母親と赤ちゃんの関与。すべての人のための産前ケアの再考 (EMBRACE) 研究 (EMBRACE)

アクティブコンパレータ：光る！グループ産前ケア

ラップアラウンドサービスによるグループ産前ケア。

他の：光る！グループ産前ケア

光る！は、低所得世帯を対象とした独立した資金源を備えた確立されたコミュニティプログラムによって提供される、共同の場所での社会サービスを提供する、強化されたグループ産前ケアモデルです。 輝き！グループ産前ケア モデルでは、訓練を受けたファシリテーターと診療所の認可を受けた出生前ケア専門家を組み合わせて、診療所の患者に請求可能な出生前ケアを提供します。 8 ～ 10 回のセッションを通じて、10 ～ 12 人の女性（在胎期間 6 週間以内）が出生前医療、リスク評価、社会的サポートを受け、妊娠、出産、子育てに関する知識とスキルを習得します。

アクティブコンパレータ：個別の出産前ケア - CPSP

CPSP の対象となる補足サービスを利用した個別の産前ケア。

他の：CPSPによる個別の出産前ケア

包括的周産期サービス プログラム (CPSP) は、Medi-Cal 資格のある家族が強化されたケアとサービス調整を受けるための州の資金提供によるプログラムです。 CPSP の個別ケアに割り当てられた参加者は、個別の産前ケアが提供される出生前ケア施設で総合周産期医療従事者とともに CPSP 評価に参加できます。

患者健康アンケート (PHQ-9) スコアの変化

ベースラインから産後までのうつ症状の重症度の変化。 患者健康質問票 (PHQ-9) を使用して評価され、ベースラインでは対面で、また産後 3 か月後の電話面接中に実施されます。 合計スコアは 0 ～ 27 の範囲で、スコアが高いほどうつ病がより深刻であることを示します。

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.