(HealthDay)—Maintaining fidelity to both facilitative group processes and content during administration of the CenteringPregnancy group prenatal model significantly reduces intensive utilization of care, according to a study published in the August Issue of the American Journal of Obstetrics & Gynecology.
Gina Novick, Ph.D., from Yale University in New Haven, Conn., and colleagues studied fidelity to process and content of the CenteringPregnancy group prenatal care model among 519 women receiving CenteringPregnancy group prenatal care. Process fidelity was assessed by how involved facilitative leaders and participants were in each session. Content fidelity was based on whether recommended content was discussed in each session. A trained researcher rated each session. Outcomes were assessed using medical records and participant self-reports.
The researchers found that, when controlling for important clinical predictors, greater process fidelity was associated with significantly lower odds of both preterm birth and intensive utilization of care. There were significantly lower odds of intensive utilization of care associated with greater content fidelity.
"Clinicians learning to facilitate group care should receive training in facilitative leadership, emphasizing the critical role that creating a participatory atmosphere can play in improving outcomes," the authors write.
One author is the chief executive officer of the nonprofit entity the Centering Healthcare Institute, which promotes the CenteringPregnancy model of care.
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(HealthDay)—Maintaining fidelity to both facilitative group processes and content during administration of the CenteringPregnancy group prenatal model significantly reduces intensive utilization of care, according to a study published in the August Issue of the American Journal of Obstetrics & Gynecology.
Gina Novick, Ph.D., from Yale University in New Haven, Conn., and colleagues studied fidelity to process and content of the CenteringPregnancy group prenatal care model among 519 women receiving CenteringPregnancy group prenatal care. Process fidelity was assessed by how involved facilitative leaders and participants were in each session. Content fidelity was based on whether recommended content was discussed in each session. A trained researcher rated each session. Outcomes were assessed using medical records and participant self-reports.
The researchers found that, when controlling for important clinical predictors, greater process fidelity was associated with significantly lower odds of both preterm birth and intensive utilization of care. There were significantly lower odds of intensive utilization of care associated with greater content fidelity.
"Clinicians learning to facilitate group care should receive training in facilitative leadership, emphasizing the critical role that creating a participatory atmosphere can play in improving outcomes," the authors write.
One author is the chief executive officer of the nonprofit entity the Centering Healthcare Institute, which promotes the CenteringPregnancy model of care.
Explore further: Intervention for NICU moms reduces their trauma, anxiety
More information: Abstract
Full Text
Copyright © 2013 HealthDay. All rights reserved.
Medical Xpress on facebook
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Intervention for NICU moms reduces their trauma, anxiety
Sep 05, 2013
(HealthDay)—An intervention aimed at reducing parental trauma and redefining the parental experience for those with very premature newborns is both feasible and cost-effective, according to a study published ...
Obstetric outcomes for women with asthma evaluated
Feb 12, 2013
(HealthDay)—Women with asthma have significantly higher odds for nearly all obstetric complications, according to a study published in the February issue of the American Journal of Obstetrics & Gynecology.
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Continued care from a named midwife throughout pregnancy, birth, and after the baby is born (caseload midwifery) is just as safe as standard maternity care (shared between different midwives and medical practitioners) for ...
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