Related Experiment Video
Updated: Jan 12, 2026
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Rationale and design of the A-STAC study: A multi-stage, hybrid effectiveness-implementation trial to prevent and
Anne E Bowen1, S Andrew Garbacz1, Kristine M Alaniz2
1Department of Educational Psychology, University of Wisconsin-Madison, Madison, WI, United States of America.
Background:
Hypertensive disorders of pregnancy are a leading cause of maternal and neonatal morbidity and mortality and are 60 % more common among Black birthing people than non-Black birthing people. Staying Healthy After Childbirth (STAC) is an evidence-based healthcare program that increases healthcare access by providing postpartum patients with a home blood pressure monitor and a healthcare team that remotely monitors and treats hypertension. This study adapts STAC to expand program reach for Black birthing people via implementation in community-based organizations.
Method:
The study team is partnering with community-based organizations led by and/or serving Black birthing people and Black individuals with lived experiences of hypertension during pregnancy to inform care model adaptation. Guided by the Replicating Effective Programs Framework, the study will be conducted over three stages. The pre-implementation stage will consist of identifying adaptations to STAC to align with community values and priorities. We will apply these adaptations in rapid Plan-Do-Study-Act implementation cycles to create a finalized adapted STAC (A-STAC) program. The implementation stage will consist of delivering A-STAC through community-based organizations and evaluating A-STAC effectiveness, reach, and adoption. The maintenance and evolution stage will consist of identifying strategies for sustainment of A-STAC.
Conclusion:
This adapted intervention has the potential to decrease disparities in postpartum morbidity and mortality for Black birthing people and enhance generational health equity.
Related Concept Videos
01:25Strategies for Assessing and Addressing Confounding
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
01:23Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
01:52Regression Toward the Mean
01:15Study Design in Statistics
Does aspirin reduce the risk of heart attacks? Is one brand of fertilizer more effective at growing roses than another? Is fatigue as dangerous to a driver as the influence of alcohol? Questions like these are answered using randomized experiments with proper...
01:15Bioequivalence Experimental Study Designs: Repeated Measures, Cross-Over, Carry-Over, and Latin Square Designs