preeclampsia educational program study (preps)

Conditions: Preeclampsia; Preeclampsia Severe; Preeclampsia Mild; Preeclampsia Postpartum

Summary: preeclampsia complicates approximately 8% of all pregnancies. a critical factor of outpatient monitoring is patient education; specifically, education regarding nature of the disease, ongoing short- and long-term risks, and warning signs and symptoms for worsening of disease. this study aims to compare patient knowledge using a novel illustration based app compared to standard discharge instructions.

preeclampsia complicates approximately 8% of all pregnancies. while many patients improve following delivery, the disease process remains a leading cause for postpartum morbidity and mortality. a critical factor of outpatient monitoring is patient education; specifically, education regarding nature of the disease, ongoing short- and long-term risks, and warning signs and symptoms for worsening of disease. there is a gap in the literature regarding effective, patient-centered educational tools specifically addressing these elements, especially in the postpartum period. the investigators propose a pilot, randomized controlled trial of postpartum patients with preeclampsia. the intervention of interest is an illustration-based, educational mobile device application (app) focused on the short- and long-term risks associated with preeclampsia and warning signs and symptoms of worsening disease postpartum. the control for this study will be the same information in a text-only format, also accessed through a mobile device app. the investigators central hypothesis is that an illustration-based app will improve knowledge of preeclampsia among postpartum patients compared to text-only educational material. specific aim 1: compare the difference in preeclampsia knowledge score from text-only versus illustration-based education 24 hours post intervention (short-term). the investigators hypothesize that patients who receive illustration-based education will have a) higher preeclampsia knowledge scores at 24 hours post-intervention compared to text-only educational materials and b) a greater increase in preeclampsia knowledge score from baseline (pre-test) compared to text-only education. specific aim 2: compare the difference in preeclampsia knowledge score from text-only versus illustration-based education \>4 weeks post intervention (long-term). the investigators hypothesize that patients who receive illustration-based education will have a) higher preeclampsia knowledge scores at \> 4 weeks post-intervention compared to text-only educational materials and b) a greater increase in preeclampsia knowledge score from baseline (pre-test) compared to text-only education.

Eligibility criteria:
inclusion criteria: * preeclampsia with or without severe features * able to read and speak english * consistent access to mobile device with qr-reading capability and ability to access mobile-device application. * pre-and postnatal care provided by ob clinic (resident clinic) or magella (maternal-fetal medicine) exclusion criteria: * patient age \< 18 years old * non-english speaking * current enrollment in another trial targeting postpartum preeclampsia parameters * arm width \>40cm (xl cuff)

Keywords: preeclampsia education