NCT07747519

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

75
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
100

participants targeted

Target at P50-P75 for not_applicable

Timeline
10mo left

Started Jun 2026

Geographic Reach
1 country

1 active site

Status
enrolling by invitation

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 Progress14%
Jun 2026Jun 2027

Study Start

First participant enrolled

June 17, 2026

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

July 19, 2026

Completed
17 days until next milestone

First Posted

Study publicly available on registry

August 5, 2026

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 17, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 17, 2027

Last Updated

August 5, 2026

Status Verified

June 1, 2026

Enrollment Period

1 year

First QC Date

July 19, 2026

Last Update Submit

July 30, 2026

Conditions

Keywords

Postpartum CarePostpartum Mobile CarePostpartum Mobile VisitsMobile VanPostpartum Appointment

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 COMPARATOR

Participants receive their routine postpartum visit in the outpatient clinic according to standard practice.

Other: Clinic Postpartum Care

Mobile Postpartum Visit

ACTIVE COMPARATOR

Participants 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.

Other: Mobile Postpartum Care

Interventions

Standard postpartum care delivered in the outpatient clinic.

Clinic Postpartum Visit

Standard postpartum care delivered in a mobile medical van instead of the traditional outpatient clinic.

Mobile Postpartum Visit

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Location

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: 17243022BACKGROUND
  • Malone 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: 32197637BACKGROUND
  • Gibson 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: 19298573BACKGROUND
  • Bohnert 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: 21516187BACKGROUND
  • Lowe 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: 18388841BACKGROUND
  • Stucky 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: 21604841BACKGROUND
  • Foronda 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: 26122618BACKGROUND
  • Hook 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: 23647387BACKGROUND
  • Lemon 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: 36244624BACKGROUND
  • Mbuthia 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: 31694578BACKGROUND
  • Yu 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: 28982362BACKGROUND
  • Attipoe-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: 32429920BACKGROUND
  • Managed 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: 9738195BACKGROUND
  • Howell EA. Reducing Disparities in Severe Maternal Morbidity and Mortality. Clin Obstet Gynecol. 2018 Jun;61(2):387-399. doi: 10.1097/GRF.0000000000000349.

    PMID: 29346121BACKGROUND
  • Kozhimannil 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: 26762249BACKGROUND
  • Danilack 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: 30631991BACKGROUND
  • ACOG 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

Locations