ArticleBMC pregnancy and childbirth2020
Online mindfulness-based intervention for women with pregnancy distress: design of a randomized controlled trial.
Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 15 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.
E-health Intervention in Women With Pregnancy Distress: a Randomized Controlled Trial
The Effect of Prenatal Haptonomy on Pregnancy-related Anxiety, Distress and Psychological Well-being
Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Effectiveness of Virtual Reality for Pain Relief in Procedures Related to Obstetrics and Gynaecology: A Systematic Review and Meta-Analysis of Randomised Controlled Trials.BJOG : an international journal of obstetrics and gynaecology · 2026Pooled it
- The efficacy of collaborative psychological interventions in reducing anxiety levels in pregnant women: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2025Pooled it
- Effectiveness of Smartphone-Based Mindfulness Training on Maternal Perinatal Depression: Randomized Controlled Trial.Journal of medical Internet research · 2021Trial
- Challenges and Opportunities in Recruiting a Very Large Sample of Pregnant Individuals: Secondary Analysis of an Online Nationwide Randomized Controlled Trial.JMIR pediatrics and parenting · 2025Article
- Anxiety, self-compassion, perceived social support and resilience in two groups of primiparous pregnant women fully and not attending childbirth preparation classes.BMC psychology · 2025Article
- Article
- Development of a resilience-enhancing intervention during and after pregnancy: a systematic process informed by the behaviour change wheel framework.BMC psychology · 2023Article
- Feasibility of online mindfulness-based interventions for families affected with postpartum depression and anxiety: study protocol.BMJ open · 2022Article
- Lessons Learned Recruiting and Retaining Pregnant and Postpartum Individuals in Digital Trials: Viewpoint.JMIR pediatrics and parenting · 2022Article
- Revealing the impact of lifestyle stressors on the risk of adverse pregnancy outcomes with multitask machine learning.Frontiers in pediatrics · 2022Article
- A Comparison Between the Relaxation/Meditation/Mindfulness Tracker t Inventory and the Freiburg Mindfulness Inventory for Predicting General Health, Anxiety, and Anger in Adult General Population.Frontiers in psychology · 2022Article
- Subjective Birth Experience Predicts Mother-Infant Bonding Difficulties in Women With Mental Disorders.Frontiers in global women's health · 2022Article
- The COVID-19 outbreak increases maternal stress during pregnancy, but not the risk for postpartum depression.Archives of women's mental health · 2021Article
- Experiences and predictors of psychological distress in pregnant women living with HIV.British journal of health psychology · 2021Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundPsychological distress during pregnancy is common: up to 20% of the childbearing women experience symptoms of depression and anxiety. Apart from the adverse effects on the woman herself, pregnancy distress can negatively affect pregnancy outcomes, infant health, postpartum mother-child interaction and child development. Therefore, the development of interventions that reduce pregnancy distress is very important. Mindfulness-based interventions (MBIs) show promising positive effects on pregnancy distress, but there is a need for randomized controlled trials with sufficient power. Trials on online MBIs, which are readily accessible and not expensive, also show positive effects on stress reduction in non-pregnant populations. Moreover, specific working mechanisms of MBIs remain unclear. The aim of the current study is to test the effectiveness of an online MBI in pregnant women with pregnancy distress, as well as exploring potential working mechanisms.
methodsThe current study is a randomized controlled trial with repeated measures. Consenting women with elevated levels of pregnancy distress will be randomized into an intervention group (MBI) or control group (care as usual) around 12 weeks of pregnancy, with an intended sample size of 103 women in each group. The primary outcome, pregnancy distress, will be assessed via questionnaires at baseline, halfway through the intervention and post intervention in both intervention and control group, and after 8 weeks follow-up in the intervention group. Secondary outcomes are mindfulness skills, rumination and self-compassion, which are also seen as potential working mechanisms, and will be assessed via questionnaires before intervention, halfway through the intervention, post intervention and after 8 weeks follow-up in the intervention group. Tertiary outcome variables are obstetric data and will be collected from the obstetric records for both intervention and control group. Analyses will be based on the intention-to-treat principle. Multilevel regression models for repeated measures (mixed models) will be used to evaluate changes in primary and secondary outcome variables. Tertiary outcomes will be compared between groups using independent t-tests and Chi Square analyses. DISCUSSION: The trial is expected to increase knowledge about the effectiveness of online MBIs during pregnancy in women with pregnancy distress and to evaluate potential working mechanisms.
trial registrationClinicalTrials.gov: NCT03917745, registered on 4 March 2019. Protocol Version 3.0., 20 February 2020.
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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.