Trial reportMaternal and child health journal2015
Effects of a psychosocial couple-based prevention program on adverse birth outcomes.
Trial report in Maternal and child health journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 5 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 5 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Reducing Rates of Cesarean Delivery in Rural US Communities: A Systematic Review of Interventions and Approaches to Care.Preventing chronic disease · 2026Pooled it
- Couple-based preconception care as a gender-responsive strategy for improving health and well-being: a systematic review.Reproductive health · 2026Pooled it
- Non-clinical interventions for reducing unnecessary caesarean section.The Cochrane database of systematic reviews · 2018Pooled it
- Effectiveness of early intervention programs for parents of preterm infants: a meta-review of systematic reviews.BMC pediatrics · 2018Pooled it
- Practitioner review: Engaging fathers--recommendations for a game change in parenting interventions based on a systematic review of the global evidence.Journal of child psychology and psychiatry, and allied disciplines · 2014Pooled it
- Coparenting-focused preventive intervention reduces postnatal maternal BMI and buffers impact of cortisol.Obesity (Silver Spring, Md.) · 2022Trial
- Impact of the COVID-19 Pandemic on Parent, Child, and Family Functioning.Family process · 2022Trial
- Building long-term family resilience through universal prevention: 10-year parent and child outcomes during the COVID-19 pandemic.Family process · 2022Trial
- Couple-Focused Prevention at the Transition to Parenthood, a Randomized Trial: Effects on Coparenting, Parenting, Family Violence, and Parent and Child Adjustment.Prevention science : the official journal of the Society for Prevention Research · 2016Trial
- Economic Costs and Benefits of the Digital OurRelationship Program for Distressed Couples.Family process · 2026Review
- A coparent intervention to prevent prenatal stress and depression symptoms in families with lower incomes.Family relations · 2026Article
- Maternal Psychotherapy Addressing Generational Stress is Associated with Lower Preterm Birth Risk: The Pforzheim Study.Women's health reports (New Rochelle, N.Y.) · 2025Article
- Online Game-Based Parental Groups: The Experiences of First-Time Expectant Parents.The Journal of perinatal education · 2024Article
- Parents' Family Coping Strategies during the Pandemic: Effects on Parent and Child Well-Being.Journal of family issues · 2024Article
- Modeling Long-Term Budgetary Impacts of Prevention: An Overview of Meta-analyses of Relationships Between Key Health Outcomes Across the Life-Course.Journal of prevention (2022) · 2024Article
- Healthful Eating Behaviors among Couples Contribute to Lower Gestational Weight Gain.Nutrients · 2024Article
- Educational interventions targeting pregnant women to optimise the use of caesarean section: What are the essential elements? A qualitative comparative analysis.BMC public health · 2023Article
- Double Impact: A Dyadic Discrimination Model for Poor, Minority, and Pregnant Couples.Journal of urban health : bulletin of the New York Academy of Medicine · 2022Article
- Helping couples achieve relationship success: A decade of progress in couple relationship education research and practice, 2010-2019.Journal of marital and family therapy · 2022Review
- Composite non-clinical interventions for a safe cesarean section rate reduction: results of a pre-post interventional study.BMC pregnancy and childbirth · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
Although maternal stress and depression have been linked to adverse birth outcomes (ABOs), few studies have investigated preventive interventions targeting maternal mental health as a means of reducing ABOs. This randomized controlled study examines the impact of Family Foundations (FF)-a transition to parenthood program for couples focused on promoting coparenting quality, with previously documented impact on maternal stress and depression-on ABOs. We also examine whether intervention buffers birth outcomes from the negative effect of elevated salivary cortisol levels. We use intent-to-treat analyses to assess the main effects of the FF intervention on ABOs (prematurity, birth weight, pregnancy complications, Cesarean section, and days in hospital for mothers and infants) among 148 expectant mothers. We also test the interaction of cortisol with intervention condition status in predicting ABOs. FF participation was associated with reduced risk of C-section (OR .357, p < 0.05, 95 % CI 0.149, 0.862), but did not have main effects on other ABOs. FF significantly buffered (p < 0.05) the negative impact of maternal cortisol on birth weight, gestational age, and days in hospital for infants; that is, among women with relatively higher levels of prenatal cortisol, the intervention reduced ABOs. These results demonstrate that a psycho-educational program for couples reduces incidence of ABOs among higher risk women. Future work should test whether reduced maternal stress and depression mediate these intervention effects.
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What OpenQuestion holds
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.