Evidence map›Paper›PMID 40207735›Full record

Trial reportJournal of midwifery & women's health

A Pilot Randomized Controlled Trial of a Multimodal Wellness Intervention for Perinatal Mental Health.

Ellen Goldstein, Mariam Keita, Christabel Koomson, Nathan Tintle, Kirby Adlam, Erin Farah, Mary Dawn Koenig

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of midwifery & women's health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05718479 (Reducing Stress-Sensitive Problems Among Pregnant Black Women With Childhood Adversity), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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.

NCT05718479 nacompletednot on this map

Reducing Stress-Sensitive Problems Among Pregnant Black Women With Childhood Adversity: A Pilot Randomized Controlled Trial of Motivational Interviewing and Mental Wellness Skills

TypeinterventionalSponsorUniversity of Illinois at ChicagoRan2023 to 2024Enrolled40ConditionsMaternal Psychological Distress, Perinatal Depression, Self-Regulation, EmotionArmsTrauma Informed Prenatal Intervention (TPI), Prenatal Education Topics
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
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  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

7 authors.

Ellen GoldsteinDepartment of Population Health Nursing Science, University of Illinois Chicago College of Nursing, Chicago, Illinois.ORCID 0000-0003-4012-5337
Mariam KeitaDepartment of Population Health Nursing Science, University of Illinois Chicago College of Nursing, Chicago, Illinois.
Christabel KoomsonUniversity of Illinois Chicago College of Medicine, Chicago, Illinois.
Nathan TintleDepartment of Population Health Nursing Science, University of Illinois Chicago College of Nursing, Chicago, Illinois.
Kirby AdlamDepartment of Human Development Nursing Science, University of Illinois Chicago College of Nursing, Chicago, Illinois.ORCID 0000-0001-9995-2834
Erin FarahObstetrics and Gynecology, University of Illinois Health and Hospital System, Chicago, Illinois.ORCID 0000-0002-7330-4318
Mary Dawn KoenigDepartment of Human Development Nursing Science, University of Illinois Chicago College of Nursing, Chicago, Illinois.ORCID 0000-0002-2217-1105

Funding

Strengthening Stakeholder Engagement in Human Research Protections.UL1TR002003 · NCATS · UNIVERSITY OF ILLINOIS AT CHICAGO · PI KARNIK, NIRANJAN SUBHASH, MERMELSTEIN, ROBIN J. · 2016 to 2024
$33.7M
The influence of structural violence and individual behavior and health on the gut microbiome and colorectal cancer riskU54MD012523 · NIMHD · UNIVERSITY OF ILLINOIS AT CHICAGO · PI DAVIGLUS, MARTHA L, RAMIREZ-VALLES, JESUS · 2017 to 2022
$7.9M
Center for Clinical and Translational ScienceNCATS NIH HHS UL1 TR002003NIMHD NIH HHS U54 MD012523the National Institute on Minority Health and Health DisparitiesUniversity of Illinois Chicago Center for Health Equity Research (CHER) Chicago
6 · The paper itself

Abstract

introductionEvidence has shown that pregnant women who report high rates of psychologic stress are at increased risk for perinatal complications. We conducted a pilot randomized controlled trial (RCT) of a multimodal wellness intervention (MWI) composed of motivational interviewing and mental wellness skills to examine feasibility and acceptability of MWI and to compare changes in subjective measures of psychological and socioemotional outcomes among pregnant women through early postpartum.

methodsBetween March 2023 and February 2024, eligible pregnant individuals aged 18 and older, at 10 to 24 weeks' gestation, and English-speaking were recruited from a university-affiliated federally qualified health center (FQHC) in a large metropolitan area. Forty participants were randomized 1:1 to 4 weekly individual (45-60 minutes) virtual sessions of MWI or prenatal education control. Patient-reported perinatal distress and wellness indicators were interview-administered at baseline, postintervention, 2 months postintervention, and 6 weeks postpartum. This study was registered at ClinicalTrials.gov (NCT05718479).

resultsThe mean (SD) age of participants was 27.9 (5.7) years. Most participants identified as Black or African American (70%) pregnant women, with three-quarters being seen for prenatal services at an FQHC. The mean (SD) number of completed intervention sessions was 3.3 (1.3), with 75% of participants completing all 4 sessions. All participants reported being satisfied with the intervention, with 73% who were very satisfied and 86.7% who found the program very useful. MWI versus prenatal education demonstrated medium- to large-sized effects on reducing anxiety from mild to minimal symptoms and resulted in significantly increased health-promoting behaviors (eg, exercise, sleep, nutrition) at follow-up timepoints. DISCUSSION: Findings suggest that MWI was feasible and acceptable, in addition to demonstrating larger reductions in anxiety and greater increases in health-promoting behaviors compared to prenatal education among pregnant women. Further exploration of efficacy outcomes would require a larger sample size to detect more precise effects of MWI on psychological and socioemotional functioning during the perinatal period.

Indexed as

Health PromotionMental HealthMotivational InterviewingPregnancy ComplicationsPregnant PeoplePrenatal CareStress, PsychologicalAdultAnxietyFemaleHumansPerinatal CarePilot ProjectsPostpartum PeriodPregnancyYoung Adulthealth equityperinatal mental healthpregnancyprenatal carepsychological distressrandomized controlled trialresiliencetrauma‐informed care

Identifiers

PMID40207735
PMCPMC12172592

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.