Medicaid Enhanced Prenatal/Postnatal Services Using a Nurse-Community Health Worker Team

Completed · Not applicable

Conditions studied: Perinatal Depression, Stress, Prenatal Health Risk Behaviors, Child Development

In brief

Our objective was to test whether there were advantages to Nurse-CHW team home visiting designed to combine the strengths of both visitors, with a focus on maternal stress and mental health, when compared with standard of Community Care (CC) that included professional home visitors in a state-sponsored Medicaid program. We conducted the study under usual community conditions in a population of women eligible for state-sponsored Medicaid programs. We predicted that during pregnancy and infancy, women in the Nurse-CHW team intervention would report 1) less perceived stress; 2) fewer depressive symptoms; and 3) increased levels of psychosocial resources (self-esteem, mastery, and social support) than women in CC. Benefits were expected to be most pronounced for women with low psychosocial resources and high stress at enrollment.

Key facts

Study ID

NCT00536159

Run by

Michigan State University

People needed

613

Starts

1997-01-01

Expected to finish

2000-08-01

Last updated by the study team

2007-09-27

Who can join

Age: 16 and older. Sex: female. Healthy volunteers: not accepted.

You may qualify if…

• Medicaid eligible
• residency in the county and no plans to move within 18 months
• at least 16 years of age
• speaks Spanish or English

You may not qualify if…

• no pre-existing relationship with a home visiting nurse
• no diagnosis or treatment for a pre-existing mental health condition within the last two years

Where it is running

• Spectrum Health Hospitals — Grand Rapids, Michigan, United States

Full record on ClinicalTrials.gov

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