Pilot Trial of CenteringPregnancy With Mindfulness Skills
13 lutego 2020 zaktualizowane przez: University of California, San Francisco
Integrative Stress Reduction for Maternal-Child Health
In the U.S., rates of preterm birth and low birth weight have increased over the past 30 years.
Poor birth outcomes are especially high among racial/ethnic minority populations.
Maternal stress is an important factor that can lead to negative birth outcomes.
Thus, programs that reduce stress during pregnancy could improve birth outcomes.
Initial pilot work tested a mindfulness-based approach to stress reduction during pregnancy.
Women in the pilot study had lower stress and improved coping after the program.
For the current study, mindfulness is added to an existing prenatal healthcare program called CenteringPregnancy (CP).
CP provides prenatal care through 10 group sessions.
This study compares CP with a version of CP infused with mindfulness skills training.
Effects of the two versions of CP on psychological stress and coping, stress hormones, and birth outcomes will be tested.
Data will be collected from participants three times: twice during pregnancy and once after birth.
Medical records will provide data on birth outcomes and other health factors.
The study will provide initial information about a mind-body program to reduce stress and improve birth outcomes.
Data from the study will inform the development of an R01 proposal for a larger study.
The study will also help advance the long term goal of reducing health disparities.
Przegląd badań
Status
Zakończony
Interwencja / Leczenie
Typ studiów
Interwencyjne
Zapisy (Rzeczywisty)
49
Faza
- Nie dotyczy
Kontakty i lokalizacje
Ta sekcja zawiera dane kontaktowe osób prowadzących badanie oraz informacje o tym, gdzie badanie jest przeprowadzane.
Lokalizacje studiów
-
-
California
-
San Francisco, California, Stany Zjednoczone, 94115
- University of California, San Francisco
-
-
Kryteria uczestnictwa
Badacze szukają osób, które pasują do określonego opisu, zwanego kryteriami kwalifikacyjnymi. Niektóre przykłady tych kryteriów to ogólny stan zdrowia danej osoby lub wcześniejsze leczenie.
Kryteria kwalifikacji
Wiek uprawniający do nauki
18 lat i starsze (Dorosły, Starszy dorosły)
Akceptuje zdrowych ochotników
Nie
Płeć kwalifikująca się do nauki
Kobieta
Opis
Inclusion Criteria:
- age 18 and over
- enrolled to receive group-based prenatal healthcare from the San Francisco General Hospital (SFGH) Outpatient Midwifery Clinic CenteringPregnancy program
Exclusion Criteria:
- ineligible for CenteringPregnancy due to the need for individualized prenatal care
- Type 2 diabetes
- HIV
- seizure disorder
- serious mental health disorder
- substance abuse or medical condition that would lead to inability to adhere to intervention guidelines
- not fluent in English or Spanish
- previous formal training in meditation, yoga, or other mind-body practice
- previous participation in CenteringPregnancy
Plan studiów
Ta sekcja zawiera szczegółowe informacje na temat planu badania, w tym sposób zaprojektowania badania i jego pomiary.
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Zapobieganie
- Przydział: Nielosowe
- Model interwencyjny: Przydział równoległy
- Maskowanie: Podwójnie
Broń i interwencje
Grupa uczestników / Arm |
Interwencja / Leczenie |
|---|---|
|
Eksperymentalny: CenteringPregnancy with Mindfulness Skills
CenteringPregnancy with Mindfulness Skills is the standard CenteringPregnancy prenatal healthcare intervention combined with mindfulness meditation and mindful movement/yoga applied to pregnancy, childbirth, and parenting.
|
CenteringPregnancy (CP) follows a standardized curriculum for group-based prenatal healthcare offered to groups of 10-12 women with similar due dates.
In lieu of receiving a series of individually-delivered prenatal healthcare, participants meet 10 times over the course of pregnancy and early postpartum for 2 hour sessions, essentially pooling their minutes for each prenatal healthcare visit.
The visit schedule adheres to the guidelines set forth by ACOG of monthly and then weekly visits close to birth.
All sessions of CP include three core components of: (1) physical assessment (including blood pressure, weight, and fundal height assessment), (2) education and skills-building, and (3) support.
Content topics for group discussion include nutrition, exercise, relaxation, understanding pregnancy problems, infant care and feeding, postpartum issues including contraception, comfort measures in pregnancy, sexuality and childbearing, abuse issues, parenting, and childbirth preparation.
CenteringPregnancy with Mindfulness Skills contains the CenteringPregnancy (CP) content combined with training in mindfulness meditation and mindful movement/yoga.
The mind-body methods have been adapted from those taught in the Mindfulness-Based Childbirth and Parenting (MBCP) course, which is a tailored version of the Mindfulness-Based Stress Reduction program delivered to pregnant women during the perinatal period.
These practices include mindfulness meditation of the breath, body, feelings, thoughts, and emotions; body scan meditation; yoga postures practiced with mindful awareness of the body and the physical changes associated with pregnancy; and loving-kindness meditation.
In addition, MBCP includes specific exercises in coping with stress, pain, and fear associated with pregnancy, childbirth, and early parenting with a focus on shifting the way participants relate to negative thoughts and emotions and cope with stress.
|
|
Aktywny komparator: CenteringPregnancy
CenteringPregnancy is group-based prenatal healthcare delivered according to the guidelines of the American College of Obstetrics and Gynecology.
It includes assessment, support, and health education delivered in a healthcare empowerment framework.
|
CenteringPregnancy (CP) follows a standardized curriculum for group-based prenatal healthcare offered to groups of 10-12 women with similar due dates.
In lieu of receiving a series of individually-delivered prenatal healthcare, participants meet 10 times over the course of pregnancy and early postpartum for 2 hour sessions, essentially pooling their minutes for each prenatal healthcare visit.
The visit schedule adheres to the guidelines set forth by ACOG of monthly and then weekly visits close to birth.
All sessions of CP include three core components of: (1) physical assessment (including blood pressure, weight, and fundal height assessment), (2) education and skills-building, and (3) support.
Content topics for group discussion include nutrition, exercise, relaxation, understanding pregnancy problems, infant care and feeding, postpartum issues including contraception, comfort measures in pregnancy, sexuality and childbearing, abuse issues, parenting, and childbirth preparation.
|
Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
preterm birth
Ramy czasowe: post-birth
|
gestational age at birth and risk of preterm birth (<37 weeks)
|
post-birth
|
|
birth weight
Ramy czasowe: post-birth
|
birth weight in grams, birth weight to gestational age ratio, and risk of low birth weight (<2500 grams)
|
post-birth
|
|
postpartum depression
Ramy czasowe: post-birth
|
incidence of self-reported postpartum depression
|
post-birth
|
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
change in and level of perceived stress
Ramy czasowe: second trimester, third trimester, post-birth
|
self-report of perceived life stress
|
second trimester, third trimester, post-birth
|
|
change in and type(s) of coping
Ramy czasowe: second trimester, third trimester, post-birth
|
self-report of coping with salient stressful aspects of pregnancy and parenting
|
second trimester, third trimester, post-birth
|
|
change in and level of mindfulness
Ramy czasowe: second trimester, third trimester, post-birth
|
self-report of mindfulness of daily experiences
|
second trimester, third trimester, post-birth
|
|
change in and level of positive and negative emotion
Ramy czasowe: second trimester, third trimester, post-birth
|
self-report of intensity and frequency of positive and negative affect
|
second trimester, third trimester, post-birth
|
|
change in and level of pregnancy-related anxiety
Ramy czasowe: second trimester, third trimester
|
self-report of pregnancy-related anxiety
|
second trimester, third trimester
|
|
change in and level of depressive mood
Ramy czasowe: second trimester, third trimester
|
self-report of depressive mood
|
second trimester, third trimester
|
|
change in and levels of salivary cortisol
Ramy czasowe: second trimester, third trimester
|
waking, 30-minutes post-waking, and bed-time salivary cortisol
|
second trimester, third trimester
|
|
change in and level of adrenocorticotropic hormone (ACTH)
Ramy czasowe: second trimester, third trimester
|
adrenocorticotropic hormone (ACTH) assayed from blood plasma
|
second trimester, third trimester
|
|
change in and levels of corticotropin releasing hormone (CRH)
Ramy czasowe: second trimester, third trimester
|
corticotropin releasing hormone (CRH) assayed from blood plasma
|
second trimester, third trimester
|
|
change in and levels of blood pressure
Ramy czasowe: second trimester, third trimester
|
diastolic and systolic blood pressure
|
second trimester, third trimester
|
Współpracownicy i badacze
Tutaj znajdziesz osoby i organizacje zaangażowane w to badanie.
Śledczy
- Główny śledczy: Larissa G Duncan, PhD, University of California, San Francisco
Daty zapisu na studia
Daty te śledzą postęp w przesyłaniu rekordów badań i podsumowań wyników do ClinicalTrials.gov. Zapisy badań i zgłoszone wyniki są przeglądane przez National Library of Medicine (NLM), aby upewnić się, że spełniają określone standardy kontroli jakości, zanim zostaną opublikowane na publicznej stronie internetowej.
Główne daty studiów
Rozpoczęcie studiów
1 stycznia 2011
Zakończenie podstawowe (Rzeczywisty)
3 maja 2017
Ukończenie studiów (Rzeczywisty)
3 maja 2017
Daty rejestracji na studia
Pierwszy przesłany
18 lipca 2012
Pierwszy przesłany, który spełnia kryteria kontroli jakości
18 lipca 2012
Pierwszy wysłany (Oszacować)
20 lipca 2012
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
17 lutego 2020
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
13 lutego 2020
Ostatnia weryfikacja
1 lutego 2020
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
Inne numery identyfikacyjne badania
- K01AT005270 (Grant/umowa NIH USA)
Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .
Badania kliniczne na CenteringPregnancy
-
University of ArkansasNational Institutes of Health (NIH); National Institute of General Medical Sciences...ZakończonyOpieka prenatalnaStany Zjednoczone