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American Heart Association

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Final ID: MDP1205

The Impact of Community Health Workers in a Pre-existing Postpartum Hypertension Program

Abstract Body (Do not enter title and authors here): Background: Maternal mortality in the United States continues to rise, with hypertensive disorders of pregnancy (HDP) playing a significant role in adverse outcomes. Patients of color have worse outcomes compared to their White counterparts. Data in non-pregnant patients suggests community health workers (CHWs) can help mitigate disparities and improve HDP outcomes. Does exposure to a CHW improve patient education about HDP and satisfaction and are these findings different between Black and non-Black patients?

Methods: This was a prospective survey study that enrolled patients delivering at the University of Chicago (UCM). Patients with HDP are automatically enrolled in a standardized postpartum hypertension education program (STAMPP-HTN) where they receive education and a blue tooth compatible blood pressure monitor. Patients who did not record their blood pressures were contacted by a CHW and surveyed about their experience. Results were compared between Black and Non-Black patients using a Wilcoxon Rank Sum, X2 or Fisher’s Exact test, as appropriate.

Results: There were 32 survey responses from 22 respondents and 15 patients with complete baseline data, 6 of whom were Black and 9 of whom were non-Black. There were no differences in age, insurance status, or pregnancy outcomes between groups. Additionally, of the 32 survey responses, there were no significant differences in experiences with a CHW between Black and non-Black patients. Table 1 outlines the impact of CHW on patient’s education and attitude towards HDP. Most patients found that CHW involvement increased the amount of time they checked their blood pressure (76%) with no difference between races (p=0.23). Overall, 84% patients (strongly agreed or agreed) that their CHW knows the important issues about their healthcare.

Conclusion: The incorporation of a CHW program into a pre-existing postpartum hypertension program was overall well-received by patients with no racial disparity. The program increased the patient’s understanding of HDP and lead to a better follow up of their blood pressures values. Further work is needed to determine how this program impacts long-term patient’s outcomes.
  • Azzi, Marly  ( University of Chicago , Chicago , Illinois , United States )
  • Bisson, Courtney  ( University of Chicago , Chicago , Illinois , United States )
  • Everett, Arin  ( University of Chicago , Chicago , Illinois , United States )
  • Potchileev, Sanela  ( University of Chicago , Chicago , Illinois , United States )
  • Mueller, Ariel  ( University of Chicago , Chicago , Illinois , United States )
  • Duncan, Colleen  ( University of Chicago , Chicago , Illinois , United States )
  • Rana, Sarosh  ( University of Chicago , Chicago , Illinois , United States )
  • Author Disclosures:
    Marly Azzi: DO NOT have relevant financial relationships | Courtney Bisson: No Answer | Arin Everett: DO NOT have relevant financial relationships | Sanela Potchileev: DO NOT have relevant financial relationships | Ariel Mueller: No Answer | Colleen Duncan: DO NOT have relevant financial relationships | Sarosh Rana: No Answer
Meeting Info:

Scientific Sessions 2024

2024

Chicago, Illinois

Session Info:

Emerging Insights into Hypertension in Pregnancy and the Postpartum Period

Sunday, 11/17/2024 , 03:15PM - 04:30PM

Moderated Digital Poster Session

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