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Gestational HypertensionNCT06647511

Digital Solutions to Reduce Maternal Morbidity and Mortality in Pregnant Refugee Women

An observational study of Gestational Hypertension, run by Weill Medical College of Cornell University at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this observational study is to use digital health tracking to improve how high blood pressure and other health issues are detected in pregnant refugee women. The main questions this study aims to answer are are: Can a digital monitoring system that checks for high blood pressure in these women be tested… Read more about this study

Who is it for?
Ages 18 years and older, women onlyHealthy volunteers can take part
Conditions the study is for
Gestational Hypertension
What is being tested?
Nokia-Withings BPM Connect Blood Pressure Monitor and Smartwatch Devices
Type of treatment
Medical device
How many people
75 participants
Where
1 siteUnited States
Study dates
12 Sep 2024to Sep 2028
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: The study population is a pregnant refugee, or asylee as designated by the U.S. Government.

Who may be able to join

  • Pregnant
  • Refugee, asylum seeking, or asylee as designated by the U.S. Government
  • Greater than or equal to 18 years of age
  • Has a personal smartphone

Who cannot join

  • Unable to provide informed consent
  • Determined by the PI to be in an extremely vulnerable position and therefore not suited for research participation
  • Planned move from the New York City (NYC) area within the next 24 months

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Gunisha Kaur, MA, MD contact

(212) 746-2461

gus2004@med.cornell.edu

Michele Steinkamp, RN contact

2127462953

mls9004@med.cornell.edu

United States1 site, 1 recruiting
  • Weill Cornell Medicine

    New York, New York, 10065

    Gunisha Kaur, MA, MD, 212-746-2461, gus2004@med.cornell.edu

    Michele Steinkamp, RN, 212-746-2953, mls9004@med.cornell.edu

    Recruiting

Other trials in United States

About this study

The goal of this observational study is to use digital health tracking to improve how high blood pressure and other health issues are detected in pregnant refugee women. The main questions this study aims to answer are are:

  • Can a digital monitoring system that checks for high blood pressure in these women be tested and refined, using clinical training and validation?
  • Can this digital monitoring system accurately track any related pregnancy health issues and be used to refer participants to care providers?
  • Can this system be used to accurately identify risks associated with the contraction of pregnancy-related conditions, such as preeclampsia and high blood pressure?
Read more

Participants will:

  • Complete baseline and follow-up in-person appointments;
  • Complete surveys at these appointment that track their health, stress levels, and comorbidities/risks associated with pregnancy;
  • Be given a smartwatch fitness tracker and electronic blood pressure cuffs for at-home measurements.
Read the detailed description

The objective of this application, funded by the National Academy of Medicine Catalyst Award, is to maximize the performance of a digital cardiovascular monitoring system to detect gestational hypertension in pregnant refugee women. The central hypothesis is that the application of these digital health technologies will be able to diagnose gestational hypertension in refugee mothers with 85% sensitivity as compared to the gold standard (clinical diagnosis). The rationale for this investigation is to improve the diagnosis of hypertension in refugee mothers, leading to targeted treatment.

This study's primary objective is to maximize the performance of digital health monitoring systems to detect gestational hypertension through system training and validation. The investigators aim to do this by utilizing technologies such as smartwatches and electronic blood pressure monitors to track health data throughout enrollment. Tracking this health data will also allow study investigators to track several other comorbid conditions in refugee mothers. This collection will take place over 24 months to train and validate this digital system. The performance of the prediction models will be assessed using two measures: Receiver Operating Characteristic (ROC) curve analysis, which evaluates the model's discrimination ability between disease states; and the Integrated Brier Score (cumulative mean squared error over time) will provide data on the model's predictive accuracy and reliability.

The secondary objectives of this study are to document comorbid illness and stress, assess the program's ability to make successful referrals, and connect the study population with healthcare providers for primary care visits. This will be completed by digital health tracking and the retention of contact with the participants throughout the duration of their enrollment.

Being tested
Nokia-Withings BPM Connect Blood Pressure Monitor, Smartwatch Devices
Keywords
refugee, pregnant, digital
Medical subject headings
Hypertension, Pregnancy-Induced

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Nokia-Withings BPM Connect Blood Pressure MonitorDevice

    At-home blood pressure (BP) measurements will be weekly via a blood pressure cuff (e.g., Nokia-Withings BPM (Beats per Minute) Connect), with measurements being manually entered into the study specific smartphone app.

  • Smartwatch DevicesDevice

    Passive continuous collection of digital data (e.g., daily heart rate trends, activity levels, sleep measurements) for exploratory outcomes will occur via Apple Watches and Fitbit Versa 3s, which are synced to a smartphone application.

Study groups in NCT06647511
Study groupRoleWhat they receive
Pregnant RefugeesParticipants will complete validated questionnaires, regular blood pressure measurements, pain and trauma assessments, and clinical monitoring during this study.
Receives: Device: Nokia-Withings BPM Connect Blood Pressure Monitor; Device: Smartwatch Devices

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Digital Sensitivity for detecting gestational hypertension (HTN)

    The diagnostic accuracy of the digital blood pressure cuffs will be compared to the measurements taken during in-person visits.

    Measured: 13 months [maximum duration of enrollment]

Secondary outcomes (20)
  1. Number of Participants that Complete All Surveys Between Appointments

    The completion of weekly surveys will be assessed for each participant and the number of participants that complete all surveys sent to them will be compared to the overall number of participants enrolled.

    Measured: 13 months [maximum duration of enrollment]

  2. Number of Participants That Complete All Surveys at the Baseline Appointment

    The number of participants that complete every single survey at the baseline appointment out of the total number of participants will be recorded.

    Measured: 13 months [maximum duration of enrollment]

  3. Number of Participants Referred to Physicians/Care that do not have a designated provider

    Participants without designated care providers during their pregnancy will be noted and the number of participants that are successfully referred to physicians/other providers will be recorded.

    Measured: 13 months [maximum duration of enrollment]

  4. Number of Participants With No Comorbid Pain as Assessed by BPI-SF

    Chronic pain will be evaluated using the validated Brief Pain Inventory - Short Form (BPI-SF). The mean BPI-SF score quantifies pain severity (worst, least, average, and now) and pain interference into the following: none (score 0), mild (1-4), moderate (4-6), or severe (7-10).The number of participants who score 0 on the BPI-SF will be measured.

    Measured: 13 months [maximum duration of enrollment]

  5. Number of Participants With Mild Comorbid Pain as Assessed by BPI-SF

    Chronic pain will be evaluated using the validated Brief Pain Inventory - Short Form (BPI-SF). The mean BPI-SF score quantifies pain severity (worst, least, average, and now) and pain interference into the following: none (score 0), mild (1-4), moderate (4-6), or severe (7-10).The number of participants who score from 1-4 on the BPI-SF will be measured.

    Measured: 13 months [maximum duration of enrollment]

  6. Number of Participants With Moderate Comorbid Pain as Assessed by BPI-SF

    Chronic pain will be evaluated using the validated Brief Pain Inventory - Short Form (BPI-SF). The mean BPI-SF score quantifies pain severity (worst, least, average, and now) and pain interference into the following: none (score 0), mild (1-4), moderate (4-6), or severe (7-10).The number of participants who score from 4-6 on the BPI-SF will be measured.

    Measured: 13 months [maximum duration of enrollment]

  7. Number of Participants With Severe Comorbid Pain as Assessed by BPI-SF

    Chronic pain will be evaluated using the validated Brief Pain Inventory - Short Form (BPI-SF). The mean BPI-SF score quantifies pain severity (worst, least, average, and now) and pain interference into the following: none (score 0), mild (1-4), moderate (4-6), or severe (7-10).The number of participants who score from 7-10 on the BPI-SF will be measured.

    Measured: 13 months [maximum duration of enrollment]

  8. Number of Participants with Low Comorbid Stress as Assessed by the PSS

    Stress levels will be evaluated using the validated Perceived Stress Scale (PSS). The PSS ranges from 0 to 40, with 0-13 considered low stress, 14-26 considered moderate stress, and 27-40 considered high stress. The number of participants who score from 0-13 will be measured.

    Measured: 13 months [maximum duration of enrollment]

  9. Number of Participants with Moderate Comorbid Stress as Assessed by the PSS

    Stress levels will be evaluated using the validated Perceived Stress Scale (PSS). The PSS ranges from 0 to 40, with 0-13 considered low stress, 14-26 considered moderate stress, and 27-40 considered high stress. The number of participants who score from 14-26 will be measured.

    Measured: 13 months [maximum duration of enrollment]

  10. Number of Participants with High Comorbid Stress as Assessed by the PSS

    Stress levels will be evaluated using the validated Perceived Stress Scale (PSS). The PSS ranges from 0 to 40, with 0-13 considered low stress, 14-26 considered moderate stress, and 27-40 considered high stress. The number of participants who score from 27-40 will be measured.

    Measured: 13 months [maximum duration of enrollment]

  11. Number of Participants with Comorbid Stress as Assessed by the SOIS

    Stress levels will be evaluated using the validated Stress of Immigration Survey (SOIS). The SOIS is considered positive if any item on the survey is "yes," with the mean of all items giving an overall severity score from 1-5.

    Measured: 13 months [maximum duration of enrollment]

  12. Number of Participants Who Score Positive for PTSD Symptoms on the HTQ

    Mental health status will be evaluated using the validated Harvard Trauma Questionnaire (HTQ). The HTQ is positive for PTSD symptoms if the average score from Part IV is ≥2.5. The number of participants who have a positive score on the HTQ will be recorded.

    Measured: 13 months [maximum duration of enrollment]

  13. Number of Participants Who Score Positive for Anxiety on the HSCL

    Mental health status will be evaluated using the Hopkins Symptoms Checklist (HSCL). the HSCL is positive for anxiety if the average of items 1-10 or total averaged score is more than or equal to 1.75. The number of participants who have a positive score on the HSCL for anxiety will be recorded.

    Measured: 13 months [maximum duration of enrollment]

  14. Number of Participants Who Score Positive for Depression on the HSCL

    Mental health status will be evaluated using the Hopkins Symptoms Checklist (HSCL). the HSCL is positive for depression if the average of items 11-25 or total averaged score is more than or equal to 1.75. The number of participants who have a positive score on the HSCL for depression will be recorded.

    Measured: 13 months [maximum duration of enrollment]

  15. Number of Participants with Cardiovascular Risk Factors and Disease as Assessed by the WHO Rose Angina Questionnaire.

    Participants will be assessed for cardiovascular risk factors and disease using the World Health Organization (Rose) Angina Questionnaire (WHOAQ). The WHOAQ is deemed positive if any symptoms are recorded on the survey.

    Measured: 13 months [maximum duration of enrollment]

  16. Number of Participants with Low Cardiovascular Risk Factors and Disease as Assessed by the AHA Atherosclerotic Cardiovascular Disease Pooled Cohort Equation

    Cardiovascular risk factors and disease will be assessed using the American Heart Association (AHA) atherosclerotic cardiovascular disease (ASCVD) Pooled Cohort Equation (PCE) risk estimator. AHA ASCVD PCE Scores identify the risk of first occurrence of myocardial infarction or stroke. A score of less than 5% is low; 5%-7.5% is borderline; 7.5%-20% is intermediate; ≥20% is high. The number of participants that score less than 5% will be measured.

    Measured: 13 months [maximum duration of enrollment]

  17. Number of Participants with Borderline Cardiovascular Risk Factors and Disease as Assessed by the AHA Atherosclerotic Cardiovascular Disease Pooled Cohort Equation

    Cardiovascular risk factors and disease will be assessed using the American Heart Association (AHA) atherosclerotic cardiovascular disease (ASCVD) Pooled Cohort Equation (PCE) risk estimator. AHA ASCVD PCE Scores identify the risk of first occurrence of myocardial infarction or stroke. A score of less than 5% is low; 5%-7.5% is borderline; 7.5%-20% is intermediate; ≥20% is high. The number of participants who score from 5%-7.5% will be measured.

    Measured: 13 months [maximum duration of enrollment]

  18. Number of Participants with Intermediate Cardiovascular Risk Factors and Disease as Assessed by the AHA Atherosclerotic Cardiovascular Disease Pooled Cohort Equation

    Cardiovascular risk factors and disease will be assessed using the American Heart Association (AHA) atherosclerotic cardiovascular disease (ASCVD) Pooled Cohort Equation (PCE) risk estimator. AHA ASCVD PCE Scores identify the risk of first occurrence of myocardial infarction or stroke. A score of less than 5% is low; 5%-7.5% is borderline; 7.5%-20% is intermediate; ≥20% is high. The number of participants who score from 7.5%-20% will be measured.

    Measured: 13 months [maximum duration of enrollment]

  19. Number of Participants with High Cardiovascular Risk Factors and Disease as Assessed by the AHA Atherosclerotic Cardiovascular Disease Pooled Cohort Equation

    Cardiovascular risk factors and disease will be assessed using the American Heart Association (AHA) atherosclerotic cardiovascular disease (ASCVD) Pooled Cohort Equation (PCE) risk estimator. AHA ASCVD PCE Scores identify the risk of first occurrence of myocardial infarction or stroke. A score of less than 5% is low; 5%-7.5% is borderline; 7.5%-20% is intermediate; ≥20% is high. The number of participants who score above 20% will be measured.

    Measured: 13 months [maximum duration of enrollment]

  20. Number of Participants with Cardiovascular Risk Factors and Disease as Assessed by the QVSFS

    Participants will be assessed for cardiovascular risk factors and disease by using the Questionnaire for Verifying Stroke-Free Status (QVSFS). The QVSFS is positive if any questions are answered in the affirmative.

    Measured: 13 months [maximum duration of enrollment]

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Oct 2024
  2. Study start12 Sep 2024
  3. Primary completionSep 2028 (estimated)
  4. Study completionSep 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
75 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06647511
Sponsor's protocol ID
24-01026913
Status last verified
Apr 2026
First submitted
15 Oct 2024
Last updated
22 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Gestational Hypertension, run by Weill Medical College of Cornell University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 22 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Gunisha Kaur, MA, MD ((212) 746-2461, gus2004@med.cornell.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Digital Sensitivity for detecting gestational hypertension (HTN) (time frame: 13 months [maximum duration of enrollment]). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Apr 2026.

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