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The purpose of this study is to help expectant mothers build a coparenting bond and improve communication with a support person (co-caregiver). Participation will include completing two online surveys (one at 12-30 weeks gestation & one at 3 months postpartum), providing two at-home bloodspot collections and returning the collections via mail. Studies suggest that stress increases inflammation. Investigators aim to explore this by collecting a small amount of blood at the first and last session. Participants will also attend 9 virtual one-two hour Family Foundations (FF) intervention sessions (at no cost to participants) with a supportive co-caregiver. Total time commitment will be 18 hours, max, over a 6 month period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Family Foundations immediate enrollment | Experimental | Administer 9 sessions of FF intervention (5 prenatal and 4 postpartum). |
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| Family Foundations delayed enrollment | No Intervention | Administer 9 sessions of FF intervention after 3-6 month postpartum. Women will be randomized to either the delayed intervention control or FF. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Family Foundations | Behavioral | The FF intervention is 9 sessions, 5 in the prenatal period and 4 in the postpartum period. |
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| Measure | Description | Time Frame |
|---|---|---|
| Change in Depressive Symptoms | Change in depression measured by the Edinburgh Postnatal Depression Scale (EPDS). This is a 10-item survey with scores ranging from 0-30 (higher number means more depressive symptoms). | From enrollment to the end of intervention at 6 months postpartum |
| Change in social support | Multidimensional Scale of Perceived Social Support (MSPSS): This is a 12-item validated screening tool assessing social support. It has a total score range of 12 to 84, with higher scores indicating higher levels of perceived social support. | From enrollment to the end of intervention at 6 months postpartum |
| Change in Anxiety Symptoms | Anxiety symptoms measured by the 5-tiem Overall Anxiety Severity and Impairment Scale (OASIS). The total score on the OASIS ranges from 0 to 20, with higher total indicating more anxiety symptoms. | From enrollment to the end of intervention at 6 months postpartum |
| Change in symptoms of perceived stress | Stress measured by the 10-item Perceived Stress Scale (PSS). The PSS score range is 0-40, with higher scores indicating higher levels of perceived stress. | From enrollment to the end of intervention at 6 months postpartum |
| Change in communication | Communication Patterns Questionnaire (CPQ): This is a 35 item self-report measure designed to assess the extent to which couples/dyads make use of various interaction strategies during conflict. Each item assesses partners' perception of how likely a certain type of behavior (e.g., both members avoid discussing the problem) occurs when faced with a relationship problem, from 1 (very unlikely) to 9 (very likely). Of the 35 items on the CPQ, 16 are currently used to form four subscales: constructive communication (7 items), self-demand/partner-withdraw (3 items), partner-demand/self-withdraw (3 items), and mutual avoidance (3 items). |
| Measure | Description | Time Frame |
|---|---|---|
| Change in levels of high sensitivity C-reactive protein (mg/dL) | C-reactive protein (CRP) levels are measured with a self-administered blood spot collection kit to indicate inflammation in the body. CRP levels can vary depending on the lab, but here are some general ranges: Less than 0.3 mg/dL: Normal for most healthy adults 0.3 to 1.0 mg/dL: Normal or minor elevation 1.0 to 10.0 mg/dL: Moderate elevation More than 10.0 mg/dL: Marked elevation More than 50.0 mg/dL: Severe elevation |
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Inclusion Criteria:
7. Access to and familiarity with a tablet, smartphone, or computer
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Pearl Heumann, BS | Contact | 323-866-8107 | familyfoundations@cshs.org |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cedars Sinai Medical Center | Recruiting | Los Angeles | California | 90048 | United States |
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| From enrollment to the end of intervention at 6 months postpartum |
| Change in symptoms of post-traumatic stress | Post-traumatic Stress measured by the 22-item Impact of Event Scale-Revised (IES-R). The IES-R has a score range of 0 to 88, with higher scores indicating more stress. | From enrollment to the end of intervention at 6 months postpartum |
| From enrollment to the end of treatment at 6 months postpartum |