Using Digital Health Tools to Detect High Blood Pressure and Improve Care in Pregnant Refugee Women

What this Trial Is About

This research aims to improve the detection of high blood pressure and related pregnancy health issues in pregnant refugee women using digital health tracking. The study focuses on testing and refining a digital monitoring system to identify gestational hypertension and associated risks like preeclampsia. The goal is to enhance diagnosis accuracy compared to clinical standards, ultimately supporting targeted treatment for this population. Participants will use digital devices such as smartwatches and electronic blood pressure monitors to collect health data at home over 24 months. They will record weekly blood pressure readings with devices like the Nokia-Withings BPM Connect, entering data into a smartphone app. Continuous tracking via Apple Watches and Fitbit Versa 3 will monitor heart rate, activity, and sleep. The study includes baseline and follow-up in-person visits with surveys to assess health, stress, and related risks. Throughout the study, participants will complete questionnaires, regular blood pressure checks, pain and trauma assessments, and clinical monitoring. Researchers will evaluate the digital systems ability to detect gestational hypertension with high sensitivity and track comorbid conditions. They will also assess referrals to healthcare providers and retention of participant contact. The main outcome is the systems digital sensitivity in detecting hypertension, monitored over a maximum 13-month enrollment period.

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