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Prenatal Health Risk Behaviors clinical trials

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NCT ID: NCT00536159 Completed - Stress Clinical Trials

Medicaid Enhanced Prenatal/Postnatal Services Using a Nurse-Community Health Worker Team

Start date: January 1997
Phase: N/A
Study type: Interventional

Our objective was to test whether there were advantages to Nurse-CHW team home visiting designed to combine the strengths of both visitors, with a focus on maternal stress and mental health, when compared with standard of Community Care (CC) that included professional home visitors in a state-sponsored Medicaid program. We conducted the study under usual community conditions in a population of women eligible for state-sponsored Medicaid programs. We predicted that during pregnancy and infancy, women in the Nurse-CHW team intervention would report 1) less perceived stress; 2) fewer depressive symptoms; and 3) increased levels of psychosocial resources (self-esteem, mastery, and social support) than women in CC. Benefits were expected to be most pronounced for women with low psychosocial resources and high stress at enrollment.