High prenatal stress and the stress hormone cortisol have been shown to lead to adverse birth outcomes. Yet, few studies have examined the efficacy of prenatal stress management programs on improving prenatal stress and cortisol outcomes, specifically what factors (i.e., participant comprehension and content fidelity) in implementing these programs might influence whether pregnant women obtain improved stress outcomes. This study demonstrated that participant comprehension (i.e., how well a participant understands program material) and content fidelity (i.e., how well instructors adhere to core program components) were not associated with stress and cortisol outcomes among low-income pregnant women enrolled in a stress management program. Future research should investigate whether program characteristics (e.g., cultural norms of the population, skill-learning, or therapeutic-oriented processes) mediate these implementation factors. By understanding multivariate models of implementation factors and program characteristics, health care practitioners can effectively provide the CBSM program to pregnant women across at-risk communities.
|Commitee:||Ahrens, Courtney, Gonzalez, Araceli|
|School:||California State University, Long Beach|
|School Location:||United States -- California|
|Source:||MAI 55/05M(E), Masters Abstracts International|
|Subjects:||Health sciences, Clinical psychology|
|Keywords:||Ethnic minority, Intervention, Low-income, Pregnancy, Stress, Treatment fidelity|
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