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RECRUITING
NCT06682520
NA

Evaluation of a Health System Integrated Model for Postpartum Education and Support in Rural Populations

Sponsor: Wake Forest University Health Sciences

View on ClinicalTrials.gov

Summary

This study was designed to evaluate the implementation of the Nurse Education and Support Team (NEST) Program for postpartum women who reside in 5 rural counties in North Carolina. Overarching Hypothesis: Mothers and infants residing in rural communities, randomized to the NEST-Rural care model over the 3-year course of the project will: 1. Receive more coordinated care for addressing social, mental and physical health needs. 2. Experience fewer postpartum hospital readmissions and decreased utilization of emergency departments (ED) for healthcare. 3. Experience higher adherence to American College of Obstetricians and Gynecologists (ACOG) and American Academy of Pediatrics (AAP) guidelines for preventive care, including recently updated ongoing postpartum care, serial well-child visits and vaccinations compared to those assigned to usual care. This group will be compared to those assigned to usual care,

Official title: Evaluation of a Health System Integrated Model for Postpartum Education and Support in Rural Populations - NEST-Rural

Key Details

Gender

FEMALE

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

1300

Start Date

2024-12-04

Completion Date

2029-12

Last Updated

2025-10-28

Healthy Volunteers

Yes

Interventions

OTHER

Postpartum NEST-Rural Program (Hospital based service model)

NEST-Rural services will include 3-5 nurse encounters and, if indicated, up to 3 social work encounters with mothers and their infants in the postpartum period, postpartum remote blood pressure monitoring, breastfeeding support, infant weight checks, linking mothers and infants to needed social, behavioral, and health-related resources, and integration of service delivery with healthcare providers.

Locations (1)

Atrium Health Wake Forest Baptist

Winston-Salem, North Carolina, United States