consent or participate in study procedures
- Participation in another postpartum intervention study that may influence visit attendance or care delivery
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Women & Infants Hospital of Rhode Island
Providence, Rhode Island, 02905, United States
Related Publications (17)
Edgerley LP, El-Sayed YY, Druzin ML, Kiernan M, Daniels KI. Use of a community mobile health van to increase early access to prenatal care. Matern Child Health J. 2007 May;11(3):235-9. doi: 10.1007/s10995-006-0174-z. Epub 2007 Jan 23.
PMID: 17243022BACKGROUNDMalone NC, Williams MM, Smith Fawzi MC, Bennet J, Hill C, Katz JN, Oriol NE. Mobile health clinics in the United States. Int J Equity Health. 2020 Mar 20;19(1):40. doi: 10.1186/s12939-020-1135-7.
PMID: 32197637BACKGROUNDGibson J, McKenzie-McHarg K, Shakespeare J, Price J, Gray R. A systematic review of studies validating the Edinburgh Postnatal Depression Scale in antepartum and postpartum women. Acta Psychiatr Scand. 2009 May;119(5):350-64. doi: 10.1111/j.1600-0447.2009.01363.x. Epub 2009 Mar 2.
PMID: 19298573BACKGROUNDBohnert KM, Breslau N. Assessing the performance of the short screening scale for post-traumatic stress disorder in a large nationally-representative survey. Int J Methods Psychiatr Res. 2011 Mar;20(1):e1-5. doi: 10.1002/mpr.331.
PMID: 21516187BACKGROUNDLowe B, Decker O, Muller S, Brahler E, Schellberg D, Herzog W, Herzberg PY. Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population. Med Care. 2008 Mar;46(3):266-74. doi: 10.1097/MLR.0b013e318160d093.
PMID: 18388841BACKGROUNDStucky BD, Gottfredson NC, Panter AT, Daye CE, Allen WR, Wightman LF. An item factor analysis and item response theory-based revision of the Everyday Discrimination Scale. Cultur Divers Ethnic Minor Psychol. 2011 Apr;17(2):175-185. doi: 10.1037/a0023356.
PMID: 21604841BACKGROUNDForonda C, Baptiste DL, Reinholdt MM, Ousman K. Cultural Humility: A Concept Analysis. J Transcult Nurs. 2016 May;27(3):210-7. doi: 10.1177/1043659615592677. Epub 2015 Jun 28.
PMID: 26122618BACKGROUNDHook JN, Davis DE, Owen J, Worthington EL, Utsey SO. Cultural humility: measuring openness to culturally diverse clients. J Couns Psychol. 2013 Jul;60(3):353-366. doi: 10.1037/a0032595. Epub 2013 May 6.
PMID: 23647387BACKGROUNDLemon LS, Hauspurg A, Garrard W, Quinn B, Simhan HN. Neighborhood disadvantage and the racial disparity in postpartum hypertension. Am J Obstet Gynecol MFM. 2023 Jan;5(1):100773. doi: 10.1016/j.ajogmf.2022.100773. Epub 2022 Oct 13.
PMID: 36244624BACKGROUNDMbuthia F, Reid M, Fichardt A. mHealth communication to strengthen postnatal care in rural areas: a systematic review. BMC Pregnancy Childbirth. 2019 Nov 6;19(1):406. doi: 10.1186/s12884-019-2531-0.
PMID: 31694578BACKGROUNDYu SWY, Hill C, Ricks ML, Bennet J, Oriol NE. The scope and impact of mobile health clinics in the United States: a literature review. Int J Equity Health. 2017 Oct 5;16(1):178. doi: 10.1186/s12939-017-0671-2.
PMID: 28982362BACKGROUNDAttipoe-Dorcoo S, Delgado R, Gupta A, Bennet J, Oriol NE, Jain SH. Mobile health clinic model in the COVID-19 pandemic: lessons learned and opportunities for policy changes and innovation. Int J Equity Health. 2020 May 19;19(1):73. doi: 10.1186/s12939-020-01175-7.
PMID: 32429920BACKGROUNDManaged care and children with special health care needs: a subject review. American Academy of Pediatrics Committee on Children with Disabilities. Pediatrics. 1998 Sep;102(3 Pt 1):657-60. doi: 10.1542/peds.102.3.657.
PMID: 9738195BACKGROUNDHowell EA. Reducing Disparities in Severe Maternal Morbidity and Mortality. Clin Obstet Gynecol. 2018 Jun;61(2):387-399. doi: 10.1097/GRF.0000000000000349.
PMID: 29346121BACKGROUNDKozhimannil KB, Hardeman RR, Alarid-Escudero F, Vogelsang CA, Blauer-Peterson C, Howell EA. Modeling the Cost-Effectiveness of Doula Care Associated with Reductions in Preterm Birth and Cesarean Delivery. Birth. 2016 Mar;43(1):20-7. doi: 10.1111/birt.12218. Epub 2016 Jan 14.
PMID: 26762249BACKGROUNDDanilack VA, Brousseau EC, Paulo BA, Matteson KA, Clark MA. Characteristics of women without a postpartum checkup among PRAMS participants, 2009-2011. Matern Child Health J. 2019 Jul;23(7):903-909. doi: 10.1007/s10995-018-02716-x.
PMID: 30631991BACKGROUNDACOG Committee Opinion No. 736: Optimizing Postpartum Care. Obstet Gynecol. 2018 May;131(5):e140-e150. doi: 10.1097/AOG.0000000000002633.
PMID: 29683911BACKGROUND
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Maternal Fetal Medicine Fellow- Physician
Study Record Dates
First Submitted
July 19, 2026
First Posted
August 5, 2026
Study Start
June 17, 2026
Primary Completion (Estimated)
June 17, 2027
Study Completion (Estimated)
June 17, 2027
Last Updated
August 5, 2026
Record last verified: 2026-06