Attitude, Community Health Workers, High-risk, Intention, Knowledge, Postpartum, Self Efficacy, Women
Conditions
Keywords
Community health workers, Postpartum, Support for high risk postpartum women, Women
Brief summary
Two arm study, intervention and control, to explore the impact of an online training program to help community health workers (CHWs) conduct effective outreach to support postpartum mothers, particularly those at higher risk for complications.
Detailed description
The investigators will use a randomized, two-group, pretest/posttest design to test the efficacy of the MOMS Postpartum course and explore the following research question: To what extent does exposure to the MOMS Postpartum course increase CHWs' knowledge, skills, attitudes/beliefs, self-efficacy, and intentions to provide support to postpartum mothers? MOMS Postpartum course is set in context of imperative need of assisting postpartum mothers in the U.S. and working with CHWs after pregnancy to have better maternal outcomes, particularly among high-risk mothers. Researchers worked with subject matter experts, CHWs, and the intended audience to ensure the MOMS Postpartum course reflects the specific needs of postpartum mothers; minimize counter-productive duplications of services and resource expenditure; and create empowered opportunities for CHWs to conduct outreach with high-risk postpartum mothers. MOMS Postpartum course will provide an effective, low-cost, evidence-based, professional development curriculum to train CHWs to provide support to postpartum mothers and fill a gap in care. The Principal Investigator (PI), with input from the subject matter experts and CHWs, developed necessary research materials, including the recruitment protocols, evaluation instrumentation, and human subjects consent materials . The PI also outlined the appropriate statistical analysis methods. All procedure documents were reviewed by the KDHRC Institutional Review Board before the evaluation launch. Investigators will recruit participants through evaluation partners who will disseminate the study information to CHWs via electronic notifications and flyers. Evaluation partners include CHW Association of Rochester, Center for Health Innovation, and other CHW organizations. The notifications and flyers provide information about the goal of the study, participant eligibility, and a link to an eligibility form. Once a potential participant completes the eligibility form and s/he is eligible for the study, they will receive a link to a consent form located on a secure online platform. After consent and enrollment into the study, CHWs will complete a pretest survey and be randomly assigned to the intervention or control group. The intervention group will be exposed to MOMS Postpartum course and will complete an online posttest survey after completing the online modules. The control group participants will not be exposed to the MOMS Postpartum course and will complete a posttest one week after completing the pretest. Participant responses to pretest and posttest survey measures will be linked using non-personal identifiers. The investigators will download and export the data from Alchemer into an encrypted Excel file and import the raw data into STATA. The investigators will match the pretest and posttest responses using the random assigned identifiers and conduct analyses to test for the effect of MOMS Postpartum course exposure on changes in CHWs' knowledge, skills, attitudes/beliefs, perceived self-efficacy, and intentions to conduct outreach to postpartum mothers. The initial feasibility criterion is: Statistically significant (p\<0.05) and positive relationship between exposure to MOMS Postpartum course and increased knowledge among the intervention group in comparison to the control group.
Interventions
OTHERMOMS Postpartum Course
Online professional development training for CHWs on outreach and support for high-risk postpartum mothers
Sponsors
National Institute on Minority Health and Health Disparities (NIMHD)
KDH Research & Communication
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Community health workers will be randomly assigned to either the treatment group, which will complete the MOMS Postpartum course, or the control group, which will not receive the training during the study period. Both groups will complete pretest and posttest assessments.
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
Yes
Inclusion criteria
* Must be at least 18 years old. * Must self-identify as a community health worker (CHW). * Must live in the United States. * Must have six months of field experience. KDHRC defines field experience as conducting outreach activities in their community, for example, working with clients in a clinic, conducting home visits, or educating clients at health fairs or community events. * Must be an active CHW. KDHRC defines active as conducting outreach activities, such as working with clients in a clinic, conducting home visits, or educating clients at health fairs or community events, in the last six months. * Must have Internet access either at home or at work to access the lessons and/or online surveys.
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intentions Posttest Score | Posttest (1 week after baseline) | Likert scale ranging from 1 (extremely unlikely) to 10 (extremely likely) on intentions conducting education and outreach to postpartum mothers and how to support postpartum mothers |
| Knowledge Pretest Score | Pretest (Baseline) | Multiple-choice questions on content related to postpartum care, self-care practices, and needs of postpartum mothers based on information from the MOMS Postpartum course lessons. The score is reported on a scale of 0 to 100, calculated as the percentage of correctly answered questions. Higher scores indicate greater knowledge. |
| Knowledge Posttest Score | Posttest (1 week after baseline) | Multiple-choice questions on content related to postpartum care, self-care practices, and needs of postpartum mothers based on information from the MOMS Postpartum course lessons. The score is reported on a scale of 0 to 100, calculated as the percentage of correctly answered questions. Higher scores indicate greater knowledge. |
| Skills Pretest Score | Pretest (Baseline) | Likert scale ranging from 1 (no experience) to 10 (extensive experience), with a higher score being a better outcome, on conducting education and outreach to postpartum mothers and how to support postpartum mothers |
| Skills Posttest Score | Posttest (1 week after baseline) | Likert scale ranging from 1 (no experience) to 10 (extensive experience), with a higher score being a better outcome, on conducting education and outreach to postpartum mothers and how to support postpartum mothers |
| Self-efficacy Pretest Score | Pretest (Baseline) | Likert scale ranging from 1 (strongly disagree) to 10 (strongly agree) to measure CHWs' beliefs that they can effectively support postpartum mothers |
| Self-efficacy Posttest Score | Posttest (1 week after baseline) | Likert scale ranging from 1 (no experience) to 10 (extensive experience), with a higher score being a better outcome, to measure CHWs' beliefs that they can effectively support postpartum mothers |
| Attitudes Pretest Score | Pretest (Baseline) | Likert scale ranging from 1 (strongly disagree) to 10 (strongly agree) on attitudes conducting education and outreach to postpartum mothers and how to support postpartum mothers |
| Attitudes Posttest Score | Posttest (1 week after baseline) | Likert scale ranging from 1 (strongly disagree) to 10 (strongly agree) on attitudes conducting education and outreach to postpartum mothers and how to support postpartum mothers |
| Intentions Pretest Score | Pretest (Baseline) | Likert scale ranging from 1 (extremely unlikely) to 10 (extremely likely) on intentions conducting education and outreach to postpartum mothers and how to support postpartum mothers |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Satisfaction at Posttest | Posttest (1 weeks after baseline) | Likert scale ranging from 1 (strongly disagree) to 10 (strongly agree), with a higher score being a better outcome, to measure CHWs' satisfaction with the course, interactive experiences, and offline resources and measure the extent to which CHWs would recommend the course |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change in Knowledge Scores From Pretest to Posttest | From pretest to posttest (1 week) | At both pretest and posttest, we asked all participants the same multiple choice knowledge questions on content related to postpartum care, self-care practices, and needs of postpartum mothers based on information from the MOMS Postpartum course lessons, which we will average to create a composite knowledge score for each participant ranging from 0 to 100. A score of 0 meant a participant got zero questions correct while a score of 100 meant a participant got all questions correct. We will average these composite scores across all participants for both groups to create mean scores. We then subtracted pretest scores from posttest scores and will average these changes for all participants. Positive scores mean a gain in knowledge and a higher scores mean higher gains from baseline to posttest. |
| Change in Skills Scores From Pretest to Posttest | From pretest to posttest (1 week) | Likert scale ranging from 1 (no experience) to 10 (extensive experience), with a higher score being a better outcome, on conducting education and outreach to postpartum mothers and how to support postpartum mothers. We will average ratings from each question to create an average composite rating for each participant, then average these composite scores for both groups. We will then subtract pretest scores from posttest scores and averaged these changes for all participants. Positive scores mean a gain in skills and higher scores mean higher gains from baseline to posttest. |
| Change in Self-Efficacy Scores From Pretest to Posttest | From pretest to posttest (1 week) | Likert scale ranging from 1 (strongly disagree) to 10 (strongly agree), with a higher score being a better outcome, on conducting education and outreach to postpartum mothers and how to support postpartum women. We will average ratings from each question to create an average composite rating for each participant, then average these composite scores for both groups. We will then subtract pretest scores from posttest scores and average these changes for all participants. Positive scores mean a gain in self-efficacy and higher scores mean higher gains from baseline to posttest. |
| Change in Attitudes Scores From Pretest to Posttest | From pretest to posttest (1 week) | Likert scale ranging from 1 (strongly disagree) to 10 (strongly agree) on attitudes conducting education and outreach to postpartum mothers and how to support postpartum mothers. We will average ratings from each question to create an average composite rating for each participant, then average these composite scores for both groups. We will then subtract pretest scores from posttest scores and averaged these changes for all participants. Positive scores mean a gain in attitudes and higher scores mean higher gains from baseline to posttest. |
| Change in Intention Scores From Pretest to Posttest | From pretest to posttest (1 week) | Likert scale ranging from 1 (extremely unlikely) to 10 (extremely likely) on intentions conducting education and outreach to postpartum mothers and how to support postpartum mothers. We averaged ratings from each question to create an average composite rating for each participant, then averaged these composite scores for both groups. We then subtracted pretest scores from posttest scores and averaged these changes for all participants. Positive scores mean a gain in intentions and higher scores mean higher gains from baseline to posttest. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Treatment: MOMS Postpartum Course Community health workers (CHWs) in the treatment group will complete the MOMS Postpartum course online training program. They will engage with the training materials, apply learned concepts, and complete pretest and posttest assessments to measure changes in their knowledge, skills, attitudes, intentions and self-efficacy.
MOMS Postpartum Course: Online professional development training for CHWs on outreach and support for high-risk postpartum mothers | 41 |
| Control Community health workers (CHWs) in the control group will not receive access to the MOMS Postpartum course training during the study period. Their will continue their usual work without the additional training while also completing pretest and posttest assessments to allow for comparison with the treatment group. | 53 |
| Total | 94 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Lost to Follow-up | 19 | 7 |
Baseline characteristics
| Characteristic | Treatment: MOMS Postpartum Course | Control | Total |
|---|---|---|---|
| Age, Continuous | 42.61 years STANDARD_DEVIATION 13.7 | 44.73 years STANDARD_DEVIATION 11.12 | 43.79 years STANDARD_DEVIATION 12.3 |
| CHW certification None | 8 Participants | 16 Participants | 24 Participants |
| CHW certification Not sure | 3 Participants | 6 Participants | 9 Participants |
| CHW certification State recognized certification | 30 Participants | 31 Participants | 61 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 8 Participants | 15 Participants | 23 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 33 Participants | 37 Participants | 70 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 1 Participants | 1 Participants |
| Highest education Bachelor's degree or higher | 15 participants | 25 participants | 40 participants |
| Highest education High school diploma/GED | 5 participants | 6 participants | 11 participants |
| Highest education Other | 7 participants | 7 participants | 14 participants |
| Highest education Prefer not to answe | 1 participants | 0 participants | 1 participants |
| Highest education Some college, no degree | 13 participants | 15 participants | 28 participants |
| Hours of CHW training in the last 12 months 0-5 hours | 9 Participants | 4 Participants | 13 Participants |
| Hours of CHW training in the last 12 months 11-20 hours | 2 Participants | 8 Participants | 10 Participants |
| Hours of CHW training in the last 12 months 21-29 hours | 5 Participants | 5 Participants | 10 Participants |
| Hours of CHW training in the last 12 months 30+ hours | 22 Participants | 30 Participants | 52 Participants |
| Hours of CHW training in the last 12 months 6-10 hours | 3 Participants | 5 Participants | 8 Participants |
| Hours of CHW training in the last 12 months Not reported | 0 Participants | 1 Participants | 1 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 2 Participants | 2 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 30 Participants | 32 Participants | 62 Participants |
| Race (NIH/OMB) More than one race | 1 Participants | 4 Participants | 5 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 5 Participants | 8 Participants | 13 Participants |
| Race (NIH/OMB) White | 5 Participants | 7 Participants | 12 Participants |
| Sex: Female, Male Female | 38 Participants | 50 Participants | 88 Participants |
| Sex: Female, Male Male | 3 Participants | 3 Participants | 6 Participants |
| Volunteer or paid position Both paid and volunteer | 10 Participants | 8 Participants | 18 Participants |
| Volunteer or paid position Paid | 26 Participants | 34 Participants | 60 Participants |
| Volunteer or paid position Volunteer | 5 Participants | 11 Participants | 16 Participants |
| Years of CHW experience | 4.41 years STANDARD_DEVIATION 3.51 | 6.70 years STANDARD_DEVIATION 7.23 | 5.70 years STANDARD_DEVIATION 5.99 |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 0 | 0 / 0 |
| other Total, other adverse events | 0 / 0 | 0 / 0 |
| serious Total, serious adverse events | 0 / 0 | 0 / 0 |
Outcome results
Primary
Attitudes Posttest Score
Likert scale ranging from 1 (strongly disagree) to 10 (strongly agree) on attitudes conducting education and outreach to postpartum mothers and how to support postpartum mothers
Time frame: Posttest (1 week after baseline)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment: MOMS Postpartum Course | Attitudes Posttest Score | 8.99 score on a scale | Standard Deviation 0.16 |
| Control | Attitudes Posttest Score | 8.50 score on a scale | Standard Deviation 0.26 |
p-value: 0.1495% CI: [-0.16, 1.15]t-test, 2 sided
Primary
Attitudes Pretest Score
Likert scale ranging from 1 (strongly disagree) to 10 (strongly agree) on attitudes conducting education and outreach to postpartum mothers and how to support postpartum mothers
Time frame: Pretest (Baseline)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment: MOMS Postpartum Course | Attitudes Pretest Score | 8.20 score on a scale | Standard Deviation 0.32 |
| Control | Attitudes Pretest Score | 8.31 score on a scale | Standard Deviation 0.26 |
p-value: 0.7995% CI: [-0.92, 0.71]t-test, 2 sided
Primary
Intentions Posttest Score
Likert scale ranging from 1 (extremely unlikely) to 10 (extremely likely) on intentions conducting education and outreach to postpartum mothers and how to support postpartum mothers
Time frame: Posttest (1 week after baseline)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment: MOMS Postpartum Course | Intentions Posttest Score | 8.69 score on a scale | Standard Deviation 1.43 |
| Control | Intentions Posttest Score | 8.36 score on a scale | Standard Deviation 1.9 |
p-value: 0.3795% CI: [-0.4, 1.07]t-test, 2 sided
Primary
Intentions Pretest Score
Likert scale ranging from 1 (extremely unlikely) to 10 (extremely likely) on intentions conducting education and outreach to postpartum mothers and how to support postpartum mothers
Time frame: Pretest (Baseline)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment: MOMS Postpartum Course | Intentions Pretest Score | 8.02 score on a scale | Standard Deviation 2.23 |
| Control | Intentions Pretest Score | 8.36 score on a scale | Standard Deviation 1.9 |
p-value: 0.4295% CI: [-1.19, 0.5]t-test, 2 sided
Primary
Knowledge Posttest Score
Multiple-choice questions on content related to postpartum care, self-care practices, and needs of postpartum mothers based on information from the MOMS Postpartum course lessons. The score is reported on a scale of 0 to 100, calculated as the percentage of correctly answered questions. Higher scores indicate greater knowledge.
Time frame: Posttest (1 week after baseline)
Population: One participant excluded for missing data
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment: MOMS Postpartum Course | Knowledge Posttest Score | 85.63 score on a scale | Standard Deviation 11.16 |
| Control | Knowledge Posttest Score | 79.56 score on a scale | Standard Deviation 13.53 |
p-value: 0.1895% CI: [-1.94, 10.3]t-test, 2 sided
Primary
Knowledge Pretest Score
Multiple-choice questions on content related to postpartum care, self-care practices, and needs of postpartum mothers based on information from the MOMS Postpartum course lessons. The score is reported on a scale of 0 to 100, calculated as the percentage of correctly answered questions. Higher scores indicate greater knowledge.
Time frame: Pretest (Baseline)
Population: One participant excluded for missing data
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment: MOMS Postpartum Course | Knowledge Pretest Score | 77.08 score on a scale | Standard Deviation 13.31 |
| Control | Knowledge Pretest Score | 80.19 score on a scale | Standard Deviation 11.23 |
p-value: 0.3295% CI: [-7.64, 2.55]t-test, 2 sided
Primary
Self-efficacy Posttest Score
Likert scale ranging from 1 (no experience) to 10 (extensive experience), with a higher score being a better outcome, to measure CHWs' beliefs that they can effectively support postpartum mothers
Time frame: Posttest (1 week after baseline)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment: MOMS Postpartum Course | Self-efficacy Posttest Score | 8.81 score on a scale | Standard Deviation 1.13 |
| Control | Self-efficacy Posttest Score | 8.12 score on a scale | Standard Deviation 2.11 |
p-value: 0.05995% CI: [-0.03, 1.42]t-test, 2 sided
Primary
Self-efficacy Pretest Score
Likert scale ranging from 1 (strongly disagree) to 10 (strongly agree) to measure CHWs' beliefs that they can effectively support postpartum mothers
Time frame: Pretest (Baseline)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment: MOMS Postpartum Course | Self-efficacy Pretest Score | 7.94 score on a scale | Standard Deviation 2.15 |
| Control | Self-efficacy Pretest Score | 7.89 score on a scale | Standard Deviation 0.36 |
p-value: 0.9195% CI: [-0.82, 0.92]t-test, 2 sided
Primary
Skills Posttest Score
Likert scale ranging from 1 (no experience) to 10 (extensive experience), with a higher score being a better outcome, on conducting education and outreach to postpartum mothers and how to support postpartum mothers
Time frame: Posttest (1 week after baseline)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment: MOMS Postpartum Course | Skills Posttest Score | 8.23 score on a scale | Standard Deviation 1.26 |
| Control | Skills Posttest Score | 7.77 score on a scale | Standard Deviation 2.11 |
p-value: 0.3295% CI: [-0.03, 1.24]t-test, 2 sided
Primary
Skills Pretest Score
Likert scale ranging from 1 (no experience) to 10 (extensive experience), with a higher score being a better outcome, on conducting education and outreach to postpartum mothers and how to support postpartum mothers
Time frame: Pretest (Baseline)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment: MOMS Postpartum Course | Skills Pretest Score | 6.64 score on a scale | Standard Deviation 2.69 |
| Control | Skills Pretest Score | 6.52 score on a scale | Standard Deviation 2.43 |
p-value: 0.7195% CI: [-0.81, 1.18]t-test, 2 sided
Secondary
Satisfaction at Posttest
Likert scale ranging from 1 (strongly disagree) to 10 (strongly agree), with a higher score being a better outcome, to measure CHWs' satisfaction with the course, interactive experiences, and offline resources and measure the extent to which CHWs would recommend the course
Time frame: Posttest (1 weeks after baseline)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment: MOMS Postpartum Course | Satisfaction at Posttest | 9.12 score on a scale | Standard Deviation 1 |
Other Pre-specified
Change in Attitudes Scores From Pretest to Posttest
Likert scale ranging from 1 (strongly disagree) to 10 (strongly agree) on attitudes conducting education and outreach to postpartum mothers and how to support postpartum mothers. We will average ratings from each question to create an average composite rating for each participant, then average these composite scores for both groups. We will then subtract pretest scores from posttest scores and averaged these changes for all participants. Positive scores mean a gain in attitudes and higher scores mean higher gains from baseline to posttest.
Time frame: From pretest to posttest (1 week)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment: MOMS Postpartum Course | Change in Attitudes Scores From Pretest to Posttest | 0.79 score on a scale | Standard Deviation 1.68 |
| Control | Change in Attitudes Scores From Pretest to Posttest | 0.19 score on a scale | Standard Deviation 1.9 |
p-value: 0.1195% CI: [-0.15, 1.35]t-test, 2 sided
Other Pre-specified
Change in Intention Scores From Pretest to Posttest
Likert scale ranging from 1 (extremely unlikely) to 10 (extremely likely) on intentions conducting education and outreach to postpartum mothers and how to support postpartum mothers. We averaged ratings from each question to create an average composite rating for each participant, then averaged these composite scores for both groups. We then subtracted pretest scores from posttest scores and averaged these changes for all participants. Positive scores mean a gain in intentions and higher scores mean higher gains from baseline to posttest.
Time frame: From pretest to posttest (1 week)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment: MOMS Postpartum Course | Change in Intention Scores From Pretest to Posttest | 0.67 score on a scale | Standard Deviation 1.79 |
| Control | Change in Intention Scores From Pretest to Posttest | 0.00000008 score on a scale | Standard Deviation 1.53 |
p-value: 0.0595% CI: [-0.01, 1.36]t-test, 2 sided
Other Pre-specified
Change in Knowledge Scores From Pretest to Posttest
At both pretest and posttest, we asked all participants the same multiple choice knowledge questions on content related to postpartum care, self-care practices, and needs of postpartum mothers based on information from the MOMS Postpartum course lessons, which we will average to create a composite knowledge score for each participant ranging from 0 to 100. A score of 0 meant a participant got zero questions correct while a score of 100 meant a participant got all questions correct. We will average these composite scores across all participants for both groups to create mean scores. We then subtracted pretest scores from posttest scores and will average these changes for all participants. Positive scores mean a gain in knowledge and a higher scores mean higher gains from baseline to posttest.
Time frame: From pretest to posttest (1 week)
Population: One participant excluded for missing data
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment: MOMS Postpartum Course | Change in Knowledge Scores From Pretest to Posttest | 6.09 score on a scale | Standard Deviation 20.58 |
| Control | Change in Knowledge Scores From Pretest to Posttest | -0.63 score on a scale | Standard Deviation 12.32 |
p-value: 0.0595% CI: [-0.06, 13.51]t-test, 2 sided
Other Pre-specified
Change in Self-Efficacy Scores From Pretest to Posttest
Likert scale ranging from 1 (strongly disagree) to 10 (strongly agree), with a higher score being a better outcome, on conducting education and outreach to postpartum mothers and how to support postpartum women. We will average ratings from each question to create an average composite rating for each participant, then average these composite scores for both groups. We will then subtract pretest scores from posttest scores and average these changes for all participants. Positive scores mean a gain in self-efficacy and higher scores mean higher gains from baseline to posttest.
Time frame: From pretest to posttest (1 week)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment: MOMS Postpartum Course | Change in Self-Efficacy Scores From Pretest to Posttest | 0.87 score on a scale | Standard Deviation 1.83 |
| Control | Change in Self-Efficacy Scores From Pretest to Posttest | 0.23 score on a scale | Standard Deviation 1.79 |
p-value: 0.0895% CI: [-0.09, 1.39]t-test, 2 sided
Other Pre-specified
Change in Skills Scores From Pretest to Posttest
Likert scale ranging from 1 (no experience) to 10 (extensive experience), with a higher score being a better outcome, on conducting education and outreach to postpartum mothers and how to support postpartum mothers. We will average ratings from each question to create an average composite rating for each participant, then average these composite scores for both groups. We will then subtract pretest scores from posttest scores and averaged these changes for all participants. Positive scores mean a gain in skills and higher scores mean higher gains from baseline to posttest.
Time frame: From pretest to posttest (1 week)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment: MOMS Postpartum Course | Change in Skills Scores From Pretest to Posttest | 1.71 score on a scale | Standard Deviation 1.96 |
| Control | Change in Skills Scores From Pretest to Posttest | 1.17 score on a scale | Standard Deviation 1.36 |
p-value: 0.2395% CI: [-0.26, 1.11]t-test, 2 sided