Preeclampsia complicates approximately 8% of all pregnancies. A critical factor of outpatient monitoring is patient education; specifically, education regarding nature of the disease, ongoing short- and long-term risks, and warning signs and symptoms for worsening of disease. This study aims to compare patient knowledge using a novel illustration based app compared to standard discharge instructions.
Preeclampsia complicates approximately 8% of all pregnancies. While many patients improve following delivery, the disease process remains a leading cause for postpartum morbidity and mortality. A critical factor of outpatient monitoring is patient education; specifically, education regarding nature of the disease, ongoing short- and long-term risks, and warning signs and symptoms for worsening of disease. There is a gap in the literature regarding effective, patient-centered educational tools specifically addressing these elements, especially in the postpartum period. The investigators propose a pilot, randomized controlled trial of postpartum patients with preeclampsia. The intervention of interest is an illustration-based, educational mobile device application (app) focused on the short- and long-term risks associated with preeclampsia and warning signs and symptoms of worsening disease postpartum. The control for this study will be the same information in a text-only format, also accessed through a mobile device app. The investigators central hypothesis is that an illustration-based app will improve knowledge of preeclampsia among postpartum patients compared to text-only educational material. Specific Aim 1: Compare the difference in preeclampsia knowledge score from text-only versus illustration-based education 24 hours post intervention (short-term). The investigators hypothesize that patients who receive illustration-based education will have a) higher preeclampsia knowledge scores at 24 hours post-intervention compared to text-only educational materials and b) a greater increase in preeclampsia knowledge score from baseline (pre-test) compared to text-only education. Specific Aim 2: Compare the difference in preeclampsia knowledge score from text-only versus illustration-based education \>4 weeks post intervention (long-term). The investigators hypothesize that patients who receive illustration-based education will have a) higher preeclampsia knowledge scores at \> 4 weeks post-intervention compared to text-only educational materials and b) a greater increase in preeclampsia knowledge score from baseline (pre-test) compared to text-only education.
Study Type
INTERVENTIONAL
Illustrations regarding the cause, risks, and warning signs of preeclampsia
Standard preeclampsia discharge instructions
MemorialCare Long Beach Medical Center
Long Beach, California, United States
Preeclampsia knowledge score - short
Short term preeclampsia knowledge score. Scored from 0-24, with 24 demonstrating the most correct answers to the assessment
Time frame: Measured at 24 hours postpartum
Preeclampsia knowledge score - long
Long term preeclampsia knowledge score. Scored from 0-24, with 24 demonstrating the most correct answers to the assessment
Time frame: Measured between 4 - 6 weeks postpartum
GAD-7 score
Generalized anxiety score. A score of 0-4 demonstrating none or minimal anxiety, 5-9 mild anxiety, 10-14 moderate anxiety, 15-21 severe anxiety
Time frame: Measured between 4-6 weeks postpartum
72 hour BP check
Adherence to a blood pressure check
Time frame: Measured 72 hours after hospital discharge
Number of participants who attend a postpartum visit
Adherence to one postpartum visit
Time frame: Measured within 6 weeks postpartum
Daily BP recordings
Percent of daily blood pressure recordings at home
Time frame: Measured within 6 weeks postpartum
Accessed material
Number of times information accessed postpartum
Time frame: Measured at 6 weeks postpartum
Unplanned readmission
Number of unplanned readmissions related to preeclampsia
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Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
36
Time frame: Measured at 6 weeks postpartum