Anxiety & Depression Association of America

Engaging Mothers & Babies; Reimagining Antenatal Care for Everyone (EMBRACE) Study

Purpose

This is a randomized comparative effectiveness study of two forms of enhanced prenatal care among 657 Medi-Cal eligible pregnant individuals in Fresno, California. The goal is to see whether group prenatal care with wrap around services versus individual prenatal care supplemented by services covered by the California Department of Public Health Comprehensive Perinatal Services Program (CPSP) results in less depression and anxiety, and more respectful, more person-centered maternity care and lower rates of preterm birth.

Conditions

Premature Birth
Pregnancy Preterm
Prenatal Stress
Depression, Anxiety
Depression, Postpartum
Satisfaction, Patient
Health Problems in Pregnancy

Eligibility

Eligible Ages: All ages
Eligible Genders: Female
Accepts Healthy Volunteers: Yes

Inclusion Criteria

Between 8 and 24 weeks gestation at enrollment - Eligible for Medi-Cal (at or below 213% of the federal poverty level) - Speak English or Spanish

Exclusion Criteria

Unavailable to attend group prenatal care sessions - Not planning to continue prenatal care with site provider - Cannot legally consent to participate in the study

Study Design

Phase: N/A
Study Type: Interventional
Allocation: Randomized
Intervention Model: Parallel Assignment
Primary Purpose: Health Services Research
Masking: Single (Outcomes Assessor)

Arm Groups

Arm	Description	Assigned Intervention
Active Comparator Glow! Group Prenatal Care	Group prenatal care with wrap around services.	Other: Glow! Group Prenatal Care Glow! is an enhanced group prenatal care model that offers co-located social services provided by established community programs with independent funding streams targeting low-income families. The Glow! group prenatal care model pairs a trained facilitator with a licensed prenatal care practitioner from a practice site to provide billable prenatal care to the practice's own patients. Over the course of 8-10 sessions, 10-12 women (within a 6- week gestational age range) receive prenatal medical care, risk assessments, and social support, and gain knowledge and skills related to pregnancy, birth, and parenting.
Active Comparator Individual Prenatal Care- CPSP	Individual prenatal care with supplemental services covered by CPSP.	Other: Individual Prenatal Care with CPSP Comprehensive Perinatal Services Program (CPSP) is a state-funded program for Medi-Cal eligible families to receive enhanced care and service coordination. Participants assigned to CPSP individual care may participate in the CPSP assessments with a Comprehensive Perinatal Health Worker at their prenatal care site, where individual prenatal care will be provided

Recruiting Locations

More Details

Status: Recruiting
Sponsor: University of California, San Francisco

Study Contact

Miriam Kuppermann, PhD, MPH
(415) 502-4089
miriam.kuppermann@ucsf.edu

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.