Logo

American Heart Association

  149
  0


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

More abstracts on this topic:
An Assessment of the Baseline Characteristics of Participants in the Pilot THRIVE Food is Medicine Study

Washington India, Demarco Samantha, Tomiwa Tosin, Olusola-bello Mojisola, Kyeremeh Djanee, Mcmahon Adrian, Kramer Maya, Saldarriaga Maricielo, Chen Peiyu, Rodriguez Christy, Johnson Mia, Song Shanshan, Xiao William, Gledhill Samuel, Yeboah-manson Samuel, Kurien Natania, Vassiliadi Lydia, Freeman Jennifer, Izquierdo-porrera Anna Maria, Palencia Lessly, Sullivan Valerie, Commodore-mensah Yvonne, Alvarez Kiara, Ogungbe Bunmi, Akubo Chelsea, Adeleye Khadijat, Iribe Irma, Assani-uva Adeline, Dugbartey Janice, Sinyan Aminata

A Key Role of Proximal Tubule Renin-Angiotensin System in The Kidney in The Development of Kidney Ischemia and Reperfusion Injury

Li Xiao, Hassan Rumana, Katsurada Akemi, Sato Ryosuke, Zhuo Jia

More abstracts from these authors:
Circulating Follistatin-like 3 and its Association with Postpartum Cardiac Dysfunction and Severe Maternal Morbidity

Azzi Marly, Potchileev Sanela, Dreixler John, Mueller Ariel, Rana Sarosh, Shahul Sajid

Institutional Demographics and Outcomes of Admitted Patients with Hypertensive Disorders of Pregnancy

Azzi Marly, Potchileev Sanela, Burns Luke, Mueller Ariel, Rana Sarosh

You have to be authorized to contact abstract author. Please, Login
Not Available