- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05718479
Reducing Stress-Sensitive Problems Among Pregnant Black Women With Childhood Adversity
Reducing Stress-Sensitive Problems Among Pregnant Black Women With Childhood Adversity: A Pilot Randomized Controlled Trial of Motivational Interviewing and Mental Wellness Skills
The goal of this clinical trial is to test the feasibility and acceptability and compare outcomes of a trauma-informed prenatal intervention (TPI) in pregnant Black women with childhood adversity. TPI participants will receive four weekly individual virtual sessions of motivational interviewing to promote self-efficacy and mental wellness skills to enhance self-awareness and self-regulation. TPI is designed to foster behavior change and health coping by enhancing knowledge, beliefs, regulation skills and abilities.
- With the assistance of a trained facilitator, participants will be guided to identify a specific goal related to the behavior they want to change.
- Behavior change goals will be individualized to create a change plan that reinforces resilience-based coping, accountability, and self-care rewards.
- Participants will learn to apply mental wellness skills to enhance regulation and to facilitate awareness of internal cues related to desire, motivation, and individual responses to stress.
Researchers will compare usual prenatal care plus TPI versus usual prenatal care plus prenatal education to see if TPI reduces psychological (e.g., depression, anxiety, and perceived stress), and improves socio-emotional (e.g., behavioral activation, negative mood regulation, and mindfulness), and prenatal health behaviors.
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Ellen Goldstein, PhD
- Phone Number: (312) 355-2790
- Email: elleng@uic.edu
Study Contact Backup
- Name: Mary Dawn Koenig, PhD, RN, CNM
- Email: marydh@uic.edu
Study Locations
-
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Illinois
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Chicago, Illinois, United States, 60608
- Recruiting
- Mile Square Health Center
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Contact:
- Jude Fleurimont
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- receiving prenatal care at Mile Square Health Center or University of Illinois Health
- age >/= 18 years
- >/= 2 adverse childhood experiences
- Black race
- English-speaking
- 10-24 weeks gestation
- able to attend four sessions
- owner of a smart phone and access to internet
Exclusion Criteria: inability to reliably or safely participate in the study due to self-reported serious or persistent mental health disorder (e.g., schizophrenia or bipolar disorder), which could also interfere with study adherence.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Trauma Informed Prenatal Intervention (TPI)
The experimental arm consists of four weekly, individual (45-60 minute) sessions via Zoom with a research staff member facilitating motivational interviewing focused on behavior change and mindfulness awareness practice.
|
TPI is designed to foster behavior change and health coping by enhancing knowledge, beliefs, regulation skills and abilities.
In the experimental group, a research staff member will meet with participants and help them to identify a health behavior they want to change, explore the pros and cons of making a change, create a behavior change plan, and learn several mindfulness meditation techniques.
The facilitator will check-in with the participants about their behavior change plan in the subsequent sessions regarding progress made, barriers encountered, and changes in the plan and/or goal going forward.
Participants will be instructed to implement an at-home mental wellness skills and provided with a tracking log to report the frequency and dose of daily/weekly practice.
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Active Comparator: Prenatal Education Topics
The active comparator arm consists of four weekly, individual (30-minute) sessions via Zoom with a research staff member delivering prenatal education topics consisting of lecture (power point slides) and video.
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In the control group, a research staff member will provide participants with four different weekly prenatal education topics, including information on prenatal care, labor and delivery, postpartum care, and newborn care.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Edinburgh Postnatal Depression Scale at 6-weeks postnatal
Time Frame: 6-weeks postnatal
|
The Edinburgh Postnatal Depression Scale (range: 0-30) is a 10-item scale is a pregnancy and/or postpartum depression screen that assesses different emotions in the past seven days in which a higher score indicates a worse outcome.
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6-weeks postnatal
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Generalized Anxiety Disorder Scale at 6-weeks postnatal
Time Frame: 6-weeks postnatal
|
Generalized Anxiety Disorder Scale (range: 0-21) is a 7-item scale that assesses the frequency of excessive, uncontrollable worry in the past two-weeks in which a higher score indicates a worse outcome regarding life events or activities in which a higher score signifies a worse outcome.
|
6-weeks postnatal
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Change in Perceived Stress Scale at 6-weeks postnatal
Time Frame: 6-weeks postnatal
|
The Perceived Stress Scale (range: 0-40) is a 10-item scale that assesses the frequency of stressful thoughts and feelings in the last one month in which a higher score indicates a worse outcome.
|
6-weeks postnatal
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Change in Behavioral Activation Scale at 6-weeks postnatal
Time Frame: 6-weeks postnatal
|
The Behavioral Activation Scale (range: 0-54) is a 9-item scale that assesses avoidance or engagement in goal-directed activity and pleasant behaviors during the past one week in which a higher score indicates a better outcome.
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6-weeks postnatal
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Negative Mood Regulation Short Form Scale at 6-weeks postnatal
Time Frame: 6-weeks postnatal
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The Negative Mood Regulation Scale (range: 15-75) is a 15-item scale that assesses the capacity for calming and soothing emotions when one is upset in which a higher score indicates a better outcome.
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6-weeks postnatal
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Change in Five Facet Mindfulness Questionnaire at 6-weeks postnatal
Time Frame: 6-weeks postpartum
|
The Five Facet Mindfulness Questionnaire (range: 15-75) is a 15-item scale that assesses the frequency of a general tendency to be self-aware and mindful in everyday life in which a higher score indicates a better outcome.
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6-weeks postpartum
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Change in Prenatal Health Behaviors at 6-weeks postnatal
Time Frame: 6-weeks postnatal
|
The Prenatal Health Behaviors Scale (range: 0-96) is a 24-item scale that assesses the frequency of the use of prenatal health behaviors, including smoking, alcohol, drugs, food, vitamins, physical activity, sleep, etc in which a higher score signifies a worse outcome.
|
6-weeks postnatal
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Prenatal Distress at 12-weeks post-randomization
Time Frame: 12-weeks post-randomization
|
The Prenatal Distress Scale (range: 0-35) is an 18-item scale that assesses the things that are worrisome or bothersome about their pregnancy in which a higher score indicates a worse outcome.
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12-weeks post-randomization
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Treatment Acceptability and Preferences Scale
Time Frame: 4-weeks post-randomization
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The Treatment Acceptability and Preferences Scale (range: 0-36) is a 9-item scale that evaluates the effectiveness, acceptability, and suitability of the intervention in which a higher score indicates a better outcome.
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4-weeks post-randomization
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Change in Connor-Davidson Resilience Scale at 4-weeks post-randomization
Time Frame: 4-weeks post-randomization
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The Connor-Davidson Resilience Scale (range: 0-40) is a 10-item scale that assesses the ability to cope with adversity over the last one month in which a higher score indicates a better outcome.
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4-weeks post-randomization
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Expanded Adverse Childhood Experiences
Time Frame: Baseline
|
The Expanded Adverse Childhood Experiences survey (range: 0-21) is a 21-item questionnaire that assesses childhood adversity prior to age 18 years in which a higher score indicates a worse outcome.
|
Baseline
|
Benevolent Childhood Experiences
Time Frame: Baseline
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The Benevolent Childhood Experiences survey (range: 0-10) is a 10-item questionnaire that assesses positive childhood experiences during your first 18 years of life in which a higher score indicates a worse outcome.
|
Baseline
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Everyday Discrimination Scale
Time Frame: Baseline
|
The Everyday Discrimination Scale (range: 0-50) assesses the frequency of negative experiences as a result of one's race, ethnicity, or skin color in which a higher score indicates a worse outcome.
The EDS was developed as a subjective measure to capture self-reported frequency of routine, relatively subtle discriminatory experiences in everyday social situations.
Responses are typically coded on a 6-point Likert scale ranging from 'never' to 'almost everyday'.
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Baseline
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Social Determinants of Health Assessment Tool
Time Frame: Baseline
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The Social Determinants of Health Assessment Tool is a 10-item survey (0-10) that helps to identify health-related social needs (e.g., food, housing/utilities, transportation, and personal safety.
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Baseline
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Change in Posttraumatic Stress Disorder Checklist - Civilian at 6-week postnatal
Time Frame: 6-weeks postnatal
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Posttraumatic Stress Disorder Checklist - Civilian is a 17-item survey (range: 17-85) in which respondents indicate how much they have been bothered by each PTSD symptom over the past month using a 5-point scale ranging from 1 = not at all to 5 = extremely in which a higher score indicates a better outcome.
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6-weeks postnatal
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Change in General Self-Efficacy Scale at 6-weeks postnatal
Time Frame: 6-weeks postnatal
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The General Self-Efficacy Scale (range: 10-50) assesses confidence in one's ability to successfully perform specific tasks or behaviors in which a higher score indicates a better outcome.
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6-weeks postnatal
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Collaborators and Investigators
Investigators
- Principal Investigator: Ellen Goldstein, PhD, MFT, University of Illinois Chicago
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2022-1175
- U54MD012523 (U.S. NIH Grant/Contract)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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