Pregnancy Clinical Trial
Official title:
Assessing the CenteringPregnancy Planning to Parent Innovation
The investigators propose to evaluate how the CenteringPregnancy curriculum compared with an enhanced curriculum, with the addition of 2 trauma-informed interventions, affects how new parents prepare for parenting and respond to common stressors.
The two interventions will be 1) A viewing of "All Babies Cry" and a discussion of what it's
like to be a new parent and 2) A "Planning to Parent" stress activity where parents discuss
when they have felt overwhelmed, the coping mechanisms they used, and what can be done to
manage those emotions in the future. The goal of this project is to gain insight from
current participants in CenteringPregnancy group care around the ways that these
interventions can better prepare parents to deal with the common stresses of parenthood.
The investigators will assess the curriculum by administering pre-test and post-test surveys
to CenteringPregancy patients within 6 groups. Three of the groups will use the regular
CenteringPregnancy curriculum and 3 of the groups will use the enhanced Centering Pregnancy
curriculum. Participants will be recruited to CenteringPregnancy, and thus this study, as
part of Boston Medical Center Obstetrics/Gynecology Associate's regular prenatal
registration process and will be assigned to prenatal groups based on due date. The informed
consent and pre-test will be administered to patients at Session 7 of the CenteringPregnancy
curriculum and the post-test will be administered to patients at the postpartum visit. The
control CenteringPregnancy groups will follow the regular curriculum as written in the
CenteringPregnancy Facilitator's Guide. The experimental CenteringPregnancy groups will
follow the regular CenteringPregnancy curriculum, with the addition of the "All Babies Cry"
intervention during Session 7 (30-34 weeks) and the "Planning to Parent" stress intervention
during Session 8 (32-36 weeks). There will be no individual interviews of participants.
Following the postpartum survey, the Research Assistant will conduct electronic medical
record chart reviews of the study participants.
The investigators propose to seek between 24 and 36 patients for the 3 control groups and
between 24 and 36 patients for the 3 experimental groups, for a total of 48-72 subjects.
Pre-test and post-test surveys will be collected by a member of the research team. Surveys
will be kept in a locked desk and will later analyzed. The intent of this study is to gather
important information on ways to improve group-based prenatal care from a patient-centered,
trauma-informed perspective. This will ultimately help to improve both family and child well
being and reduce the risk of child abuse, neglect and parental and toxic stress in the
greater Boston area.
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Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Health Services Research
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