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Group based well child care for mothers with history of hypertensive disorder during pregnancy

Award Number: R21HD118201
ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 08/17/2026
PERIOD OF PERFORMANCE END DATE: 07/31/2028

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Group based well child care for mothers with history of hypertensive disorder during pregnancy - PROJECT SUMMARY Hypertensive disorders of pregnancy (HDP), which include eclampsia, preeclampsia, and gestational hypertension, complicate 10% of all U.S. pregnancies and are a leading driver of maternal morbidity and mortality. Despite recommendations from the American College of Obstetrics and Gynecology for close and longitudinal follow up of mothers with HDP through the first several months after delivery, postpartum care is vastly underused with loss to follow up as high as 40%. Well child visits represent a potential opportunity to address HDP, as these visits typically occur within the first 3-5 days after delivery and then at frequent intervals over the first year postpartum. Other than screening for maternal postpartum depression, traditional well child visits are exclusively child-focused, with a lack of focus on enhancing maternal wellness, including cardiovascular health. The objective of this application is to develop and pilot a comprehensive group model of well child care that is incorporates maternal healthcare needs associated with HDP. In Aim 1, we will utilize a user-centered design process to develop a dyadic, group approach to pediatric care for women with HDP and their children. First, we will rely on focus groups with mothers and in-depth interviews with providers to explore contextual factors for feasibility and acceptability of a group WCC program focused on HDP. Findings will be used to develop a program prototype. Next we will conduct think-aloud testing with mothers and providers to optimize usability of materials and workflow for the developed group WCC program and refine plans for implementation. In Aim 2, we will pilot test this intervention to assess feasibility, acceptability, and implementation with 30 mothers affected by HDP and their children. Participants will be clustered by child date of birth into groups of approximately 5 dyads each, and the intervention will be offered to all enrolled participants up to 1 year postpartum. Aim 2 outcome measures will be derived from participant questionnaires, electronic health record abstraction, and semi-structured interviews to assess reach and delivery of the care model as intended, as well as barriers and facilitators to implementation. Findings from this project will support a subsequent R01 application that evaluates the effectiveness of this approach. Given the burden of morbidity and mortality experienced by women with HDP, this line of research is urgently needed to address this national public health issue. This project aligns with NIH’s goal to maximize the lifelong health of women and their children and NICHD’s cross-cutting scientific priorities.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $438,910 )
2026	2026	THOMAS JEFFERSON UNIVERSITY	1020 WALNUT ST STE 1	PHILADELPHIA	PA	19107	PHILADELPHIA	USA	Child Health and Human Development Extramural Research	000	1	8/19/2026	NEW	$438,910
														Subtotal = $438,910

Grand Total All Awards = $438,910

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Group based well child care for mothers with history of hypertensive disorder during pregnancy

Award Number: R21HD118201

ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 08/17/2026

PERIOD OF PERFORMANCE END DATE: 07/31/2028

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