The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

HC8ErZIWUqK6rATaHvSsoRZZr2IwFao9nMB2uW6t4A8sA3fpkuRrjYYAn67JShcfVA9n5YQXQ4wC8IU54SckqVUBr4HU3HxSdtnvBnzKduXaZbHoys3LD

PACE Eligibility Survey

Thank you for your interest in our research study!

We know that some women who have been told they have preeclampsia during pregnancy go on to develop changes in blood vessel function and cognitive performance. We don't know which women who have been diagnosed with preeclampsia will go on to develop changes blood vessel function, why it happens, or how to prevent it. The purpose of this study (PACE) is to try to begin to answer these questions.

Participating in the study involves coming to our lab at the University of Iowa Hospitals and Clinics in Iowa City, IA for one 2.5-3-hour visit. At this visit, we will do non-invasive measurements of your blood vessels health, cognitive testing (task-based testing), and ask you to complete questionnaires regarding your health history and your activity level. You will also wear a small, waterproof physical activity monitor on your thigh for 7-days.

You may also be eligible to complete a 1-hour Magnetic Resonance Imaging (MRI) scan to measure your cerebral blood flow (blood vessel function in your brain).

We may also provide you with a blood pressure cuff that you wear for 24 hours (if you agree to wear the cuff and the equipment is available). You would be provided postage-paid mailers to return the blood pressure cuffs and activity monitor.

We will compensate up to $130 for your time and effort involved in the study.

Screening form timestamp

M-D-Y

Screening form date

M-D-Y

Survey questions completed over the phone?

Yes

reset

What is your age?

You must be between the ages of 18 -45 years to participate in the study

* must provide value

Are you currently pregnant?

You must not be currently pregnant to participate in the study. If you consent to participate in this study, we will complete a urine pregnancy test screening. If the test is positive, you will not be eligible to continue with the study and will be provided with a parking voucher and compensated $10 for your appointment.

* must provide value

Yes

reset

What is the date of your most recent delivery?

* must provide value

M-D-Y

Postpartum time at screening form submission

View equation

Postpartum time estimate [today]

View equation

During this delivery, did you delivery at a University of Iowa Hospitals and Clinics Location?

Yes

reset

What is the name of the hospital or clinic that you delivered your most recent pregnancy?

Where is this hospital or clinic located? (Please include City, State)

During this pregnancy, were you told that you had preeclampsia?

We are seeking both women who have been diagnosed with preeclampsia and women who have not been with preeclampsia to participate.

Yes

reset

Are you trained to administer cognitive tests and/or regularly administer cognitive tests as part of your job?

Yes

reset

Are you able to walk ½ mile and climb 2 flights of stairs?

Yes

reset

What is your highest level of education?

Less than High School

High School diploma or equivalent

Some college

Associate degree

Bachelor's degree

Master's degree

PhD, MD or other professional doctorate

Prefer not to answer

reset

What is your height in inches?

(Example: 62 indicates 5'2 or 5ft 2inches tall)

What is your weight in pounds (lbs)?

Body Mass Index

View equation

Regarding the COVID-19 virus, please select all that apply:

Have not tested positive for COVID-19

Tested positive for COVID-19 but did not have any symptoms

Tested positive for COVID-19 and had mild symptoms

Tested positive for COVID-19 and had severe symptoms

Still experiencing symptoms after recovering from COVID-19 (such as fatigue, difficulty concentrating, shortness of breath)

COVID-19 changed ability or tolerance to participate in physical activity or exercise routine (such as shorter endurance or greater difficulty completing physical tasks)

Do you currently have or have a history of cardiovascular disease including any of the following:

Heart Attack
Stroke
Congestive Heart Failure
Heart stent or bypass surgery
Peripheral artery disease
Abdominal aortic aneurysm

Yes

reset

Do you currently have or have a history of any neurologic disease or condition including any of the following:

Traumatic brain injury
Cerebral aneurysm
Brain tumor
Epilepsy or seizures
Head injury with loss of consciousness exceeding 30 minutes

Yes

reset

Some participants in this study may complete magnetic resonance imaging measurements.

You will be in the magnet approximately 60 minutes, but for this time you will not have to actively do anything except lie quietly while we collect pictures of your brain.

The MRI scanner is a large machine that contains a hollow tube. You will be asked to lie on your back on a special table that slides into the tube. You will be given special noise-canceling headphones to limit noise from the scanner. You will be able to talk to people in the room through a speaker system. We will monitor you closely while you are inside the scanner. The MRI technologist will talk to you throughout the study and let you know how you are doing and what to expect next. We will not use a contrast agent (an injected 'dye') as part of this MRI study.

Are you willing to undergo Magnetic Resonance Imaging (MRI)?

* must provide value

Yes

reset

Are you taking any of the following medications?

Papaverine (Pavabid)
Indomethacin (Tivorbex)
Acetazolamide (Diamox)
Pentoxifylline (Trental, Pentoxil, OR Pentoxifylline SR)
Cinnarizine (Stugeron, Stunarone, Cinarin)
Dilazep (Comelian)

Yes

reset

Yes

Body piercings that CANNOT be removed for the MRI scan

* must provide value

reset

Paragaurd copper IUD (intrauterine device)

* must provide value

reset

Braces

* must provide value

reset

Cardiac Pacemaker, Implanted cardiac defibrillator, or Internal pacing wires

* must provide value

reset

Cochlear or ocular implants, or any implant held in by magnets

* must provide value

reset

Swan-Ganz catheter

* must provide value

reset

Neurostimulator/Bone growth or fusion stimulator

* must provide value

reset

Insulin or other drug infusion pump that CANNOT be removed for the MRI scan

* must provide value

reset

Claustrophobia

* must provide value

reset

Are you willing to complete 24-hour ambulatory blood pressure monitoring?

We may do 24-hour blood pressure monitoring for this study if you are willing to wear the cuff and there is a blood pressure cuff available. If so, you would be fitted with a blood pressure cuff to wear throughout the day and overnight for 24-hours. The cuff will automatically inflate and collect a blood pressure reading every 30 minutes during the day and every hour when you go to sleep.

Yes

reset

Are you willing to do the following prior to your first in-person study visit?
1. Avoid eating for four hours prior to the start of your research study visit and during your visit (you may and are encouraged to drink water freely)

2. Not drink caffeine for two hours prior to the start of your research study visit and during your visit

3. Not complete strenuous exercise for 24 hours prior to your visit

4. Not drink alcohol or smoke for 24 hours prior to your study visit

Yes

reset

First Name

* must provide value

Last Name

* must provide value

Best phone number to reach you

This phone number will only be used to contact you and not for any other purpose.

* must provide value

What is the best email to reach you?

This email will be used to contact you regarding this research study in any future communications, and will not for any other purpose.

* must provide value

8-10AM

10-12PM

12-2PM

2-4PM

4-6PM

Monday

Tuesday

Wednesday

Thursday

Friday

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.