Prematurity is associated with significant morbidity and mortality. Given the high risk of death and disability, it is important for parents to understand the complications of prematurity so they can make decisions for their child. Unfortunately, these discussions often occur in the acute setting of threatened preterm labor when stress and anxiety make comprehension difficult. This study aims to improve parental understanding by providing early education of prematurity in the clinic setting for patients at high risk of preterm delivery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
76
Standardized information regarding prematurity, including associated complications and ways to decrease chances of preterm birth using web-based educational platform.
UH Cleveland Medical Center
Cleveland, Ohio, United States
Parental knowledge of prematurity.
Questionnaire to assess parental knowledge regarding basic concepts of prematurity, associated complications and factors that improve survival.
Time frame: Outcome will be assessed on day 1 of the study. Data will be analyzed and reported at the completion of the study.
Parental satisfaction with prematurity education.
Survey to assess usefulness of web-based educational tool and satisfaction with early education of prematurity.
Time frame: Outcome will be assessed on day 1 of the study. Data will be analyzed and reported at the completion of the study.
Parental anxiety.
Evaluation of parental anxiety associated with prematurity using validated six-item short-form of the Spielberger State-Trait Anxiety Inventory (STAI). The State-Trait Anxiety Inventory (STAI) measures presence and severity of anxiety. The inventory consists of two self-reporting subscales that evaluate the current state of anxiety (state anxiety subscale), as well as the propensity towards being anxious (trait anxiety subscale). The range for total score is 20-80, with a higher score indicating greater anxiety. The six-item version of the Spielberger State-Trait Anxiety Inventory (STAI: Y-6 item) is composed of three-questions from the original state anxiety subscale and three-questions from the original trait anxiety subscale. This shortened six-item inventory is a reliable and valid instrument when compared to the full forty-question inventory.
Time frame: Outcome will be assessed on day 1 of the study. Data will be analyzed and reported at the completion of the study.
Maternal compliance with maternal-fetal medicine provider follow up.
Frequency of no show and cancelled appointments during remainder of pregnancy.
Time frame: Outcome will be assessed up to 9 months following completion of the counseling intervention. Data will be analyzed and reported at the completion of the study.
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