upREACH Perinatal Home Visitation Program Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pregnancy
- Sponsor
- Baylor College of Medicine
- Enrollment
- 450
- Locations
- 1
- Primary Endpoint
- Linkages to Community Resources
- Status
- Active, not recruiting
- Last Updated
- last month
Overview
Brief Summary
The purpose of this study is to assess the effectiveness of a new brief home visitation program delivered by non-nurse home visitors to 1) improve connections to community resources based on reported and assessed needs, 2) increase health self-efficacy, and 3) reduce maternal stress compared to a control group that receives standard care from an obstetric clinic.
Secondary administrative data on infant birth outcomes, health care use during the first year of life (appointment adherence), and interaction with government services (such as public assistance or child welfare) will be compared between the groups.
For the intervention group, we will secondarily also assess home visit compliance and satisfaction with the intervention.
Participants will be asked to complete questionnaires that include questions about the participant, their pregnancy, their feelings, their family, and their use of social/community services. Half of the women in this study will be randomly offered free home visitation services and the other half of women in this study will receive standard services from the clinic. The intervention group will be offered at least two free home visits with a non-nurse home visitor. During these visits, the home visitor will provide them with resources and tools to help the participant prepare for their baby. All participants will complete a second round of electronic surveys at approximately 2 months postpartum.
Intervention participant outcomes will be compared to a control group that receive standard care from an obstetric clinic.
Investigators
Cary Cain
Assistant Professor
Baylor College of Medicine
Eligibility Criteria
Inclusion Criteria
- •Pregnant or postpartum women within 3 weeks postpartum (at enrollment)
- •Receiving prenatal or postpartum care from Harris Health Clinic obstetric clinics
- •Speak and read English or Spanish language.
Exclusion Criteria
- •Unable to speak or read English or Spanish language
- •Women that do not receive perinatal or postpartum care at Harris Health obstetric clinics
- •Women that are not pregnant or greater than 4 weeks postpartum (at enrollment)
Outcomes
Primary Outcomes
Linkages to Community Resources
Time Frame: through study completion, an average of 5 months
Measured by Family Resource Scale (higher score shows that resources are more adequate)
Health Self-Efficacy
Time Frame: through study completion, an average of 5 months
Measured by Self-Rated Abilities for Health Practices Scale (higher scores indicate higher health self-efficacy)
Maternal Stress
Time Frame: through study completion, an average of 5 months
Perceived Stress Scale (higher scores indicate higher levels of stress)
Secondary Outcomes
- Trust in Institutions(through study completion, an average of 5 months)
- Appointment Adherence(up to one year postpartum)