Community Support + MTM for Pregnancy-Induced Hypertension

This trial aims to determine if additional support from Community Health Workers and Social Workers, combined with specialized medication management, can improve outcomes for pregnant women with high blood pressure. Participants will monitor their blood pressure at home and receive support through an app. The trial includes two groups: one will receive the extra support and regular medication check-ins, while the other will continue with standard prenatal care. This trial suits pregnant women, up to 34 weeks, who have high blood pressure and are currently taking at least one medication.

As an unphased trial, this study provides a unique opportunity for participants to contribute to research that could enhance prenatal care for women with high blood pressure.

Research has shown that Medication Therapy Management (MTM) is generally easy for people to handle. MTM helps individuals manage their medications by ensuring they are safe, effective, and taken correctly. No specific reports of serious side effects from MTM itself have emerged.

Researchers are excited about this trial because it combines personalized support with medication management in a way that's different from typical care for pregnancy-induced hypertension. Unlike standard treatments that focus mainly on medication, this approach adds a unique layer of virtual support from Community Health Workers and Social Workers to address non-medical health needs. Additionally, it includes remote blood pressure monitoring to better manage and adjust treatments. This holistic strategy aims to improve adherence to treatment plans and reduce risks for both mother and baby, making it a promising option to explore.

In this trial, participants in the experimental arm will receive a combination of Community Health Worker (CHW) and Social Worker (SW)-led non-medical health-related needs (NMHRN) intervention, along with Clinician-Led Medication Therapy Management (MTM) and remote blood pressure monitoring. Research has shown that involving CHWs and SWs can significantly aid in managing high blood pressure, as patients working with CHWs are more likely to maintain control over their blood pressure. Additionally, MTM ensures patients use their medications correctly and adhere to treatment plans, resulting in better health outcomes. Combining these methods with home blood pressure monitoring has proven effective in managing high blood pressure, particularly during pregnancy. These strategies aim to lower blood pressure and reduce risks for both the mother and baby. Participants in the control group will receive standard prenatal and postpartum care without these additional interventions.⁶⁷⁸⁹¹⁰