Coinvolgere madri e bambini; Studio Reimagining Prenatal Care for Everyone (EMBRACE). (EMBRACE)

Comparatore attivo: Incandescenza! Assistenza prenatale di gruppo

Assistenza prenatale di gruppo con servizi avvolgenti.

Altro: Incandescenza! Assistenza prenatale di gruppo

Incandescenza! è un modello di assistenza prenatale di gruppo potenziato che offre servizi sociali co-localizzati forniti da programmi comunitari consolidati con flussi di finanziamento indipendenti rivolti alle famiglie a basso reddito. Il bagliore! Il modello di assistenza prenatale di gruppo associa un facilitatore qualificato a un professionista dell'assistenza prenatale autorizzato da un centro di pratica per fornire assistenza prenatale fatturabile ai propri pazienti della pratica. Nel corso di 8-10 sessioni, 10-12 donne (entro un intervallo di età gestazionale di 6 settimane) ricevono cure mediche prenatali, valutazioni del rischio e supporto sociale e acquisiscono conoscenze e competenze relative alla gravidanza, al parto e alla genitorialità.

Comparatore attivo: Assistenza prenatale individuale - CPSP

Assistenza prenatale individuale con servizi supplementari coperti da CPSP.

Altro: Assistenza prenatale individuale con CPSP

Il programma completo di servizi perinatali (CPSP) è un programma finanziato dallo stato per le famiglie idonee a Medi-Cal per ricevere cure avanzate e coordinamento dei servizi. I partecipanti assegnati all'assistenza individuale CPSP possono partecipare alle valutazioni CPSP con un operatore sanitario perinatale completo presso il loro centro di assistenza prenatale, dove verrà fornita l'assistenza prenatale individuale

Cambiamenti nel punteggio del questionario sulla salute del paziente (PHQ-9).

Cambiamenti nella gravità dei sintomi depressivi dal basale al postpartum. Valutato utilizzando il Patient Health Questionnaire (PHQ-9), somministrato di persona al basale e durante l'intervista telefonica a tre mesi dopo il parto. Il punteggio totale varia da 0 a 27 con punteggi più alti che indicano una depressione più grave.

Person-centered Prenatal Care

This outcome focuses on the extent to which the participants feels their prenatal care was person centered.

The title of the measure is Person Centered Prenatal Care (primary). This measurement tool is a questionnaire that includes series of items that were developed in collaboration with community members to measure their experience of care. In addition to the overall score, the scale includes three subscales identified as important by community members: dignity and respect, communication and autonomy, and responsive and supportive care. The measures have been validated in several languages.

The total scores range from 0-100 with higher scores indicating the receipt of more person centered care.

Preterm Birth

Whether the participant had a baby born less than 37 weeks gestation, as noted in the participant's medical record.

Changes in Anxiety Symptom Severity

Changes in anxiety symptom severity from baseline to postpartum. Assessed using the 7-item Generalized Anxiety Disorder (GAD-7) scale, administered in-person at baseline and during telephone interview at three months postpartum.

The total scores range from 0-21 with higher scores indicating more severe anxiety.

Perceptions of Respectful/Disrespectful Maternity Care

Extent to which the participant feels that the maternity care they received was respectful. Assessed using the Mothers on Respect Index (MORi), administered during telephone interview or in-person at three months postpartum.

The total scores range from 14-100 with higher scores indicating a higher level of respect.

Satisfaction With Prenatal Care

Extent to which the participant feels satisfied with the prenatal care they received. Assessed using the Prenatal Care Satisfaction Scale, administered during telephone interview or in-person interview at third trimester.

The total scores range from 0-100 with higher scores indicating higher levels of satisfaction.

Gestational Age at Delivery

The gestation age at which the baby was born (number of weeks), as noted in the participant's medical record.

Person Centered Maternity Care

Extent to which birthing person feels their prenatal and birthing experience was person centered, as measured by the Person-Centered Maternity Care scale.

This measure focuses on the extent to which the participants feels their prenatal and maternity/birthing care was person centered.

The title of the measure is Person Centered Maternity Care. This measurement tool is a questionnaire that includes series of items that were developed in collaboration with community members to measure their experience of care. In addition to the overall score, the scale includes three subscales identified as important by community members: dignity and respect, communication and autonomy, and responsive and supportive care. The measures have been validated in several languages.

The total scores range from 0-100 with higher scores indicating the receipt of more person centered care.