매력적인 엄마와 아기; 모두를 위한 산전 관리 재구상(EMBRACE) 연구 (EMBRACE)

활성 비교기: 불타는 듯한 빛깔! 그룹 산전 관리

랩 어라운드 서비스를 통한 그룹 산전 관리.

다른: 불타는 듯한 빛깔! 그룹 산전 관리

불타는 듯한 빛깔! 저소득층 가정을 대상으로 하는 독립적인 자금 흐름과 함께 확립된 커뮤니티 프로그램에서 제공하는 공동 위치 사회 서비스를 제공하는 향상된 그룹 산전 관리 모델입니다. 글로우! 그룹 산전 관리 모델은 교육을 받은 촉진자와 실습 현장의 면허가 있는 산전 관리 전문가를 연결하여 진료소의 환자에게 청구 가능한 산전 관리를 제공합니다. 8~10회에 걸쳐 10~12명의 여성(임신 6주 이내)이 산전 의료, 위험 평가, 사회적 지원을 받고 임신, 출산, 육아와 관련된 지식과 기술을 습득합니다.

활성 비교기: 개별 산전 관리 - CPSP

CPSP가 보장하는 추가 서비스가 포함된 개별 산전 관리.

다른: CPSP를 통한 개별 산전 관리

포괄적인 주산기 서비스 프로그램(CPSP)은 Medi-Cal 자격이 있는 가족이 향상된 관리 및 서비스 조정을 받을 수 있도록 주에서 자금을 지원하는 프로그램입니다. CPSP 개별 관리에 배정된 참가자는 개별 산전 관리가 제공되는 산전 관리 현장에서 포괄적인 주산기 건강 종사자와 함께 CPSP 평가에 참여할 수 있습니다.

환자 건강 설문지(PHQ-9) 점수의 변화

기준선부터 산후까지 우울 증상 심각도의 변화. 환자 건강 설문지(PHQ-9)를 사용하여 평가했으며, 기준선에서 직접 관리하고 산후 3개월에 전화 인터뷰를 통해 평가했습니다. 총점의 범위는 0~27점으로 점수가 높을수록 우울증이 심한 것을 의미한다.

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.