Prenatal Consult With Illustrated Literature (PNCIL)

University of Virginia

Status: Completed

Conditions: Prenatal Stress; Premature Birth

Treatments: Other: Standard Prenatal Consult; Other: Illustrated handout at prenatal consult

Study type: Interventional

Funder types: Other

Identifiers

NCT04267211

19892

Details and patient eligibility

About

The overall purpose of this study is to determine whether implementing a 'Prenatal Consult Bundle' to the existing prenatal consult, including provision of sample questions, added discussion points and handouts, and a return visit, will decrease parental anxiety and improve information recall. Additionally, this study will determine if this effect is further increased with the use of illustrated literature.

Full description

This study will be a prospective randomized control trial. Seventy participants will be enrolled for the 'Standard' consult. These women will receive a questionnaire 6-24 hours after their consult. Then 140 participants will be randomized to either the 'Standard Upgrade' or 'Illustrated Upgrade' arm. Randomization will additionally be stratified based on estimated gestational age. These participants will receive an upgraded consult implementing the 'Prenatal Consult Bundle' which emphasizes the parents' role and follow up, with or without an illustrated handout. These participants will receive the same questionnaire 6-24 hours after their consult. Demographic information collected will include maternal age, gravidity, use of magnesium, social support and health literacy. All data will be collected to assess whether either arm of the consult 'upgrade' reduces anxiety or improves knowledge retention after the prenatal consult. Analyses will be completed using Statistical Analysis Software (SAS) using appropriate statistical testing.

Enrollment: 82 patients

Sex: Female

Ages: 15 to 99 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Pregnant women admitted to OB unit at the University of Virginia Medical Center
• Estimated gestational age of >25 weeks and <35 weeks

Exclusion criteria

• Non-English Speaking
• Pregnant women <15 years of age
• Known critical conditions or congenital anomalies
• Women who have had any prior prenatal consultations regarding current pregnancy

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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82 participants in 2 patient groups

Illustrated Consult

Experimental group

Treatment:

Other: Illustrated handout at prenatal consult

Standard Consult

Experimental group

Treatment:

Other: Standard Prenatal Consult