Abstract:
OBJECTIVE:The postpartum period is a window of opportunity for diabetes prevention in women with recent gestational diabetes (GDM), but recruitment for clinical trials during this period of life is a major challenge. METHODS:We adapted a social-ecologic model to develop a multi-level recruitment strategy at the macro (high or institutional level), meso (mid or provider level), and micro (individual) levels. Our goal was to recruit 100 women with recent GDM into the Balance after Baby randomized controlled trial over a 17-month period. Participants were asked to attend three in-person study visits at 6 weeks, 6, and 12 months postpartum. They were randomized into a control arm or a web-based intervention arm at the end of the baseline visit at six weeks postpartum. At the end of the recruitment period, we compared population characteristics of our enrolled subjects to the entire population of women with GDM delivering at Brigham and Women's Hospital (BWH). RESULTS:We successfully recruited 107 of 156 (69 %) women assessed for eligibility, with the majority (92) recruited during pregnancy at a mean 30 (SD ± 5) weeks of gestation, and 15 recruited postpartum, at a mean 2 (SD ± 3) weeks postpartum. 78 subjects attended the initial baseline visit, and 75 subjects were randomized into the trial at a mean 7 (SD ± 2) weeks postpartum. The recruited subjects were similar in age and race/ethnicity to the total population of 538 GDM deliveries at BWH over the 17-month recruitment period. CONCLUSIONS:Our multilevel approach allowed us to successfully meet our recruitment goal and recruit a representative sample of women with recent GDM. We believe that our most successful strategies included using a dedicated in-person recruiter, integrating recruitment into clinical flow, allowing for flexibility in recruitment, minimizing barriers to participation, and using an opt-out strategy with providers. Although the majority of women were recruited while pregnant, women recruited in the early postpartum period were more likely to present for the first study visit. Given the increased challenges of recruiting postpartum women with GDM into research studies, we believe our findings will be useful to other investigators seeking to study this population.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
Nicklas JM,Skurnik G,Zera CA,Reforma LG,Levkoff SE,Seely EWdoi
10.1007/s10995-015-1825-8subject
Has Abstractpub_date
2016-02-01 00:00:00pages
261-9issue
2eissn
1092-7875issn
1573-6628pii
10.1007/s10995-015-1825-8journal_volume
20pub_type
杂志文章,随机对照试验abstract::Objectives Physical activity patterns can track from childhood into adulthood; therefore, establishing active behaviors early is imperative. Given the multidimensional nature of a mother's influence on their children, there is a need to utilize more comprehensive measures to assess the relationship between mother and ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2474-5
更新日期:2018-07-01 00:00:00
abstract::Introduction The American Academy of Pediatrics discourages spanking, especially of infants and young toddlers. This study examines the association between maternal immigrant generation and reported spanking of 1-year-old children, and whether this association is impacted by domestic violence (DV). Methods We conducte...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2660-5
更新日期:2019-04-01 00:00:00
abstract::Social marketing approaches can help to shape the formation of and to create demand for preconception care services. This article describes four components of social marketing, often referred to as the 4 P's, that should be carefully researched and set in place before a national effort to launch and sustain preconcept...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-006-0105-z
更新日期:2006-09-01 00:00:00
abstract:BACKGROUND:Reproductive health inequalities tend to be more marked in large cities because they include neighbourhoods with unequal social and community networks, resources and opportunities. The aim was to describe social inequalities in fertility patterns among women who gave birth between 2007 and 2016 in the city o...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-020-02875-w
更新日期:2020-03-01 00:00:00
abstract::In the United States (US), a parent's health insurance status affects their children's access to health care making it critically important to examine trends in coverage for both children and parents. To gain a better understanding of these health insurance trends, we assessed the coverage status for both children and...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1142-4
更新日期:2013-11-01 00:00:00
abstract::To explore important domains of women's postpartum experiences as perceived by postpartum mothers and obstetricians/midwives, and to investigate how postpartum care could enhance patient preparation for the postpartum period. Qualitative research study was conducted to explore women's and clinicians' perceptions of th...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1297-7
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVE:Compare mothers' reports of injuries for infants and toddlers sleeping with crib-bumpers/mesh-liners/no-barriers and reasons for these sleep environment choices. METHODS:A cross-sectional survey of mothers subscribing to a parenting magazine and using crib bumpers (n = 224), mesh liners (n = 262), and no bar...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-019-02803-7
更新日期:2019-12-01 00:00:00
abstract::Objective WHO and UNICEF recommend cup feeding for neonates unable to breastfeed in low-resource settings. In developed countries, cup feeding in lieu of bottle feeding in the neonatal period is hypothesized to improve breastfeeding outcomes for those initially unable to breastfeed. Our aim was to synthesize the entir...
journal_title:Maternal and child health journal
pub_type: 杂志文章,评审
doi:10.1007/s10995-016-1961-9
更新日期:2016-08-01 00:00:00
abstract:OBJECTIVES:To determine if the Pregnancy Risk Assessment Monitoring System (PRAMS) is a unique and valuable MCH data source and an effective mechanism for states to collect MCH data, and to assess if recent changes in it have improved efficiency and flexibility. METHODS:Each component of the PRAMS methodology is descr...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1022325421844
更新日期:1999-12-01 00:00:00
abstract::To assess support for 12 potential smoking cessation strategies among pregnant Australian Indigenous women and their antenatal care providers. Cross-sectional surveys of staff and women in antenatal services providing care for Indigenous women in the Northern Territory and New South Wales, Australia. Respondents were ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1373-z
更新日期:2014-12-01 00:00:00
abstract::The current COVID-19 pandemic in Kashmir along with lockdown measures-ordered to prevent the spread of the disease-has added further trauma to the fragile mental health system in Kashmir. There may be unquantifiable repercussions of the current epidemic on the emotional status of women during the perinatal period. The...
journal_title:Maternal and child health journal
pub_type: 信件
doi:10.1007/s10995-020-03004-3
更新日期:2020-11-01 00:00:00
abstract::The objectives of this study were to ascertain the prevalence and potential sources of lead exposure among pregnant women residing in a socially-disadvantaged immigrant community in Albuquerque, New Mexico. Pregnant women (n = 140) receiving prenatal care through a community clinic participated in a structured intervi...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-0963-5
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:Few studies examine the consequences of unwanted pregnancy on child development, and most of those that do, use measures of pregnancy intention. Here we use measures of pregnancy wantedness, together with measures of maternal motivation, to examine the potential effect of wantedness on the child's attachment...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0254-8
更新日期:2008-07-01 00:00:00
abstract::Objective To describe associated perinatal behaviors among women using fertility treatment. Methods Data were obtained for 12,197 Maryland women who delivered live neonates from 2004 to 2011 and completed the Pregnancy Risk Assessment Monitoring System survey postpartum. We conducted weighted descriptive and multivari...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2056-3
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVES:Increasingly, the public and private sectors are turning to "service integration" efforts to reduce, if not eliminate, barriers to needed care created by categorical programs. In 1991, the Robert Wood Johnson Foundation established a new national demonstration project, called the Child Health Initiative, int...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1022374728615
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVE:The goal of this study was to assess and improve the management of postpartum haemorrhage (PPH) in maternity units in Malawi. The main objective was to determine whether criteria-based audit can improve adherence to standards for the management of PPH. METHODS:We used a before-and-after design and univariate...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0408-3
更新日期:2009-11-01 00:00:00
abstract::This study aimed to examine whether the relative importance of maternal age as a correlate of adverse birth outcomes has changed and to investigate if social inequalities in birth outcomes have widened during the past decade when the marriage and fertility related social environment has undergone tremendous change in ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0611-x
更新日期:2011-05-01 00:00:00
abstract::Objectives National surveys consistently identify iron deficiency (ID) in US children between 1 and 3 years of age, when the brain is rapidly developing and vulnerable to the effects of ID. However, controversy remains as to how best to recognize and prevent ID in young children, in part because of the multiple potent...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-1982-4
更新日期:2016-09-01 00:00:00
abstract::Objectives Prenatal maternal metabolic problems such as pre-pregnancy adiposity, excess gestational weight gain, and gestational diabetes mellitus (GDM) are associated with an increased risk of psychopathology in offspring. We examined whether these exposures were linked to symptoms of emotional and behavioral problem...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2691-y
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:To determine whether delivery hospitals that perform poorly for women also perform poorly for high-risk infants and to what extent Black and Hispanic women receive care at hospitals that perform poorly for both women and infants. METHODS:We examined the correlation between hospital rankings for severe matern...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-020-02911-9
更新日期:2020-06-01 00:00:00
abstract::The role of prenatal depression on physical and mental health among women in mainland China has not been previously investigated. The aim of this research was to (a) calculate the prevalence of depression during pregnancy, (b) explore the relationship between depression sample characteristics and quality of life and (...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-011-0900-z
更新日期:2012-10-01 00:00:00
abstract::Objectives Get Healthy in Pregnancy (GHiP) is a telephone based lifestyle coaching service for pregnant women, in New South Wales, Australia. GHiP had two service options; a telephone-based health coaching program consisting of up to 10 calls and information only (including one call). This study sought to compare the ...
journal_title:Maternal and child health journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s10995-019-02735-2
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVES:This study sought to determine whether estimates of oral health-related indicators generated using a relatively small purposive sample of schools were reasonable. METHODS:We collected and analyzed data from two open-mouth school oral health surveys conducted in Ohio in 2004-2005. In each survey, data were g...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0343-3
更新日期:2009-05-01 00:00:00
abstract::To estimate initiation of HPV vaccination among adolescent girls and examine the relationship between receiving care consistent with the medical home model in a population-based sample. We used the National Survey of Children's Health 2007, a nationally representative sample of children in the United States, to study ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-0975-1
更新日期:2013-02-01 00:00:00
abstract:UNLABELLED:Randomized trials of bacterial vaginosis (BV) treatment among pregnant women to reduce preterm birth have had mixed results. Among non-pregnant women, BV recurs frequently after treatment. Randomized trials of early BV treatment for pregnant women in which recurrence was retreated have shown promise in reduc...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0661-0
更新日期:2011-10-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to examine the prevalence of unmet mental health needs in children identified by parents as having long-term emotional and behavioral problems, to identify the characteristics of these children, and to evaluate the influence of health insurance status and type on the odds of repo...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0346-0
更新日期:2009-03-01 00:00:00
abstract::This study explored the developmental trajectories of postpartum weight from 0.5 to 3 years after childbirth, and aimed to determine the associations between postpartum weight trajectories and prepregnancy body mass index and adequacy of gestational weight gain (GWG). Data from the Norwegian Mother and Child Cohort st...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-014-1593-x
更新日期:2015-04-01 00:00:00
abstract::We developed and tested a theoretically-based pamphlet entitled 'Influenza in Pregnancy,' specifically designed to increase pregnant women's knowledge, reduce barriers to maternal vaccination, and subsequently improve vaccine uptake. A randomized control trial was conducted on pregnant women (n = 135) at three locatio...
journal_title:Maternal and child health journal
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s10995-013-1352-4
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:Many priority countries in the countdown to the millennium development goals deadline are lagging in progress towards maternal and child health (MCH) targets. Papua New Guinea (PNG) is one such country beset by challenges of geographical inaccessibility, inequity and health system weakness. Several countries...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1762-6
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVES:Examine the association between mothers' low- and high-level depressive symptoms in early childhood and children's behavior problems in middle childhood. METHODS:We used data from 1844 families in a multi-site, longitudinal study beginning when children were 14 months and continuing to age 11 years. Childre...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1849-0
更新日期:2016-03-01 00:00:00