Reducing Psychosocial and Behavioral Pregnancy Risk Factors: Results of a Randomized Clinical Trial Among High-Risk Pregnant African American Women

• DOI: 10.2105/ajph.2007.131425
• Publication Date: 2009-04-17T02:25:37Z
• Authors: Jill G. Joseph; Ayman A. E. El-Mo...; Michele Kiely; M. Nabil El-Khora...; Marie G. Gantz; Allan A. Johnson; Kathy S. Katz; Susan M. Blake; Maryann W. Rossi; Siva Subramanian
• Keywords: Prenatal Care

Objectives. We evaluated the efficacy of a primary care intervention targeting pregnant African American women and focusing on psychosocial behavioral risk factors for poor reproductive outcomes (cigarette smoking, secondhand smoke exposure, depression, intimate partner violence). Methods. Pregnant (N = 1044) were randomized to an or usual group. Clinic-based, individually tailored counseling sessions adapted from evidence-based interventions. Follow-up data obtained 850 women. Multiple imputation methodology was used estimate missing data. Outcome measures number risks at baseline, first follow-up, second follow-up within-person changes in baseline follow-up. Results. Number did not differ between groups trimester, third trimester. Women group more frequently resolved some all their than (odds ratio 1.61; 95% confidence interval 1.08, 2.39; P .021). Conclusions. In comparison with care, clinic-based significantly reduced pregnancy among high-risk receiving prenatal care.