Reducing Preterm Births in Underserved Pregnant Women
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- Preterm Birth
- Sponsor
- PHCC LP
- Enrollment
- 482
- Locations
- 1
- Primary Endpoint
- Birthweight
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
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.
Detailed Description
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.
Investigators
James G. Christian
President
PHCC LP
Eligibility Criteria
Inclusion Criteria
- •Study inclusion criteria include:
- •age 16-48 years,
- •1st trimester of pregnancy,
- •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:
- •a medical condition or risk to the pregnancy that the physician or nurse midwife determines serious and a reason for exclusion, and
- •a literacy level of \< grade
- •No prior experience using a computer is needed. -
Outcomes
Primary Outcomes
Birthweight
Time Frame: 9 months
Birth weight \< 2500 grams
Secondary Outcomes
- Gestational Weight(9 months)