The goal of this interventional study is to learn from patients and healthcare providers at 4 health institutions (study sites) in Abuja and Kano in Nigeria what ways to best develop the content of a Hypertensive Disorders of Pregnancy ( HDP) Management package for pregnant women, and evaluate the effectiveness of implementing this package in improving cardiovascular health of pregnant women. The main question it aims to answer is: Will a contextualized home BP monitoring program lead to better BP control among patients with HDP in Nigeria?
This study aims to contextualize, implement, and evaluate the feasibility, fidelity, and acceptability and effectiveness of: 1) postpartum remote blood pressure monitoring, 2) patient education, 3) development of a standardized postpartum follow-up protocol, and 4) provision of free and/or subsidized antihypertensive medications for patients with HDP in University of Abuja, Murtala Muhammad Specialist Hospital, National Hospital, Abuja and Aminu Kano Teaching Hospital all in Nigeria. These components collectively make up a contextualized postpartum BP monitoring program called the HDP Implementation Bundle. The long-term objective is to implement a contextualized and acceptable evidence-based postpartum home BP monitoring program with supporting services and components, at 4 tertiary care institutions in Nigeria, to improve postpartum BP control in patients with HDP using a multilevel approach.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
1,200
The HDP Implementation Bundle will consist of 4 main blocks namely; patient education, home BP monitoring, a contextualized follow-up protocol and provision of free anti-hypertensives if need. Collectively, these will lead to design and development of a contextualized home BP monitoring program.
National Hospital, Abuja
Abuja, Nigeria
RECRUITINGUniversity of Abuja Teaching Hospital
Abuja, Nigeria
RECRUITINGAminu Kano Teaching Hospital
Kano, Nigeria
RECRUITINGMurtala Muhammad Specialist Hospital
Kano, Nigeria
RECRUITINGBetween group difference in change in systolic BP from baseline to 6-week follow-up
The change in systolic BP from baseline to 6-week follow-up between the intervention and control group
Time frame: Baseline to 6 weeks
Between group differences in change in diastolic BP at 6 weeks follow-up and change in both systolic an diastolic BP at 12 weeks
The change in diastolic BP from baseline to 6-week follow-up between the intervention and control groups.
Time frame: Baseline to 6(and 12) weeks
Between group differences in systolic and diastolic BP at 12 weeks follow-up
The change mean systolic and diastolic BPs 12 weeks follow-up between the intervention and control group
Time frame: Baseline to 12 weeks
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.