Meeting the Needs of Pregnant Women With PTSD in Prenatal Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 149
- 主要终点
- Preterm labor
研究概览
简要总结
The objectives of this research study are to screen 750 pregnant women at risk of trauma-related stress symptoms, and adapt and test an evidence-based intervention for pregnant women with PTSD and sub-threshold PTSD symptoms served by two public payer community health centers.
详细描述
Studies of Posttraumatic Stress Disorder (PTSD) in pregnant women in public payer settings have shown rates 5 or more times that of other populations, and rates as high as 33% of lifetime PTSD sub-threshold symptoms. PTSD during pregnancy has been linked to poor prenatal care and high risk behaviors such as drug and alcohol use and smoking. Further, PTSD may pose a barrier to care as obstetric procedures and pregnancy may trigger PTSD symptoms and avoidance of care. PTSD is also associated with pregnancy and birth complications and negative postpartum outcomes including excessive weight gain, preterm birth, low birth weight, risk for parenting problems, and increased barriers to breastfeeding. However, screening, identification, and support for PTSD is lacking. This study will screen 750 pregnant women at risk of trauma-related stress symptoms, and adapt and test an evidence-based intervention for pregnant women with PTSD and sub-threshold PTSD symptoms served by two public payer community health centers.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Mothers who are receiving prenatal care
- •18 years or older
- •In the first 20 weeks of pregnancy
- •Screen positive for posttraumatic stress disorder
排除标准
- •Not pregnant
- •Not currently psychotic
- •No current suicidal ideation
- •Language other than English, Spanish, Vietnamese, and Portuguese
结局指标
主要结局
Preterm labor
时间窗: the primary endpoint is one month postpartum
Change in posttraumatic stress disorder symptoms
时间窗: The primary endpoint is one month postpartum
Birthweight
时间窗: the primary endpoint is one month postpartum
次要结局
- Change in depression symptoms(the primary endpoint is one month postpartum)
- Number of visits for prenatal care(the primary end point is one month postpartum)
- change in coping strategies inventory(the primary endpoint is one month postpartum)
研究者
Linda Weinreb
Principal Investigator
University of Massachusetts, Worcester