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Evaluation of a Health System Integrated Model for Postpartum Education and Support in Rural Populations
Sponsor: Wake Forest University Health Sciences
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
Conditions
Interventions
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