Evidence map›Paper›PMID 26194453›Full record

ArticleMaternal and child health journal2016

Preventive Effects on Birth Outcomes: Buffering Impact of Maternal Stress, Depression, and Anxiety.

Mark E Feinberg, Damon E Jones, Michael E Roettger, Michelle L Hostetler, Kari-Lyn Sakuma, Ian M Paul, Deborah B Ehrenthal

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Maternal and child health journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01907412 (Trial of Transition to Parenthood Program for Couples), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 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.

NCT01907412 naactive not recruitingnot on this map

Trial of Transition to Parenthood Program for Couples

TypeinterventionalSponsorPenn State UniversityRan2008 to 2026Enrolled1,200ConditionsParent-Child RelationsArmsFamily Foundations Coparenting Program
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Article
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

7 authors.

Mark E FeinbergEdna Bennett Pearce Prevention Research Center, Pennsylvania State University, 310 Biobehavioral Health, University Park, PA, 16802, USA.
Damon E JonesEdna Bennett Pearce Prevention Research Center, Pennsylvania State University, 310 Biobehavioral Health, University Park, PA, 16802, USA.
Michael E RoettgerThe Australian National University, Canberra, Australia. Mike.Roettger@anu.edu.au.
Michelle L HostetlerEdna Bennett Pearce Prevention Research Center, Pennsylvania State University, 310 Biobehavioral Health, University Park, PA, 16802, USA.
Kari-Lyn SakumaOregon State University, Corvallis, OR, USA.
Ian M PaulDepartment of Pediatrics, Penn State College of Medicine, Hershey, PA, USA.
Deborah B EhrenthalUniversity of Wisconsin-Madison, Madison, WI, USA.

Funding

Trial of Transition to Parenting Program for CouplesR01HD058529 · NICHD · PENNSYLVANIA STATE UNIVERSITY, THE · PI FEINBERG, MARK ETHAN · 2008 to 2012
$3.5M
Perinatal Intervention and Long-Term OutcomesR01HD084476 · NICHD · PENNSYLVANIA STATE UNIVERSITY, THE · PI FEINBERG, MARK ETHAN · 2016 to 2020
$2.1M
NICHD NIH HHS R01 HD058529NICHD NIH HHS R01 HD058529-02NICHD NIH HHS R01 HD084476
6 · The paper itself

Abstract

objectiveAlthough maternal stress, anxiety, and depression have been linked to negative birth outcomes, few studies have investigated preventive interventions targeting maternal mental health as a means of reducing such problems. This randomized controlled study examines whether Family Foundations (FF)-a transition to parenthood program for couples focused on promoting coparenting quality, with previously documented impact on maternal stress, depression, and anxiety-can buffer the negative effects of maternal mental health problems.

methodsTo assess the effects of FF, we used a randomized block design with a sample of 259 expectant mothers assigned to FF or a control condition and analyzed using propensity score models. We examine two-way interactions of condition (intervention vs. control) with maternal mental health problems (financial stress, depression, and anxiety) on birth outcomes (birth weight, days in hospital for mothers and infants). For birth weight, we assess whether intervention effects depend on length of gestation by including a third interaction term.

resultsFF buffered (p < 0.05) the negative impact of maternal mental health problems on birth weight and both mother and infant length of post-partum hospital stay. For birth weight, assignment to FF was associated with higher birth weight for infants born before term.

conclusionsThese results demonstrate that a psycho-educational program for couples focused on enhancing mutual coparental support, with preventive effects on maternal mental health, can reduce incidence of birth problems among women at elevated risk. Such improvements in birth outcomes could translate into substantial reductions in public and personal healthcare costs. Future work should assess mediating mechanisms of intervention impact and cost-benefit ratio of the intervention. CLINICAL TRIALS REGISTRATION: The Family Foundations follow-up intervention study is currently registered with www.clinicaltrials.gov . The study identifier is NCT01907412.

Indexed as

Outcome Assessment, Health CareAnxietyDepressionFemaleHumansInfant, Low Birth WeightParturitionPregnancyPrenatal CareStress, PsychologicalAnxietyBirth weightCoparentingDepressionFamily FoundationsLength of hospital stayPrenatal stress

Identifiers

PMID26194453
PMCPMC11363741

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.