Trial reportResearch in nursing & health2015
Perceptions of Barriers and Facilitators During Implementation of a Complex Model of Group Prenatal Care in Six Urban Sites.
Trial report in Research in nursing & health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00628771 (Integrating Prenatal Care to Reduce HIV/STDs Among Teens), which is not on this map. Cited by 27 papers, 2 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.
Integrating Prenatal Care to Reduce HIV/STDs Among Teens: A Translational Study
Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic review of providers' experiences of facilitating group antenatal care.Reproductive health · 2021Pooled it
- Innovative Implementation Studies Conducted in US Safety Net Health Care Settings: A Systematic Review.American journal of medical quality : the official journal of the American College of Medical QualityPooled it
- CenteringPregnancy in the Netherlands: Who engages, who doesn't, and why.Birth (Berkeley, Calif.) · 2022Trial
- Scheduling Group Care in Routine Perinatal Care: Identifying Implementation Modifications Across Belgium, Kosovo, and the UK.Healthcare (Basel, Switzerland) · 2026Article
- Site-randomised trial of a multilevel digital intervention to reduce maternal morbidity and mortality: a study protocol.BMJ open · 2025Article
- A study protocol for a site-randomized trial of a multi-level digital intervention to reduce maternal morbidity & mortality.medRxiv : the preprint server for health sciences · 2025Article
- Implementing group care in Dutch and Surinamese maternity and child care services: the vital importance of addressing outer context barriers.BMC pregnancy and childbirth · 2024Article
- Article
- Providers' Perspectives of a Culturally Adapted CenteringPregnancy Intervention for Marshallese Women in Arkansas.Nursing for women's health · 2024Article
- Group prenatal care successes, challenges, and frameworks for scaling up: a case study in adopting health care innovations.Implementation science communications · 2024Article
- National assessment of obstetrics and gynecology and family medicine residents' experiences with CenteringPregnancy group prenatal care.BMC pregnancy and childbirth · 2023Article
- Anticipated benefits and challenges of implementing group care in Suriname's maternity and child care sector: a contextual analysis.BMC pregnancy and childbirth · 2023Article
- It takes two to tango: the recruiter's role in accepting or refusing to participate in group antenatal care among pregnant women-an exploration through in-depth interviews.Family medicine and community health · 2023Article
- Utilization of digital prenatal services and management of depression and anxiety during pregnancy: A retrospective observational study.Frontiers in digital health · 2023Article
- Inequities in Availability of Evidence-Based Birth Supports to Improve Perinatal Health for Socially Vulnerable Rural Residents.Children (Basel, Switzerland) · 2022Article
- Assessing Perception of Prenatal Care Quality Among Black Women in the United States.Journal of midwifery & women's health · 2022Article
- Implementation of a novel rehabilitation model of care across Alberta, Canada: a focused ethnography.BMJ open quality · 2021Article
- Group Prenatal Care in Mexico: perspectives and experiences of health personnel.Revista de saude publica · 2020Article
- Barriers and facilitators to implementing priority inpatient initiatives in the safety net setting.Implementation science communications · 2020Article
- Mixed methods study of a new model of care for chronic disease: co-design and sustainable implementation of group consultations into clinical practice.Rheumatology advances in practice · 2020Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
Group prenatal care improves perinatal outcomes, but implementing this complex model places substantial demands on settings designed for individual care. To describe perceived barriers and facilitators to implementing and sustaining CenteringPregnancy Plus (CP+) group prenatal care, 24 in-depth interviews were conducted with 22 clinicians, staff, administrators, and study personnel in six of the 14 sites of a randomized trial of the model. All sites served low-income, minority women. Sites for the present evaluation were selected for variation in location, study arm, and initial implementation response. Implementing CP+ was challenging in all sites, requiring substantial adaptations of clinical systems. All sites had barriers to meeting the model's demands, but how sites responded to these barriers affected whether implementation thrived or struggled. Thriving sites had organizational cultures that supported innovation, champions who advocated for CP+, and staff who viewed logistical demands as manageable hurdles. Struggling sites had bureaucratic organizational structures and lacked buy-in and financial resources, and staff were overwhelmed by the model's challenges. Findings suggested that implementing and sustaining health care innovation requires new practices and different ways of thinking, and health systems may not fully recognize the magnitude of change required. Consequently, evidence-based practices are modified or discontinued, and outcomes may differ from those in the original controlled studies. Before implementing new models of care, clinical settings should anticipate model demands and assess capacity for adapting to the disruptions of innovation.
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