Anxiety Fear, Infant, Low Birth Weight, Maternal, Prenatal Depression, Preterm Birth
Conditions
Keywords
prenatal anxiety, pregnancy, depression, military, intervention
Brief summary
The M-O-M-S project evaluates the effectiveness of the M-O-M-S program for improving birth outcomes and maternal-infant attachment and role satisfaction in a large military sample.
Detailed description
The M-O-M-S project is a longitudinal, multi-site, randomized controlled trial to test program effectiveness for decreasing prenatal maternal anxiety and depression and increasing self-esteem and resilience and assess the relationship to pregnancy complications, birth outcomes, postpartum maternal-infant attachment, role satisfaction and parental stress.
Interventions
BEHAVIORALMentors Offering Maternal Support (M-O-M-S)
10, 1 hour, structured classes meeting every-other-week in person beginning in the first trimester of pregnancy and unlimited access to mentor support.
Sponsors
Joint Program Committee - 5
59th Medical Wing
United States Naval Medical Center, San Diego
Madigan Army Medical Center
711th Human Performance Wing
University of the Incarnate Word
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Following consent, the participants will randomized to either the treatment or control groups using a computer-generated randomization table developed prior to study start. They will be randomized to either the MOMS intervention or prenatal care without the MOMS. Women randomized to the MOMS program will be assigned to a MOMS group in the first trimester.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Prima or multigravida, first trimester of pregnancy at consent, greater than or equal to 18 years old, active duty, a wife of an active duty service member, or a retiree
Exclusion criteria
* Anticipated permanent change of station during the study (unless going to another one of the study sites or able to complete all treatment components prior to move), dependent daughter of active duty or retired military, greater than 12 weeks gestation at consent, less than 18 years of age and inability to understand English.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postpartum Self-Evaluation Questionnaire | assessing change between 1, 3, & 6 months postpartum | 82-items measuring the woman's perceived postpartum adaptation to motherhood |
| Family Index Coherence | assessing change between gestational weeks 12, 16, 24, and 32 of pregnancy and 1, 3, & 6 months postpartum | 17-item instrument measuring the degree to which families feel committed to the military mission and identify a subscale of family coping to manage life changes and stresses |
| Brief Resilience Scale | assessing change between gestational weeks 12, 16, 24, and 32 of pregnancy and 1, 3, & 6 months postpartum | 6-item instrument developed to measure the concept of bouncing back from stress. |
| Lederman Self-Evaluation Questionnaire | assessing change between gestational weeks 12, 16, 24, and 32 of pregnancy | Seven dimensions of pregnancy-specific anxiety |
| Rosenberg Self-Esteem Scale | assessing change between gestational weeks 12, 16, 24, and 32 of pregnancy and 1, 3, & 6 months postpartum | 10-item scale measuring the degree to which one values oneself |
| Family Adaptability and Cohesion Evaluation Scales | assessing change between gestational weeks 12, 16, 24, and 32 of pregnancy and 1, 3, & 6 months postpartum | 30-item instrument measuring the ability of the family (couple) to change its roles, rules, and power structure. |
| Edinburgh Postnatal Depression Scale | assessing change between gestational weeks 12, 16, 24, and 32 of pregnancy and 1, 3, & 6 months postpartum | 10-item scale measuring prenatal or postpartum symptoms of depression |
| Social Support Index | assessing change between gestational weeks 12, 16, 24, and 32 of pregnancy and 1, 3, & 6 months postpartum | 17-item scale measuring the extent to which families are integrated into the community, view the community as a source of support, and feel that the community can provide emotional, esteem, and network support |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Gestational age at birth | at first prenatal appointment up to 12 weeks | Gestational age in weeks at birth determined from last menstrual period (LMP) and/or first trimester ultrasound |
| Infant birthweight | delivery weight of infant documented at delivery | exact measure obtained from the delivery or infant record of the infants weight at birth in grams |
Countries
United States
Outcome results
None listed