[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"hypertension-stage-2\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:hypertension-stage-2":33},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,1,0,[8],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":19,"enrollmentInfo":20,"targetDuration":4,"studyType":23,"phases":24,"briefSummary":26,"conditions":27,"keywords":35,"overallStatus":45,"whyStopped":4,"lastUpdateSubmitDate":46,"lastUpdatePostDateStruct":47,"startDateStruct":50,"completionDateStruct":52,"leadSponsor":54,"locationsCount":5},"100652879","community-health-worker-support-to-lower-blood-pressure-after-a-pregnancy-with-high-blood-pressure-100652879",false,"NCT07778966","Community Health Worker Support to Lower Blood Pressure After a Pregnancy With High Blood Pressure","Alabama Womb to Heart Solution: A Community-Based Cardiovascular Health Intervention After Hypertension in Pregnancy","AW2H","Inclusion Criteria:\n\n* Postpartum patients with pregnancy-associated hypertension (gestational hypertension, preeclampsia, eclampsia, hypertension with superimposed preeclampsia, or HELLP syndrome) or stage 2 hypertension per ACC\u002FAHA guidelines (SBP \\>=140 mmHg or DBP \\>=90 mmHg) on two separate occasions at delivery-related hospital discharge or during the postpartum period\n* Delivered in the last six weeks at \\>=14 weeks gestational age, including pregnancy loss\n* 16-56 years old\n* Speaks and writes in English\n* Delivering at UAB Hospital\n\nExclusion Criteria:\n\n* Declines randomization\n* Does not speak English\n* Currently incarcerated\n* Currently enrolled in other community health worker studies or services","FEMALE","16 Years","56 Years",{"count":21,"type":22},174,"ESTIMATED","INTERVENTIONAL",[25],"NA","High blood pressure during or after pregnancy (such as preeclampsia, gestational hypertension, eclampsia, or HELLP syndrome) raises a mother's risk of heart disease later in life. Many patients do not return for follow-up care after delivery, missing a key window to protect their heart health. The Alabama Womb to Heart Solution (AW2H) trial will test whether pairing postpartum patients with a trained community health worker (CHW) for 6 months lowers blood pressure compared with usual care.\n\nA total of 174 postpartum patients who had pregnancy-associated hypertension or stage 2 high blood pressure will be randomly assigned (1:1) to usual care or usual care plus the AW2H CHW program. All participants receive education on measuring their own blood pressure and a pregnancy-validated home blood pressure monitor. Participants in the CHW group are also contacted regularly by a CHW for 6 months. CHWs coach home blood pressure monitoring, support taking blood pressure medications as prescribed, encourage heart-healthy habits based on the American Heart Association's Life's Essential 8, help schedule a primary care visit, provide mother-baby education (such as safe sleep and immunizations), and offer emotional support.\n\nThe main outcome is systolic blood pressure 6 months after enrollment, measured at home with the study-provided monitor while a research coordinator observes in person or by video\u002Fphone. The study will also look at diastolic blood pressure and whether participants scheduled a primary care visit. Interviews and focus groups will explore participant, CHW, and provider experiences with the program.",[28,29,30,31,32,33,34],"Pregnancy-Associated Hypertension","Gestational Hypertension","Preeclampsia","Eclampsia","HELLP Syndrome","Hypertension, Stage 2","Postpartum Hypertension",[36,37,38,39,40,41,42,43,44],"Community health worker","Postpartum","Blood pressure","Self-measured blood pressure monitoring","Cardiovascular disease prevention","Life's Essential 8","Hypertensive disorders of pregnancy","Alabama","Primary care linkage","NOT_YET_RECRUITING","2026-08-18",{"date":48,"type":49},"2026-08-21","ACTUAL",{"date":51,"type":22},"2026-08-31",{"date":53,"type":22},"2030-07-30",{"name":55,"class":56},"University of Alabama at Birmingham","OTHER"]