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Reducing Preterm Births in Underserved Pregnant Women

This study has been completed.
Information provided by (Responsible Party):
James G. Christian, PHCC LP Identifier:
First received: July 27, 2010
Last updated: November 19, 2014
Last verified: November 2014
Timely screening and management of modifiable conditions can reduce preterm births, yet providing effective prenatal risk management systems to meet the unique needs of medically underserved populations is complex. If the proposed system proves to be effective in reducing preterm births it can improve maternal and child quality of life as well as reduce the economic burden of preterm births in the U.S.

Condition Intervention Phase
Preterm Birth Low Birth Weight <2500 Grams Verylow Birthweight <1500 Grams Behavioral: lifestyle support Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Reducing Preterm Births in Underserved Pregnant Women

Resource links provided by NLM:

Further study details as provided by James G. Christian, PHCC LP:

Primary Outcome Measures:
  • Birthweight [ Time Frame: 9 months ]
    Birth weight < 2500 grams

Secondary Outcome Measures:
  • Gestational Weight [ Time Frame: 9 months ]

Enrollment: 482
Study Start Date: August 2010
Study Completion Date: October 2013
Primary Completion Date: July 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: usual clinical care
usual clinical care with no intervention
Experimental: lifestyle counseling
computer-based clinical support to patient
Behavioral: lifestyle support
computer-based lifestyle improvement support and clinician support

Detailed Description:
The primary aim of this proposal is to test the efficacy of a clinic-based, computer-assisted intervention system to significantly reduce preterm births in high-risk populations. This system will: (1) assess a pregnant woman's unique risks in six modifiable areas associated with increased risks of preterm birth including smoking cessation, poor nutrition, domestic violence, maternal depression and stress, urinary and reproductive tract infections and substance use; (2) provide her with tailored advice and action planning tools on reducing her risks; (3) provide her certified nurse midwife or physician with information related to her assessed risks and counseling suggestions tailored for her needs, and [(4) promote effective referrals to, and successful linkages with community-based support organizations.] Because preterm birth rates are much higher for underserved African American women, we are proposing to focus the intervention with this population.

Ages Eligible for Study:   16 Years to 48 Years   (Child, Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes

Inclusion Criteria: Study inclusion criteria include:

  1. age 16-48 years,
  2. 1st trimester of pregnancy,
  3. race/ethnicity (non-Hispanic Black, or English-speaking Hispanic Black), and 4) a self-reported completion of grade 6 or higher.

Exclusion Criteria: Exclusion criteria include:

  1. a medical condition or risk to the pregnancy that the physician or nurse midwife determines serious and a reason for exclusion, and
  2. a literacy level of < grade 6. No prior experience using a computer is needed. -
  Contacts and Locations
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Please refer to this study by its identifier: NCT01344616

United States, Colorado
Pueblo, Colorado, United States, 81003
Sponsors and Collaborators
  More Information

Responsible Party: James G. Christian, President, PHCC LP Identifier: NCT01344616     History of Changes
Other Study ID Numbers: 2R44HD047031-02A2 ( U.S. NIH Grant/Contract )
Study First Received: July 27, 2010
Results First Received: November 10, 2014
Last Updated: November 19, 2014

Keywords provided by James G. Christian, PHCC LP:
computer-based behavioral support

Additional relevant MeSH terms:
Premature Birth
Birth Weight
Obstetric Labor, Premature
Obstetric Labor Complications
Pregnancy Complications
Body Weight
Signs and Symptoms processed this record on August 21, 2017