PDF(Pubmed)
Abstract：
UNASSIGNED: Elevating Voices, Addressing Depression, Toxic Stress and Equity (EleVATE) is a group prenatal care (GC) model designed to improve pregnancy outcomes and promote health equity for Black birthing people. This article outlines the foundational community-engaged process to develop EleVATE GC and pilot study results.
UNASSIGNED: We used community-based participatory research principles and the Ferguson Commission Report to guide creation of EleVATE GC. The intervention, designed by and for Black birthing people, centers trauma-informed care, antiracism, and integrates behavioral health strategies into group prenatal care to address unmet mental health needs. Using a convenience sample of patients seeking care at one of three safety-net health care sites, we compared preterm birth, small for gestational age, depression scores, and other pregnancy outcomes between patients in individual care (IC), CenteringPregnancy™ (CP), and EleVATE GC.
UNASSIGNED: Forty-eight patients enrolled in the study (n=11 IC; n=14 CP; n=23 EleVATE GC) and 86% self-identified as Black. Patients participating in group prenatal care (EleVATE GC or CP) were significantly less likely to experience a preterm birth <34 weeks. Rates of small for gestational age, preterm birth <37 weeks, depression scores, and other pregnancy outcomes were similar across groups. Participants in CP and EleVATE GC were more likely to attend their postpartum visit and breastfeed at hospital discharge than those in IC.
UNASSIGNED: Our findings model a systematic approach to design a feasible, patient-centered, community-based, trauma-informed, antiracist intervention. Further study is needed to determine whether EleVATE GC improves perinatal outcomes and promotes health equity.
UNASSIGNED: We used community-based participatory research principles and the Ferguson Commission Report to guide creation of EleVATE GC. The intervention, designed by and for Black birthing people, centers trauma-informed care, antiracism, and integrates behavioral health strategies into group prenatal care to address unmet mental health needs. Using a convenience sample of patients seeking care at one of three safety-net health care sites, we compared preterm birth, small for gestational age, depression scores, and other pregnancy outcomes between patients in individual care (IC), CenteringPregnancy™ (CP), and EleVATE GC.
UNASSIGNED: Forty-eight patients enrolled in the study (n=11 IC; n=14 CP; n=23 EleVATE GC) and 86% self-identified as Black. Patients participating in group prenatal care (EleVATE GC or CP) were significantly less likely to experience a preterm birth <34 weeks. Rates of small for gestational age, preterm birth <37 weeks, depression scores, and other pregnancy outcomes were similar across groups. Participants in CP and EleVATE GC were more likely to attend their postpartum visit and breastfeed at hospital discharge than those in IC.
UNASSIGNED: Our findings model a systematic approach to design a feasible, patient-centered, community-based, trauma-informed, antiracist intervention. Further study is needed to determine whether EleVATE GC improves perinatal outcomes and promotes health equity.
摘要：
■提升声音，解决抑郁症，有毒压力和公平（EleVATE）是一种群体产前护理（GC）模型，旨在改善妊娠结局并促进黑人分娩者的健康公平。本文概述了开发EleVATEGC和试点研究结果的基础社区参与过程。
■我们使用基于社区的参与性研究原则和弗格森委员会报告来指导EleVATEGC的创建。干预,由黑人出生的人设计，中心创伤知情护理，反种族主义,并将行为健康策略整合到团体产前护理中，以解决未满足的心理健康需求。使用在三个安全网医疗保健站点之一寻求护理的患者的便利样本，我们比较了早产,小于胎龄，抑郁评分,和其他个体护理(IC)患者之间的妊娠结局，Centering妊娠™(CP),和EleVATEGC。
■48名患者参加了研究（n=11IC；n=14CP；n=23EleVATEGC），86％的患者自我鉴定为Black。参加组产前护理（EleVATEGC或CP）的患者经历早产<34周的可能性显着降低。小于胎龄的比率，早产<37周，抑郁评分,两组其他妊娠结局相似.CP和EleVATEGC的参与者比IC的参与者更有可能在出院时参加产后访视和母乳喂养。
■我们的发现为设计可行的，以病人为中心,以社区为基础,创伤知情，反种族主义干预。需要进一步研究以确定EleVATEGC是否改善围产期结局并促进健康公平。
■我们使用基于社区的参与性研究原则和弗格森委员会报告来指导EleVATEGC的创建。干预,由黑人出生的人设计，中心创伤知情护理，反种族主义,并将行为健康策略整合到团体产前护理中，以解决未满足的心理健康需求。使用在三个安全网医疗保健站点之一寻求护理的患者的便利样本，我们比较了早产,小于胎龄，抑郁评分,和其他个体护理(IC)患者之间的妊娠结局，Centering妊娠™(CP),和EleVATEGC。
■48名患者参加了研究（n=11IC；n=14CP；n=23EleVATEGC），86％的患者自我鉴定为Black。参加组产前护理（EleVATEGC或CP）的患者经历早产<34周的可能性显着降低。小于胎龄的比率，早产<37周，抑郁评分,两组其他妊娠结局相似.CP和EleVATEGC的参与者比IC的参与者更有可能在出院时参加产后访视和母乳喂养。
■我们的发现为设计可行的，以病人为中心,以社区为基础,创伤知情，反种族主义干预。需要进一步研究以确定EleVATEGC是否改善围产期结局并促进健康公平。
