{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T11:01:36Z","timestamp":1790766096184,"version":"4.1.0"},"reference-count":16,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pregnancy"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Hypertensive disorders of pregnancy (HDPs) are a leading contributor to preventable maternal morbidity and mortality and are associated with increased risk of cardiovascular disease. The postpartum period represents a critical opportunity to improve engagement in follow\u2010up care and support cardiovascular disease prevention after HDP; however, few patient\u2010facing, postpartum educational tools about HDP have been studied. We sought to develop and evaluate a patient educational discussion guide to support postpartum recovery and promote heart\u2010healthy behavior after a hypertensive pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We developed an updated three\u2010page educational discussion guide, \u201cMy Health Beyond Pregnancy,\u201d in collaboration with national professional societies and patient advocacy organizations. The guide was designed at a sixth\u2010grade reading level and in English and Spanish. Postpartum patients with HDP were recruited from an urban academic medical center and affiliated community health centers. Participants reviewed the guide and completed an anonymous survey assessing acceptability, appropriateness, and feasibility using validated measures (AIM, IAM, FIM, respectively) and open\u2010ended qualitative feedback. Quantitative data were analyzed using non\u2010parametric tests and qualitative responses were analyzed within the COM\u2010B framework to determine how the educational tool may impact behavior change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 100 postpartum patients with HDP participated. The cohort was racially and ethnically diverse, with the majority publicly insured and nearly half having less than a college education. Participants agreed or strongly agreed that the guide was acceptable (95%), appropriate (96%), and feasible (97%). Perceptions did not differ by race, ethnicity, language, education, or insurance type. Qualitative analysis of free\u2010response questions demonstrated that the guide enhanced behavioral determinants, including psychological capability and reflective motivation by improving understanding of postpartum hypertension and supporting self\u2010advocacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The \u201cMy Health Beyond Pregnancy\u201d educational discussion guide was perceived as highly acceptable, appropriate, and feasible among a diverse population of postpartum patients with HDP. By addressing key behavioral determinants and remaining useful across patient populations, the guide shows promise as a scalable tool to support equitable postpartum engagement and cardiovascular risk prevention. Future research should assess its impact on long\u2010term health behaviors, care engagement, and clinical outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pmf2.70315","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T10:18:26Z","timestamp":1780049906000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Patient feedback on an educational tool to empower patients after hypertensive pregnancy"],"prefix":"10.1002","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1988-3715","authenticated-orcid":false,"given":"Ann C.","family":"Celi","sequence":"first","affiliation":[{"name":"Division of General Medicine and Primary Care Department of Medicine Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"Division of Women's Health Department of Medicine Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"Department of Medicine Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma M.","family":"Anghel","sequence":"additional","affiliation":[{"name":"Division of General Medicine and Primary Care Department of Medicine Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Skylar N.","family":"Smith","sequence":"additional","affiliation":[{"name":"Division of General Medicine and Primary Care Department of Medicine Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharlay K.","family":"Butler","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"Department of Obstetrics, Gynecology, and Reproductive Biology Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saba H.","family":"Berhie","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Reproductive Biology Harvard Medical School  Boston Massachusetts USA"},{"name":"Division of Maternal\u2010Fetal Medicine, Department of Obstetrics and Gynecology Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giselle Chiprez","family":"Ramirez","sequence":"additional","affiliation":[{"name":"Division of General Medicine and Primary Care Department of Medicine Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill C.","family":"Doyle","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"Brigham and Women's Midwifery Group Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle C.","family":"Lara","sequence":"additional","affiliation":[{"name":"Division of General Medicine and Primary Care Department of Medicine Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margot","family":"Stone\u2010Condry","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"Brigham and Women's Midwifery Group Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel M.","family":"Vargas\u2010Vila","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"Brigham and Women's Midwifery Group Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara E.","family":"Wilkinson","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"Department of Obstetrics, Gynecology, and Reproductive Biology Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chloe A.","family":"Zera","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Reproductive Biology Harvard Medical School  Boston Massachusetts USA"},{"name":"Division of Maternal\u2010Fetal Medicine, Department of Obstetrics and Gynecology Beth Israel Deaconess Medical Center  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,29]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7117a1"},{"key":"e_1_2_8_3_1","unstructured":"High Blood Pressure.2024. \u201cHigh Blood Pressure During Pregnancy.\u201dhttps:\/\/www.cdc.gov\/high\u2010blood\u2010pressure\/about\/high\u2010blood\u2010pressure\u2010during\u2010pregnancy.html."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.4325"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.121.319895"},{"key":"e_1_2_8_6_1","unstructured":"Declercq E.andL.Zephyrin.2020. \u201cMaternal Mortality in the United States: A Primer.\u201dCommonwealth 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