Ignite Creation Date:
2024-05-06 @ 8:16 AM
Last Modification Date:
2024-10-26 @ 11:58 AM
Study NCT ID:
NCT02705235
Status:
COMPLETED
Last Update Posted:
2023-11-28
First Post:
2016-03-05
Brief Title:
Stress Coping and Health Behaviors in Pregnancy
Sponsor:
University of Nebraska
Organization:
University of Nebraska
Study Overview
Official Title:
Stress Coping and Health Behaviors During Pregnancy
Status:
COMPLETED
Status Verified Date:
2023-11
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Stress is an important determinant of pregnancy health behaviors maternal physiology and maternal-infant health outcomes The purpose of this study is to explain the relationship between dimensions of lifetime stress and the stress hormone cortisol in pregnant women Additionally the study will examine how coping styles help pregnant women to better manage stress and improve their health behaviors to achieve the goal of having a healthy baby
Detailed Description:
Health behaviors are important modifiable factors for promoting maternal-infant health during pregnancy and include behaviors such as diet exercise and avoidance of harmful substances During pregnancy women are often motivated to improve their lifestyle to achieve positive pregnancy outcomes however they may struggle to do so because certain behaviors such as excessive eating smoking and drinking have become a means for coping with stress Stress prior to and during pregnancy negatively impacts birth outcomes via complex behavioral and physiologic pathways From a behavioral perspective stress diminishes womens engagement in positive health behaviors during pregnancy From a physiologic perspective stress affects the regulation of cortisol a hormone involved in fetal development and timing of delivery Women use various coping styles to manage stress It is unknown however whether certain coping styles attenuate the negative behavioral and physiologic effects of stress on birth outcomes Therefore the purpose of this descriptive cross-sectional study is to examine the influence of coping styles on stress physiologic cortisol regulation and health behaviors in a diverse sample of pregnant women N55 during 24-28 weeks gestation
A quantitative design with a qualitative arm will be used to
1 explain the relationship between cortisol regulation and lifetime stress
2 determine whether coping styles active vs disengaged moderate the effect of stress on cortisol health behaviors and birth outcomes and
3 describe womens qualitative experience of stress and coping and determine the extent to which the qualitative findings converge with the quantitative findings
Data will be collected over three prenatal visits during the second half of pregnancy and will include self-report questionnaires multiple salivary cortisol sampling medical record data a structured stress interview and a semi-structured qualitative interview in a subset of participants n12 This study will use an interview-based stress assessment in tandem with physiologic ie cortisol stress measures in pregnancy Additionally the qualitative data will provide a contextual understanding of pregnant womens stress and coping experiences The research findings will inform the future development and testing of a psychosocial coping-based intervention to promote positive health behaviors in pregnancy and birth outcomes Furthermore this training will provide a solid scientific foundation for the applicant to develop a career as an independent nurse-scientist in maternal-infant health promotion research under the guidance of an experienced interdisciplinary team of mentors with complementary expertise in stress coping health behavior and pregnancy related research The proposal is consistent with the National Institute of Nursing Researchs NINR mission to support research that promotes health and prevents disease across the lifespan builds the scientific foundation for clinical practice and invests in the training of the next generation of nurse-scientists
A quantitative design with a qualitative arm will be used to
1 explain the relationship between cortisol regulation and lifetime stress
2 determine whether coping styles active vs disengaged moderate the effect of stress on cortisol health behaviors and birth outcomes and
3 describe womens qualitative experience of stress and coping and determine the extent to which the qualitative findings converge with the quantitative findings
Data will be collected over three prenatal visits during the second half of pregnancy and will include self-report questionnaires multiple salivary cortisol sampling medical record data a structured stress interview and a semi-structured qualitative interview in a subset of participants n12 This study will use an interview-based stress assessment in tandem with physiologic ie cortisol stress measures in pregnancy Additionally the qualitative data will provide a contextual understanding of pregnant womens stress and coping experiences The research findings will inform the future development and testing of a psychosocial coping-based intervention to promote positive health behaviors in pregnancy and birth outcomes Furthermore this training will provide a solid scientific foundation for the applicant to develop a career as an independent nurse-scientist in maternal-infant health promotion research under the guidance of an experienced interdisciplinary team of mentors with complementary expertise in stress coping health behavior and pregnancy related research The proposal is consistent with the National Institute of Nursing Researchs NINR mission to support research that promotes health and prevents disease across the lifespan builds the scientific foundation for clinical practice and invests in the training of the next generation of nurse-scientists
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None