Exploring the Effect of Discharge Education, Blood Pressure Cuffs, and Postpartum Bracelets to Improve Health Among Newly Diagnosed Gestational Hypertension and Preeclampsia Patients During the Postpartum Period.

NCT07807098 | Not Yet Recruiting

• 1 other identifier: HSC-SN-25-0783
• Study Type: interventional
• Target: 40
• Locations: 0 countries
• Sites: N/A

Brief Summary

This pilot, exploratory qualitative, descriptive study will examine whether standard postpartum discharge education, a free home blood pressure cuff, and an "At-Risk Postpartum" bracelet support self-management among postpartum patients newly diagnosed with preeclampsia or gestational hypertension at Memorial Hermann Memorial City Medical Center. Up to 40 eligible patients will receive standard postpartum education supplemented with blood pressure monitoring instruction, the Preeclampsia Foundation's blood pressure guidance sheet, and a bracelet intended to serve as a visual reminder of postpartum risk. Participants will complete virtual interviews at 6 and 10 weeks post-discharge to assess home blood pressure monitoring, knowledge retention, perceived usefulness of the bracelet, self-advocacy, and barriers to following recommended self-management behaviors. Findings will help determine whether these low-burden educational and practical tools can improve postpartum awareness, engagement, and safety, and will inform the design of a larger future study.

Conditions

Preeclampsia; Gestational Hypertension; Postpartum

Keywords

Preeclampsia; Gestational Hypertension; Postpartum; Postpartum bracelet; Blood pressure cuff; Self-efficacy; Self-management

Outcome Measures

Primary Outcomes (1)

• Evidence of Blood Pressure Self-Management

  The primary outcome measure assesses whether the intervention supports postpartum blood pressure self-management among participants newly diagnosed with gestational hypertension or preeclampsia. This outcome is evaluated through the 6-week and 10-week semi-structured interview by asking participants if they are using tools to measure their blood pressure, and what action they are taking to manage their blood pressure and what barriers they face.

  6-10 weeks

Secondary Outcomes (1)

• Postpartum Bracelet Stimulates Self-Management Behaviors

  6-10 weeks

Other Outcomes (1)

• In Hospital Preeclampsia Education on Self-Management

  6-10 weeks

Study Arms (1)

Blood Pressure Cuff, At-Risk Postpartum Bracelet, and In Hospital Preeclampsia Education

OTHER

This descriptive qualitative study has only one arm receiving hospital approve standardized discharge education, blood pressure cuff, and an at-risk bracelet. Outcomes related to self-management behaviors will be measured through recorded interviews at 6- and 10-week intervals.

Other: Education, Blood Pressure Cuff, and Visual Cue Bracelet

Interventions

Education, Blood Pressure Cuff, and Visual Cue Bracelet OTHER

In Family Life Center the intervention will be to provide standard education, at-risk bracelet, and BP cuff on discharge day. We are combining these practical tools to enhance self-management, knowledge, and engagement.

Also known as: At-Risk bracelet

Blood Pressure Cuff, At-Risk Postpartum Bracelet, and In Hospital Preeclampsia Education

Eligibility Criteria

• Gender Eligibility Details: Female only due to postpartum phase.
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• A new diagnosis of GHTN or PE, who are discharged from FLC, and express willingness to participate in virtual interviews.

You may not qualify if:

• Patients with a preexisting diagnosis of chronic hypertension or PE, or are currently on antihypertensive medications (as these factors may influence self-management behaviors and outcomes).

Sponsors & Collaborators

• Memorial Hermann Health System: lead

Related Publications (6)

• Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa

  BACKGROUND

• Strassberg ER, Fisher S, Mackeen AD, Sun H, Paglia MJ. Comparison of different methods of patient education on preeclampsia: a randomized controlled trial. J Matern Fetal Neonatal Med. 2022 Jul;35(13):2507-2511. doi: 10.1080/14767058.2020.1786524. Epub 2020 Jul 6.

  PMID: 32627621 BACKGROUND

• Noble J, Harper KD, Mitchell K, McClain EK. "I Gave Birth"-An Initiative to Improve Postpartum Care. N C Med J. 2023 Jan;84(1):24-27. doi: 10.18043/001c.67788.

  PMID: 41496166 BACKGROUND

• Hoppe KK, Thomas N, Zernick M, Zella JB, Havighurst T, Kim K, Williams M, Niu B, Lohr A, Johnson HM. Telehealth with remote blood pressure monitoring compared with standard care for postpartum hypertension. Am J Obstet Gynecol. 2020 Oct;223(4):585-588. doi: 10.1016/j.ajog.2020.05.027. Epub 2020 May 19. No abstract available.

  PMID: 32439388 BACKGROUND

• Cilenti, D., Jackson, A., Hernandez, N.D., Yates, L., Verbiest, S., Michener, J.L., & Castrucci, B.C. (2024). The Practical Playbook III: Working Together to Improve Maternal Health. Oxford University Press. (pp. 379-389). doi:10.1093/oso/9780197662984.001.0001. [https://books.google.com/books?hl=en&lr=&id=Dp_sEAAAQBAJ&oi=fnd&pg=PA379& dq=postpartum+bracelets&ots=N4Hy0uDmWs&sig=2J5l5j4uzQwbmpq8TUZziN6Hcu8#v =onepage&q&f=false

  BACKGROUND

• Arntzen E, Josendal R, Sandsaeter HL, Horn J. Postpartum follow-up of women with preeclampsia: facilitators and barriers - A qualitative study. BMC Pregnancy Childbirth. 2023 Dec 4;23(1):833. doi: 10.1186/s12884-023-06146-8.

  PMID: 38049716 BACKGROUND

MeSH Terms

Conditions

Pre-Eclampsia; Hypertension, Pregnancy-Induced

Interventions

Educational Status

Condition Hierarchy (Ancestors)

Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Hypertension; Vascular Diseases; Cardiovascular Diseases

Intervention Hierarchy (Ancestors)

Socioeconomic Factors; Population Characteristics

Central Study Contacts

Veronica Zayas, MSN

CONTACT

713-242-3207; Veronica.Zayas@memorialhermann.org

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Sr. Practitioner, Clinical Education & Professional Development-Nursing

Model Details: This study uses a single-site, qualitative descriptive model to examine how standard postpartum education, home blood pressure monitoring, and a visual risk reminder may influence self-management among patients newly diagnosed with gestational hypertension or preeclampsia. The model assumes that combining clear discharge education with practical monitoring tools and a visible reminder will increase patient awareness, reinforce the importance of blood pressure monitoring, and support timely self-advocacy after discharge.

Study Record Dates

• First Submitted: August 9, 2026
• First Posted: September 8, 2026
• Study Start: September 16, 2026
• Primary Completion (Estimated): September 1, 2027
• Study Completion (Estimated): December 1, 2027
• Last Updated: September 8, 2026

Record last verified: 2026-07

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: 3 months after completion of study publication and 5 years.
• Access Criteria: Pending