The M-O-M-S project evaluates the effectiveness of the M-O-M-S program for improving birth outcomes and maternal-infant attachment and role satisfaction in a large military sample.
The M-O-M-S project is a longitudinal, multi-site, randomized controlled trial to test program effectiveness for decreasing prenatal maternal anxiety and depression and increasing self-esteem and resilience and assess the relationship to pregnancy complications, birth outcomes, postpartum maternal-infant attachment, role satisfaction and parental stress.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
1,717
10, 1 hour, structured classes meeting every-other-week in person beginning in the first trimester of pregnancy and unlimited access to mentor support.
Naval Medical Center San Diego
San Diego, California, United States
Joint Base San Antonio
San Antonio, Texas, United States
Madigan Army Medical Center
Tacoma, Washington, United States
Lederman Self-Evaluation Questionnaire
Seven dimensions of pregnancy-specific anxiety
Time frame: assessing change between gestational weeks 12, 16, 24, and 32 of pregnancy
Rosenberg Self-Esteem Scale
10-item scale measuring the degree to which one values oneself
Time frame: assessing change between gestational weeks 12, 16, 24, and 32 of pregnancy and 1, 3, & 6 months postpartum
Family Adaptability and Cohesion Evaluation Scales
30-item instrument measuring the ability of the family (couple) to change its roles, rules, and power structure.
Time frame: assessing change between gestational weeks 12, 16, 24, and 32 of pregnancy and 1, 3, & 6 months postpartum
Edinburgh Postnatal Depression Scale
10-item scale measuring prenatal or postpartum symptoms of depression
Time frame: assessing change between gestational weeks 12, 16, 24, and 32 of pregnancy and 1, 3, & 6 months postpartum
Social Support Index
17-item scale measuring the extent to which families are integrated into the community, view the community as a source of support, and feel that the community can provide emotional, esteem, and network support
Time frame: assessing change between gestational weeks 12, 16, 24, and 32 of pregnancy and 1, 3, & 6 months postpartum
Family Index Coherence
17-item instrument measuring the degree to which families feel committed to the military mission and identify a subscale of family coping to manage life changes and stresses
Time frame: assessing change between gestational weeks 12, 16, 24, and 32 of pregnancy and 1, 3, & 6 months postpartum
Brief Resilience Scale
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6-item instrument developed to measure the concept of "bouncing back from stress."
Time frame: assessing change between gestational weeks 12, 16, 24, and 32 of pregnancy and 1, 3, & 6 months postpartum
Postpartum Self-Evaluation Questionnaire
82-items measuring the woman's perceived postpartum adaptation to motherhood
Time frame: assessing change between 1, 3, & 6 months postpartum
Infant birthweight
exact measure obtained from the delivery or infant record of the infants weight at birth in grams
Time frame: delivery weight of infant documented at delivery
Gestational age at birth
Gestational age in weeks at birth determined from last menstrual period (LMP) and/or first trimester ultrasound
Time frame: at first prenatal appointment up to 12 weeks