We Care About Brooklyn - A Digital Behavioral Intervention to Optimize Engagement in Maternal Healthcare

State University of New York - Downstate Medical Center80 enrolled

Overview

The goal of this clinical trial is to test a behavioral intervention in pregnant women who identify as Black and live in Central Brooklyn. The main question it aims to answer is whether the WeCAB intervention leads to a net improvement in utilization of postpartum care compared to those receiving usual care. The WeCAB group will have a dedicated WeCAB community health worker who will be trained in digital care navigation. Researchers will compare the WeCAB group versus the group receiving usual care to see if the patients randomized to WeCAB will have higher rates of early post-partum care compared to patients in the control group.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Maternal Health Pregnant Women

Interventions

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 49 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Eligible participants for the pilot RCT will be patients * aged 18-49 years (childbearing age) * residing in a Central Brooklyn zip code * self-reporting as Black, * who speak English or Haitian Creole, and * plan to deliver or present for delivery at University Hospital at Downstate (UHD). * In NYC, SMM increases incrementally with later entry into prenatal care (1st trimester: 208/10,000 deliveries; 2nd trimester: 252/10,000; 3rd trimester: 297/10,000; None: 575/10,000). 3 Accordingly, in order to capture the full range of SMM risk profiles for our pilot study, any pregnant patient/client visiting our clinics will be eligible for enrollment from 13 weeks gestation through delivery, thus allowing follow-up to 3 months post-partum within the 2-year study timeline. Exclusion Criteria: * Patients planning to move outside of New York City in the ensuing 3 months post-partum * Patients demonstrating an impairment that limits their ability to provide informed consent.

Outcomes

Primary Outcomes

Initiation of postpartum care

Initiation of postpartum care within 6 weeks of delivery

Time frame: 13 weeks until 3 months postpartum

Secondary Outcomes

Maternal death

Death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes.

Time frame: 13 weeks until 3 weeks postpartum