Reducing Preterm Births in Underserved Pregnant Women
| Status: | Completed |
|---|---|
| Conditions: | Women's Studies |
| Therapuetic Areas: | Reproductive |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 2/4/2013 |
| Start Date: | August 2010 |
| End Date: | July 2012 |
| Contact: | James G Christian, MWS, MABS |
| Email: | Jim@phcclp.com |
| Phone: | 7195468633 |
Timely screening and management of modifiable conditions can reduce preterm births, yet
providing effective prenatal risk management systems to meet the unique needs of medically
underserved populations is complex. If the proposed system proves to be effective in
reducing preterm births it can improve maternal and child quality of life as well as reduce
the economic burden of preterm births in the U.S.
The primary aim of this proposal is to test the efficacy of a clinic-based,
computer-assisted intervention system to significantly reduce preterm births in high-risk
populations. This system will: (1) assess a pregnant woman's unique risks in six modifiable
areas associated with increased risks of preterm birth including smoking cessation, poor
nutrition, domestic violence, maternal depression and stress, urinary and reproductive tract
infections and substance use; (2) provide her with tailored advice and action planning tools
on reducing her risks; (3) provide her certified nurse midwife or physician with information
related to her assessed risks and counseling suggestions tailored for her needs, and [(4)
promote effective referrals to, and successful linkages with community-based support
organizations.] Because preterm birth rates are much higher for underserved African American
women, we are proposing to focus the intervention with this population.
Inclusion Criteria: Study inclusion criteria include:
1. age 16-48 years,
2. 1st trimester of pregnancy,
3. race/ethnicity (non-Hispanic Black, or English-speaking Hispanic Black), and 4) a
self-reported completion of grade 6 or higher.
Exclusion Criteria: Exclusion criteria include:
1. a medical condition or risk to the pregnancy that the physician or nurse midwife
determines serious and a reason for exclusion, and
2. a literacy level of < grade 6. No prior experience using a computer is needed. -
We found this trial at
1
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