Trial of Community-based Patient Navigation

Launched by EMORY UNIVERSITY · Oct 18, 2022

Keywords

ClinConnect Summary

This clinical trial is studying how a community-based patient navigator can help support pregnant women who are at higher risk due to social and health challenges. The trial will involve 540 pregnant women who are Black, English-speaking, and covered by Medicaid. These women will be enrolled before 20 weeks of pregnancy and will be randomly divided into two groups: one group will receive the navigation support, while the other will not. The goal is to see if this support can improve health outcomes for mothers and their babies and reduce health disparities.

To be eligible for the study, women need to be at least 18 years old, pregnant with a single baby, and have at least one unmet social need identified through a standard health assessment. Participants can expect to be part of a supportive program from mid-pregnancy until one year after their baby is born. This trial is currently recruiting participants, and if successful, it could lead to better care practices for high-risk pregnant women at Grady and other similar healthcare facilities.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • A pregnant woman or individual (inclusive of all gender identities) who is Black and English-speaking (by self-report),
• • ≥18 years of age who is capable of consenting for oneself and who presents for prenatal care with a singleton pregnancy ≤ 20 weeks gestation (confirmed by medical record),
• • covered by Medicaid
• • for whom the AHC-Health Related Social Needs Tool (administered as part of standard clinical care for prenatal patients) identifies ≥1 unmet social needs
• • expectation to receive prenatal care and deliver at Grady and be available through 12-months postpartum to assure opportunity for exposure to the intervention, process, and outcome measure ascertainment.
• Exclusion Criteria:
• • The intent to transfer care to a health system outside of metro Atlanta
• • incarceration, which would interfere with intervention provision and outcome ascertainment
• • adults unable to give consent
• • individuals who are not yet adults
• • prisoners
• • cognitively impaired individuals with impaired decision-making capacity
• • individuals who are not able to clearly understand and speak English (as the PPP-PN intervention is only available in English at this time)