Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Tennessee Connections for Better Birth Outcomes
Brief Summary: Women with a history of a prior preterm birth (PTB) have a high probability of a recurrent preterm birth. Some risk factors and health behaviors that contribute to PTB may be amenable to intervention. Home visitation is a promising method to deliver evidence based interventions. We evaluated a system of care designed to reduce preterm births and hospital length of stay in a sample of pregnant women with a history of a PTB. All participants (N = 211) received standard prenatal care. Intervention participants (N = 109) also received home visits by certified nurse-midwives guided by protocols for specific risk factors (e.g., depressive symptoms, abuse, smoking). Data was collected via multiple methods and sources including intervention fidelity assessments. Average age was 27.6 years. Racial breakdown mirrored local demographics. Most women had a partner, a high school education, and Medicaid. Enhanced prenatal care by nurse-midwife home visits may limit some risk factors and shorten intrapartum length of stay for women with a prior PTB. This study contributes to knowledge about evidence-based home visit interventions directed at risk factors associated with PTB.


Options:
A: Arm Label: Intervention; Type: EXPERIMENTAL; Interventions: Behavioral: Health Education & Promotion, Other: Training of Health Workers, Behavioral: Community Mobilization | Arm Label: Control; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: Health Education & Promotion; Assigned to Arm(s): Intervention | Intervention Type: OTHER; Name: Training of Health Workers; Assigned to Arm(s): Intervention | Intervention Type: BEHAVIORAL; Name: Community Mobilization; Assigned to Arm(s): Intervention
B: Arm Label: Insight-Plus Cognitive Behavioral Intervention; Type: EXPERIMENTAL; Interventions: Behavioral: Insight-Plus Cognitive Behavioral Intervention | Arm Label: Treatment as Usual (TAU); Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: Insight-Plus Cognitive Behavioral Intervention; Assigned to Arm(s): Insight-Plus Cognitive Behavioral Intervention
C: Arm Label: Usual Care; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Usual care | Arm Label: CenteringPregnancy Plus; Type: EXPERIMENTAL; Interventions: Behavioral: CenteringPregnancy Plus (CP+) | Intervention Type: BEHAVIORAL; Name: CenteringPregnancy Plus (CP+); Assigned to Arm(s): CenteringPregnancy Plus | Intervention Type: BEHAVIORAL; Name: Usual care; Assigned to Arm(s): Usual Care
D: Arm Label: Targeted Nurse Home Visits; Type: EXPERIMENTAL; Interventions: Behavioral: Targeted Nurse Home Visits, Other: Conventional prenatal/postpartum care | Arm Label: Conventional prenatal/postpartum care; Type: OTHER; Interventions: Other: Conventional prenatal/postpartum care | Intervention Type: BEHAVIORAL; Name: Targeted Nurse Home Visits; Assigned to Arm(s): Targeted Nurse Home Visits | Intervention Type: OTHER; Name: Conventional prenatal/postpartum care; Assigned to Arm(s): Conventional prenatal/postpartum care, Targeted Nurse Home Visits

Answer: D