Improving health after Preeclampsia

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Welcome to the Provider Page of Heart Health 4 Moms

This study may interest your patients who:

  • Have had preeclampsia in the past five years
  • Are not currently hypertensive
  • Have access to a Smartphone or tablet
  • Speak English or Spanish
  • Are interested in improving their health!
Printer-Friendly Recruitment Flyers (English and Spanish)
 

Heart Health 4 Moms (HH4M) is a randomized clinical trial of an online lifestyle modification program to help mothers who have recently had preeclampsia reduce their risk of future cardiovascular disease (CVD).

As you may know, women with a history of preeclampsia have double the incidence of heart disease and stroke in the decades after pregnancy, as well as elevated risks of chronic hypertension and type 2 diabetes. The American Heart Association (AHA) and the American College of Obstetrics and Gynecology include preeclampsia as a risk factor for future cardiovascular disease. The AHA recommends CVD risk reduction actions for women with prior preeclampsia that are similar to those for other "at risk" groups: cessation of cigarette smoking, physical activity, weight reduction (if overweight or obese), and the Dietary Approaches to Stop Hypertension (DASH) or similar diet.

The HH4M Study is intended to bring these tools directly to women with a history of preeclampsia. The study team has worked with patients through focus groups to develop a novel internet-based program to provide information and tools for CVD risk reduction. The program is accessible by Smartphone or tablet, and is available in both English and Spanish.

Participants are randomized to receive either:

  -  A website with links to information promoting a heart-healthy lifestyle, including: AHA's diet and lifestyle recommendations, the National Institutes of Health Dietary Approaches to Stop Hypertension site, the National Cancer Institute smoking cessation site, and the Preeclampsia Foundation site with more information about the connection between preeclampsia and heart disease (included in references below).

OR

  -  A website including: 1) 12 instructional modules regarding healthy eating, physical activity, problem-solving to overcome barriers in reaching healthy eating and physical activity goals, as well as a module developed by clinicians and patients alike to provide participants the tools necessary to further discuss their history of preeclampsia with their clinicians; 2) access to a Lifestyle Coach (registered dietitian) to help set goals and provide information and support; 3) an online community of other mothers in the study; and 4) a Toolbox with newly developed resources, such as recipes, meal plans, and other useful tools for added support.

Participants are enrolled in the study for nine months. Bluetooth-enabled blood pressure monitors and scales are provided to participants at the study start and are used along with questionnaires at baseline, three months, and nine months, to test the program’s acceptability, use, and impact. Upon completion of the study, the participants may keep the devices and receive up to $250.

We are currently enrolling participants (~150 total subjects) in this nationwide study, run by Brigham and Women’s Hospital (BWH), a teaching hospital affiliated with Harvard Medical School in Boston, Massachusetts and a member of Partners Health Care system, in collaboration with the Preeclampsia Foundation. For further details regarding this research, please feel free to contact the Principal Investigators, Dr. Ellen Seely, MD at This email address is being protected from spambots. You need JavaScript enabled to view it. and Dr. Janet Rich-Edwards, ScD, MPH at This email address is being protected from spambots. You need JavaScript enabled to view it..

This trial is funded by the Patient-Centered Outcomes Research Institute (PCORI) in the United States. The ClinicalTrials.gov identifier is: NCT02147626.

All participants are reminded that participation in the program is not meant to replace any care from their regular health care provider(s).

If you have patients who may be interested in participating in Heart Health 4 Moms...Please feel free to share our recruitment flyers (available for download in English and Spanish). If you would like recruitment materials mailed directly to you, or if you have any other questions or inquiries, please contact our HH4M Research Coordinator, Joeli Katz at This email address is being protected from spambots. You need JavaScript enabled to view it..


Thank you for visiting!
The HH4M Team


References:

Preeclampsia Foundation Health Alert: Preeclampsia May Be Associated with Heart Disease and Stroke Later in Life (2016). Available at http://www.preeclampsia.org/health-information/heart-disease-stroke

Seely E, Tsigas E, Rich-Edwards JW. Preeclampsia and future cardiovascular disease in women: how good are the data and how can we manage our patients? Seminars in Perinatology 2015; 39 (4): 276-283.

Mosca L, Benjamin EJ, Berra K,et al. Effectiveness-based guidelines for the prevention of cardiovascular disease in women—2011 update: a guideline from the American Heart Association. Circulation. 2011;123(11):1243–1262.

Bushnell C, McCollough LG, AwadI S ,et al.Guidelines for the prevention of stroke in women: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014;45(5):1545–1588.