Community health worker coaching to lower heart risk after a hypertensive pregnancy
Official title: Community Health Worker Coaching to Reduce CVD Disease Risk Among Women After a Hypertensive Disorder of Pregnancy
Run by University of South Carolina · NCT07457970 · Data updated 2026-11-12
This program tests whether adding community health worker–led lifestyle coaching to remote blood pressure monitoring helps women who had high blood pressure during pregnancy better control blood pressure and lower heart disease risk.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 240 (estimated) |
| Sponsor | University of South Carolina Academic / other |
| Locations | 1 site (Columbia, South Carolina) |
| Status | Recruiting |
| Started | April 24, 2026 |
| Main results expected | July 15, 2029 |
| Study ends | July 15, 2029 |
| Registry record updated | May 4, 2026 |
| Trial ID | NCT07457970 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are pregnant women at or after 28 weeks with a current or prior hypertensive disorder of pregnancy or chronic hypertension, carrying a single fetus, with phone access and plans to deliver at Prisma Health-Midlands Hospital.
✕Probably not a fit
Women with multiple gestations, major fetal anomalies, who do not speak English, or who delivered more than 14 days earlier are excluded and would not be eligible to benefit from this program.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The study will enroll 240 pregnant women from 28 weeks gestation through delivery who have current or prior hypertensive disorders of pregnancy or chronic hypertension and a singleton pregnancy. All participants receive an automated blood pressure cuff with remote monitoring for the first 6 weeks postpartum, with daily checks initially and reduced frequency through week 6; readings flow into the electronic medical record and nurses follow up on missed or concerning values. The enhanced-care arm adds a community health worker–led lifestyle coaching program beginning after the initial monitoring period to address weight, diet, activity, and mental well-being. Primary outcomes include blood pressure control and average resting blood pressure by 6 months postpartum, with secondary outcomes including weight, diet and activity measures, mental health, and emergency visits or readmissions.
Why it matters
Potential benefit: If successful, the combined remote monitoring and community health worker coaching could help postpartum women achieve better blood pressure control and reduce longer-term cardiovascular risk.
How similar studies have gone: Remote blood pressure monitoring has shown benefit for postpartum hypertension and community health worker lifestyle programs have improved cardiovascular risk factors in other populations, but combining these approaches in the postpartum hypertensive population is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * 28 weeks gestation * A current hypertensive disorders in pregnancy or chronic hypertension * Singletons * Access to phone * Plan to deliver at Prisma Health-Midlands Hospital. Exclusion Criteria: * Multiples * Fetal anomaly * Don't speak English * Already delivered a baby greater than 14 days ago.
Where it's running
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University of South Carolina
Columbia, South Carolina, United States Recruiting
Study contacts
- Study coordinator: Jihong Liu, Sc.D
- Email: jliu@mailbox.sc.edu
- Phone: 18037776854
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.