Evidence map›Paper›PMID 38323949›Full record

Trial reportAmerican journal of preventive medicine2024

Effects of Two Group Prenatal Care Interventions on Mental Health: An RCT.

Susan Gennaro, Bernadette Mazurek Melnyk, Laura A Szalacha, Anne M Gibeau, Jacqueline Hoying, Caitlin M O'Connor, Andrea R Cooper, Melanie M Aviles

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of preventive medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03416010 (Healthy Lifestyle Intervention for High-Risk Minority Pregnant Women), which is not on this map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 3% of its field
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.

NCT03416010 nacompletednot on this map

Healthy Lifestyle Intervention for High-Risk Minority Pregnant Women: A-RCT

TypeinterventionalSponsorOhio State UniversityRan2018 to 2023Enrolled299ConditionsEmotional Disturbances, Depression, Pregnancy Late, Post-Partum DepressionArmsCOPE-P
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. 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

8 authors at 4 institutions in 1 country.

Susan GennaroWilliam F. Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts.
Bernadette Mazurek MelnykCollege of Nursing, The Ohio State University, Columbus, Ohio.
Laura A SzalachaMorsani College of Medicine, University of South Florida, Tampa, Florida.
Anne M GibeauJacobi Medical Center, Bronx, New York.
Jacqueline HoyingCollege of Nursing, The Ohio State University, Columbus, Ohio.
Caitlin M O'ConnorWilliam F. Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts. Electronic address: daceyca@bc.edu.
Andrea R CooperCollege of Nursing, The Ohio State University, Columbus, Ohio.
Melanie M AvilesJacobi Medical Center, Bronx, New York.
The Ohio State University · USBoston College · USJacobi Medical Center · USUniversity of South Florida · US

Funding

Healthy Lifestyle Intervention for High-Risk Minority Pregnant Women: A RCTR01MD012770 · NIMHD · BOSTON COLLEGE · PI GENNARO, SUSAN, MELNYK, BERNADETTE M · 2017 to 2021
$3.3M
NIMHD NIH HHS R01 MD012770
6 · The paper itself

Abstract

introductionPerinatal depression and anxiety cost the U.S. health system $102 million annually and result in adverse health outcomes. Research supports that cognitive behavioral therapy improves these conditions, but barriers to obtaining cognitive behavioral therapy have prevented its success in pregnant individuals. In this study, the impact of a cognitive behavioral therapy-based intervention on anxiety, depression, stress, healthy lifestyle beliefs, and behaviors in pregnant people was examined. STUDY

designThis study used a 2-arm RCT design, embedded in group prenatal care, with one arm receiving a cognitive behavioral therapy-based Creating Opportunities for Personal Empowerment program and the other receiving health promotion content. SETTING/

participantsBlack and Hispanic participants (n=299) receiving prenatal care from 2018 to 2022 in New York and Ohio who screened high on 1 of 3 mental health measures were eligible to participate.

interventionParticipants were randomized into the manualized Creating Opportunities for Personal Empowerment cognitive behavioral therapy-based program, with cognitive behavioral skill-building activities delivered by advanced practice nurses in the obstetrical setting.

main outcome measuresOutcomes included anxiety, depression, and stress symptoms using valid and reliable tools (Generalized Anxiety Disorder scale, Edinburgh Postnatal Depression Scale, and Perceived Stress Scale). The Healthy Lifestyle Beliefs and Behaviors Scales examined beliefs about maintaining a healthy lifestyle and reported healthy behaviors.

resultsThere were no statistically significant differences between groups in anxiety, depression, stress, healthy beliefs, and behaviors. There were significant improvements in all measures over time. There were statistically significant decreases in anxiety, depression, and stress from baseline to intervention end, whereas healthy beliefs and behaviors significantly increased.

conclusionsBoth cognitive behavioral therapy and health promotion content embedded in group prenatal care with advanced practice nurse delivery improved mental health and healthy lifestyle beliefs and behaviors at a time when perinatal mood generally worsens.

trial registrationThis study is registered with clinicaltrials.gov NCT03416010.

Indexed as

AnxietyCognitive Behavioral TherapyDepressionHealthy LifestyleMental HealthPrenatal CareAdultBlack or African AmericanFemaleHealth PromotionHispanic or LatinoHumansNew YorkOhioPregnancyPregnancy Complications

Identifiers

PMID38323949
PMCPMC11197933
OpenAlexW4391538112

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.