Evidence map›Paper›PMID 21318932›Full record

Trial reportPsychology & health2011

Effects of group prenatal care on psychosocial risk in pregnancy: results from a randomised controlled trial.

Jeannette R Ickovics, Elizabeth Reed, Urania Magriples, Claire Westdahl, Sharon Schindler Rising, Trace S Kershaw

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Psychology & health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00271960 (Group Prenatal Care for Reducing the Risk of STDs in Pregnant Young Women), which is not on this map. Cited by 64 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00271960 phase3completednot on this map

Group Prenatal Care for Reducing the Risk of STDs in Pregnant Young Women

TypeinterventionalSponsorYale UniversityRan2001 to 2008Enrolled1,047ConditionsSexually Transmitted Diseases, HIV InfectionsArmsCenteringPregnancy, CenteringPregnancyPlus, Usual care
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Group Medical Care: A Systematic Review of Health Service Performance.International journal of environmental research and public health · 2021
    Pooled it
  3. Pooled it
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  5. Group versus conventional antenatal care for women.The Cochrane database of systematic reviews · 2015
    Pooled it
  6. Pooled it
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  18. Patient Characteristics Associated With Group Prenatal Care Attendance in a Randomized Controlled Trial.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Trial
  19. Article
  20. Article

4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jeannette R IckovicsYale School of Public Health and Yale Center for Interdisciplinary Research on AIDS, New Haven, CT 06520-8034, USA. jeannette.ickovics@yale.edu
Elizabeth Reed
Urania Magriples
Claire Westdahl
Sharon Schindler Rising
Trace S Kershaw

Funding

YALE UNIVERSITY CLINICAL AND TRANSLATIONAL SCIENCE AWARD PROGRAMUL1RR024139 · NCRR · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2006 to 2011
$56.8M
INTERVENTION TO REDUCE HIV/STD RISK IN TEEN PREGNANCYR01MH061175 · NIMH · YALE UNIVERSITY · PI ICKOVICS, JEANNETTE R · 2001 to 2005
$3.7M
Analysis of Cis-Regulatory Mechanisms in Drosophila CNS Midline GenesF32HD061175 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PEARSON, JOSEPH CARLISLE · 2010 to 2011
$107k
NCRR NIH HHS UL1 RR024139NICHD NIH HHS F32 HD061175NICHD NIH HHS R01 MH/HD61175NIMH NIH HHS R01 MH061175
6 · The paper itself

Abstract

Few interventions have succeeded in reducing psychosocial risk among pregnant women. The objective of this study was to determine whether an integrated group prenatal care intervention already shown to improve perinatal and sexual risk outcomes can also improve psychosocial outcomes compared to standard individual care. This randomised controlled trial included pregnant women ages 14-25 from two public hospitals (N = 1047) who were randomly assigned to standard individual care, group prenatal care or integrated group prenatal care intervention (CenteringPregnancy Plus, CP+). Timing and content of visits followed obstetrical guidelines, from 18-week gestation through birth. Each 2-h group prenatal care session included physical assessment, education/skills building and support via facilitated discussion. Using intention-to-treat models, there were no significant differences in psychosocial function; yet, women in the top tertile of psychosocial stress at study entry did benefit from integrated group care. High-stress women randomly assigned to CP+ reported significantly increased self-esteem, decreased stress and social conflict in the third trimester of pregnancy; social conflict and depression were significantly lower 1-year postpartum (all p-values < 0.02). CP+ improved psychosocial outcomes for high-stress women. This 'bundled' intervention has promise for improving psychosocial outcomes, especially for young pregnant women who are traditionally more vulnerable and underserved.

Indexed as

Group ProcessesSocial SupportAdolescentAdultFemaleHealth PromotionHumansInterviews as TopicPregnancyPrenatal CareProgram EvaluationStress, PsychologicalUser-Computer InterfaceYoung Adult

Identifiers

PMID21318932
PMCPMC3311036

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.