Skip to content

Preemie Prep For Parents (P3): Home Antenatal Prematurity Education

Preemie Prep For Parents (P3) Outpatient Mobile Intervention: Home Antenatal Prematurity Education

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04093492
Enrollment
175
Registered
2019-09-18
Start date
2020-02-03
Completion date
2022-01-31
Last updated
2024-03-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Decision Making, Infant, Premature, Premature Birth, Prenatal Care, Resuscitation

Keywords

gestational age, multi-media, mobile application, anxiety, clinical trial, random allocation

Brief summary

The Preemie Prep for Parents (P3) mobile intervention will be tested in an outpatient population of pregnant women at risk of preterm birth and their partners. The study is a randomized controlled trial (RCT) comparing knowledge and preparedness for decision making between a group receiving the P3 texts and videos and a group receiving links to American College of Obstetricians and Gynecologists (ACOG) prematurity patient education handouts.

Detailed description

This is a randomized controlled study focused on an outpatient population of pregnant women at risk of preterm birth and their partners. The objective is to test the efficacy of the Preemie Prep for Parents (P3) intervention on prematurity knowledge and preparedness for decision making. Participants are recruited from their obstetric clinic appointment between weeks 16 and 21, and randomized 1:1 to either the P3 intervention, or access to electronic ACOG handouts (active control). Any participating partners are assigned to the same arm as their pregnant partner. The participants in the P3 group will then receive a schedule of automated text messages, with video links, up to twice a day. These videos and messages are based on information relevant to their gestational age. At study entry, participants will complete measures of their health literacy, anxiety, decision self-efficacy, and subjective global health. As pregnancy continues, questionnaires will be sent to participants at the start of their 25th, 30th, and 34th weeks. These questionnaires will include Prematurity Knowledge Questionnaires (specific to their gestational age), a Preparation for Decision Making scale, and an anxiety measure. At study completion, within two weeks of either preterm childbirth or completion of the 34 week questionnaire, participants will be asked to also complete the Educational-Aid Questionnaire.

Interventions

OTHERPreemie Prep for Parents (P3) Outpatient Mobile Intervention

The P3 mobile intervention sends participants text messages according to a schedule based on their gestational age. These text messages contain links to short videos uploaded to the P3 site, focusing on topics related to preterm labor and premature infants.

OTHERACOG links

Participants in the active control condition will receive links to patient education handouts about preterm birth provided by the American College of Obstetricians and Gynecologists.

Sponsors

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
CollaboratorNIH
Medical College of Wisconsin
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
ALL
Healthy volunteers
Yes

Inclusion criteria

* Pregnant woman or her partner * At risk for preterm birth, as indicated by: history of spontaneous preterm birth (during the 34th week or earlier), shortened cervical length, multiple gestation, fetal growth restriction, chronic hypertension, history of preeclampsia, and/or diabetes requiring medications. * Gestational age of 16-21 weeks at recruitment. * Owns a smartphone. * Able to speak English

Exclusion criteria

• Pregnancies with known significant birth defects.

Design outcomes

Primary

MeasureTime frameDescription
Parent Prematurity Knowledge QuestionnaireAssessed at participant's 25th week of pregnancy.Knowledge questionnaire developed by research team and tested through cognitive interviews, testing parental prematurity knowledge recommended by Eunice Kennedy Shriver National Institute of Child Health and Human Development. Subscales consist of long-term outcomes, variability in due date estimation, general prematurity knowledge, lowest gestational age needed for survival, factors influencing preterm birth outcome, treatment options, short-term outcomes, and advocacy. Subscale scores are summed to create a composite score. Versions of the questionnaire are slightly different at follow up points to ensure gestational age specific clinical relevance; the version at 25 weeks the questionnaire has 38 items. Therefore the range of scores is from 0-38, with higher scores indicating greater knowledge.
Preparation for Decision Making ScaleAssessed at participant's 25th week of pregnancy.Preparation for Decision Making Scale (Graham, O'Connor 1996, revised 2005). Scale ranges from a score of 10 to 50; these scores are converted to a 0-100 scale for ease of interpretation as recommended by the creators. Higher scores indicate higher perceived level of preparation for discussing a healthcare related decision.

Secondary

MeasureTime frameDescription
AnxietyAssessed at baselinePatient-Reported Outcomes Measurement Information System (PROMIS) Anxiety Computerized Adaptive Test (CAT). As a Computer Adaptive Test (CAT), not all participants receive the same number of questions, but may range between 4 and 12 questions. The number and selection of questions is dependent on the previous responses. An average US adult has a score of 50 with a standard deviation of 10; the higher that t-score, the greater amount of anxiety the respondent is reporting.
Decision Self-EfficacyAssessed at baselineDecision Self-Efficacy Scale (O'Connor, 1995). Scale ranges from a score of 0 to 44; these scores are converted to a 0-100 scale for ease of interpretation as recommended by the creators. Higher scores indicate higher perceived level of decision self-efficacy.

Countries

United States

Participant flow

Participants by arm

ArmCount
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Pregnant Participants
The P3 mobile intervention in its current form sends participants text messages according to a schedule based on their gestational age. These text messages contain links to short videos uploaded to the P3 site, focusing on topics related to preterm labor and premature infants. Preemie Prep for Parents (P3) Outpatient Mobile Intervention: The P3 mobile intervention sends participants text messages according to a schedule based on their gestational age. These text messages contain links to short videos uploaded to the P3 site, focusing on topics related to preterm labor and premature infants.
60
ACOG Links - Pregnant Participants
Participants in the active control condition will receive links to patient education handouts about preterm birth provided by the American College of Obstetricians and Gynecologists. ACOG links: Participants in the active control condition will receive links to patient education handouts about preterm birth provided by the American College of Obstetricians and Gynecologists.
60
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Support Persons
The P3 mobile intervention in its current form sends participants text messages according to a schedule based on their gestational age. These text messages contain links to short videos uploaded to the P3 site, focusing on topics related to preterm labor and premature infants. Preemie Prep for Parents (P3) Outpatient Mobile Intervention: The P3 mobile intervention sends participants text messages according to a schedule based on their gestational age. These text messages contain links to short videos uploaded to the P3 site, focusing on topics related to preterm labor and premature infants.
34
ACOG Links - Support Persons
Participants in the active control condition will receive links to patient education handouts about preterm birth provided by the American College of Obstetricians and Gynecologists. ACOG links: Participants in the active control condition will receive links to patient education handouts about preterm birth provided by the American College of Obstetricians and Gynecologists.
21
Total175

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
25 Weeks Gestational Age (GA)Delivered before assessment1200
25 Weeks Gestational Age (GA)No response5552
25 Weeks Gestational Age (GA)Withdrawal by Subject0001
30 Weeks GADelivered before assessment1200
30 Weeks GALost to Follow-up0100
30 Weeks GANo response7552
34 Weeks GADelivered before assessment6300
34 Weeks GALost to Follow-up0100
34 Weeks GANo response0753

Baseline characteristics

CharacteristicTotalPreemie Prep for Parents (P3) Outpatient Mobile Intervention - Support PersonsPreemie Prep for Parents (P3) Outpatient Mobile Intervention - Pregnant ParticipantsACOG Links - Pregnant ParticipantsACOG Links - Support Persons
Age, Customized
20-24 years
13 Participants2 Participants5 Participants5 Participants1 Participants
Age, Customized
25-34 years
96 Participants13 Participants38 Participants36 Participants9 Participants
Age, Customized
35-46
64 Participants17 Participants17 Participants19 Participants11 Participants
Age, Customized
Missing
2 Participants2 Participants0 Participants0 Participants0 Participants
Education
2-year degree
21 Participants5 Participants7 Participants8 Participants1 Participants
Education
4-year degree
50 Participants11 Participants17 Participants16 Participants6 Participants
Education
9-12th grade, no diploma
2 Participants0 Participants0 Participants2 Participants0 Participants
Education
Graduate or professional degree
41 Participants3 Participants15 Participants15 Participants8 Participants
Education
High school diploma or equivalent
25 Participants4 Participants8 Participants10 Participants3 Participants
Education
Some college
36 Participants11 Participants13 Participants9 Participants3 Participants
Gestational age at enrollment
16 weeks GA
12 Participants3 Participants5 Participants3 Participants1 Participants
Gestational age at enrollment
17 weeks GA
52 Participants9 Participants18 Participants18 Participants7 Participants
Gestational age at enrollment
18 weeks GA
27 Participants6 Participants8 Participants10 Participants3 Participants
Gestational age at enrollment
19 weeks GA
7 Participants0 Participants3 Participants3 Participants1 Participants
Gestational age at enrollment
20 weeks GA
43 Participants12 Participants15 Participants12 Participants4 Participants
Gestational age at enrollment
21 weeks GA
27 Participants3 Participants9 Participants11 Participants4 Participants
Gestational age at enrollment
22 weeks GA
7 Participants1 Participants2 Participants3 Participants1 Participants
Race/Ethnicity, Customized
Hispanic
American Indian
0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Hispanic
Asian
2 Participants0 Participants0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Hispanic
Black
2 Participants0 Participants0 Participants2 Participants0 Participants
Race/Ethnicity, Customized
Hispanic
Missing
1 Participants1 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Hispanic
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Hispanic
Native Hawaiian
0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Hispanic
White
12 Participants5 Participants3 Participants4 Participants0 Participants
Race/Ethnicity, Customized
non-Hispanic
American Indian
0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
non-Hispanic
Asian
5 Participants1 Participants1 Participants3 Participants0 Participants
Race/Ethnicity, Customized
non-Hispanic
Black
29 Participants3 Participants12 Participants12 Participants2 Participants
Race/Ethnicity, Customized
non-Hispanic
Missing
1 Participants1 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
non-Hispanic
More than one race
10 Participants2 Participants4 Participants1 Participants3 Participants
Race/Ethnicity, Customized
non-Hispanic
Native Hawaiian
0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
non-Hispanic
White
113 Participants21 Participants40 Participants37 Participants15 Participants
Sex: Female, Male
Female
123 Participants1 Participants60 Participants60 Participants2 Participants
Sex: Female, Male
Male
52 Participants33 Participants0 Participants0 Participants19 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 600 / 60
other
Total, other adverse events
0 / 600 / 60
serious
Total, serious adverse events
0 / 600 / 60

Outcome results

Primary

Parent Prematurity Knowledge Questionnaire

Knowledge questionnaire developed by research team and tested through cognitive interviews, testing parental prematurity knowledge recommended by Eunice Kennedy Shriver National Institute of Child Health and Human Development. Subscales consist of long-term outcomes, variability in due date estimation, general prematurity knowledge, lowest gestational age needed for survival, factors influencing preterm birth outcome, treatment options, short-term outcomes, and advocacy. Subscale scores are summed to create a composite score. Versions of the questionnaire are slightly different at follow up points to ensure gestational age specific clinical relevance; the version at 25 weeks the questionnaire has 38 items. Therefore the range of scores is from 0-38, with higher scores indicating greater knowledge.

Time frame: Assessed at participant's 25th week of pregnancy.

ArmMeasureValue (MEAN)Dispersion
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Pregnant ParticipantsParent Prematurity Knowledge Questionnaire30.3 score on a scaleStandard Deviation 5.7
ACOG Links - Pregnant ParticipantsParent Prematurity Knowledge Questionnaire22.8 score on a scaleStandard Deviation 5.9
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Support PersonsParent Prematurity Knowledge Questionnaire29.3 score on a scaleStandard Deviation 7.1
ACOG Links - Support PersonsParent Prematurity Knowledge Questionnaire25.6 score on a scaleStandard Deviation 4.1
Primary

Parent Prematurity Knowledge Questionnaire

Knowledge questionnaire developed by research team and tested through cognitive interviews, testing parental prematurity knowledge recommended by Eunice Kennedy Shriver National Institute of Child Health and Human Development. Subscales consist of long-term outcomes, variability in due date estimation, general prematurity knowledge, lowest gestational age needed for survival, factors influencing preterm birth outcome, treatment options, short-term outcomes, and advocacy. Subscale scores are summed to create a composite score. Versions of the questionnaire are slightly different at follow up points to ensure gestational age specific clinical relevance; the version at 30 weeks the questionnaire has 35 items. Therefore the range of scores is from 0-35, with higher scores indicating greater knowledge.

Time frame: Assessed at participant's 30th week of pregnancy.

ArmMeasureValue (MEAN)Dispersion
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Pregnant ParticipantsParent Prematurity Knowledge Questionnaire29.2 score on a scaleStandard Deviation 3.6
ACOG Links - Pregnant ParticipantsParent Prematurity Knowledge Questionnaire23.9 score on a scaleStandard Deviation 5.1
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Support PersonsParent Prematurity Knowledge Questionnaire27.9 score on a scaleStandard Deviation 4.6
ACOG Links - Support PersonsParent Prematurity Knowledge Questionnaire25.7 score on a scaleStandard Deviation 3.5
Primary

Parent Prematurity Knowledge Questionnaire

Knowledge questionnaire developed by research team and tested through cognitive interviews, testing parental prematurity knowledge recommended by Eunice Kennedy Shriver National Institute of Child Health and Human Development. Subscales consist of long-term outcomes, variability in due date estimation, general prematurity knowledge, lowest gestational age needed for survival, factors influencing preterm birth outcome, treatment options, short-term outcomes, and advocacy. Subscale scores are summed to create a composite score. Versions of the questionnaire are slightly different at follow up points to ensure gestational age specific clinical relevance; the version at 34 weeks the questionnaire has 30 items. Therefore the range of scores is from 0-30, with higher scores indicating greater knowledge.

Time frame: Assessed at participant's 34th week of pregnancy.

ArmMeasureValue (MEAN)Dispersion
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Pregnant ParticipantsParent Prematurity Knowledge Questionnaire25.8 score on a scaleStandard Deviation 3.5
ACOG Links - Pregnant ParticipantsParent Prematurity Knowledge Questionnaire21.3 score on a scaleStandard Deviation 4.8
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Support PersonsParent Prematurity Knowledge Questionnaire24.2 score on a scaleStandard Deviation 3.4
ACOG Links - Support PersonsParent Prematurity Knowledge Questionnaire20.5 score on a scaleStandard Deviation 6.3
Primary

Preparation for Decision Making Scale

Preparation for Decision Making Scale (Graham, O'Connor 1996, revised 2005). Scale ranges from a score of 10 to 50; these scores are converted to a 0-100 scale for ease of interpretation as recommended by the creators. Higher scores indicate higher perceived level of preparation for discussing a healthcare related decision.

Time frame: Assessed at participant's 25th week of pregnancy.

ArmMeasureValue (MEAN)Dispersion
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Pregnant ParticipantsPreparation for Decision Making Scale76.0 score on a scaleStandard Deviation 18.3
ACOG Links - Pregnant ParticipantsPreparation for Decision Making Scale52.3 score on a scaleStandard Deviation 29.5
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Support PersonsPreparation for Decision Making Scale76.8 score on a scaleStandard Deviation 16.3
ACOG Links - Support PersonsPreparation for Decision Making Scale57.1 score on a scaleStandard Deviation 31.2
Primary

Preparation for Decision Making Scale

Preparation for Decision Making Scale (Graham, O'Connor 1996, revised 2005). Scale ranges from a score of 10 to 50; these scores are converted to a 0-100 scale for ease of interpretation as recommended by the creators. Higher scores indicate higher perceived level of preparation for discussing a healthcare related decision.

Time frame: Assessed at participant's 30th week of pregnancy.

ArmMeasureValue (MEAN)Dispersion
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Pregnant ParticipantsPreparation for Decision Making Scale76.3 score on a scaleStandard Deviation 24.8
ACOG Links - Pregnant ParticipantsPreparation for Decision Making Scale54.4 score on a scaleStandard Deviation 25.1
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Support PersonsPreparation for Decision Making Scale69.2 score on a scaleStandard Deviation 23.6
ACOG Links - Support PersonsPreparation for Decision Making Scale61.1 score on a scaleStandard Deviation 14.9
Primary

Preparation for Decision Making Scale

Preparation for Decision Making Scale (Graham, O'Connor 1996, revised 2005). Scale ranges from a score of 10 to 50; these scores are converted to a 0-100 scale for ease of interpretation as recommended by the creators. Higher scores indicate higher perceived level of preparation for discussing a healthcare related decision.

Time frame: Assessed at participant's 34th week of pregnancy.

ArmMeasureValue (MEAN)Dispersion
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Pregnant ParticipantsPreparation for Decision Making Scale68.9 score on a scaleStandard Deviation 25.1
ACOG Links - Pregnant ParticipantsPreparation for Decision Making Scale54.2 score on a scaleStandard Deviation 28.5
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Support PersonsPreparation for Decision Making Scale69.3 score on a scaleStandard Deviation 24
ACOG Links - Support PersonsPreparation for Decision Making Scale63.6 score on a scaleStandard Deviation 23.7
Secondary

Anxiety

Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety Computerized Adaptive Test (CAT). As a Computer Adaptive Test (CAT), not all participants receive the same number of questions, but may range between 4 and 12 questions. The number and selection of questions is dependent on the previous responses. An average US adult has a score of 50 with a standard deviation of 10; the higher that t-score, the greater amount of anxiety the respondent is reporting.

Time frame: Assessed at baseline

ArmMeasureValue (MEAN)Dispersion
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Pregnant ParticipantsAnxiety53.7 T-scoreStandard Deviation 7.8
ACOG Links - Pregnant ParticipantsAnxiety54.6 T-scoreStandard Deviation 8.2
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Support PersonsAnxiety49.9 T-scoreStandard Deviation 5.6
ACOG Links - Support PersonsAnxiety52.3 T-scoreStandard Deviation 8.7
Secondary

Anxiety

Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety Computerized Adaptive Test (CAT). As a Computer Adaptive Test (CAT), not all participants receive the same number of questions, but may range between 4 and 12 questions. The number and selection of questions is dependent on the previous responses. An average US adult has a score of 50 with a standard deviation of 10; the higher that t-score, the greater amount of anxiety the respondent is reporting.

Time frame: Assessed at participant's 25th week of pregnancy.

ArmMeasureValue (MEAN)Dispersion
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Pregnant ParticipantsAnxiety53.6 T-scoreStandard Deviation 7.9
ACOG Links - Pregnant ParticipantsAnxiety53.8 T-scoreStandard Deviation 8.2
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Support PersonsAnxiety49.5 T-scoreStandard Deviation 7.2
ACOG Links - Support PersonsAnxiety52.4 T-scoreStandard Deviation 6.4
Secondary

Anxiety

Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety Computerized Adaptive Test (CAT). As a Computer Adaptive Test (CAT), not all participants receive the same number of questions, but may range between 4 and 12 questions. The number and selection of questions is dependent on the previous responses. An average US adult has a score of 50 with a standard deviation of 10; the higher that t-score, the greater amount of anxiety the respondent is reporting.

Time frame: Assessed at participant's 30th week of pregnancy.

ArmMeasureValue (MEAN)Dispersion
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Pregnant ParticipantsAnxiety52.7 T-scoreStandard Deviation 7.7
ACOG Links - Pregnant ParticipantsAnxiety55.3 T-scoreStandard Deviation 6.8
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Support PersonsAnxiety48.5 T-scoreStandard Deviation 7.9
ACOG Links - Support PersonsAnxiety53.0 T-scoreStandard Deviation 8.6
Secondary

Anxiety

Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety Computerized Adaptive Test (CAT). As a Computer Adaptive Test (CAT), not all participants receive the same number of questions, but may range between 4 and 12 questions. The number and selection of questions is dependent on the previous responses. An average US adult has a score of 50 with a standard deviation of 10; the higher that t-score, the greater amount of anxiety the respondent is reporting.

Time frame: Assessed at participant's 34th week of pregnancy.

ArmMeasureValue (MEAN)Dispersion
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Pregnant ParticipantsAnxiety53.5 T-scoreStandard Deviation 9.2
ACOG Links - Pregnant ParticipantsAnxiety55.5 T-scoreStandard Deviation 8.2
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Support PersonsAnxiety50.9 T-scoreStandard Deviation 9
ACOG Links - Support PersonsAnxiety53.0 T-scoreStandard Deviation 7.2
Secondary

Decision Self-Efficacy

Decision Self-Efficacy Scale (O'Connor, 1995). Scale ranges from a score of 0 to 44; these scores are converted to a 0-100 scale for ease of interpretation as recommended by the creators. Higher scores indicate higher perceived level of decision self-efficacy.

Time frame: Assessed at baseline

ArmMeasureValue (MEAN)Dispersion
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Pregnant ParticipantsDecision Self-Efficacy92.1 score on a scaleStandard Deviation 11.3
ACOG Links - Pregnant ParticipantsDecision Self-Efficacy91.6 score on a scaleStandard Deviation 10.3
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Support PersonsDecision Self-Efficacy88.3 score on a scaleStandard Deviation 13.4
ACOG Links - Support PersonsDecision Self-Efficacy95.0 score on a scaleStandard Deviation 8.2
Secondary

Decision Self-Efficacy

Decision Self-Efficacy Scale (O'Connor, 1995). Scale ranges from a score of 0 to 44; these scores are converted to a 0-100 scale for ease of interpretation as recommended by the creators. Higher scores indicate higher perceived level of decision self-efficacy.

Time frame: Assessed at 34 weeks of pregnancy

ArmMeasureValue (MEAN)Dispersion
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Pregnant ParticipantsDecision Self-Efficacy89.3 score on a scaleStandard Deviation 12.1
ACOG Links - Pregnant ParticipantsDecision Self-Efficacy85.8 score on a scaleStandard Deviation 17.6
Preemie Prep for Parents (P3) Outpatient Mobile Intervention - Support PersonsDecision Self-Efficacy86.8 score on a scaleStandard Deviation 12.3
ACOG Links - Support PersonsDecision Self-Efficacy86.8 score on a scaleStandard Deviation 15.2

Source: ClinicalTrials.gov · Data processed: Feb 8, 2026