Prenatal Consult With Illustrated Literature

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Prenatal Consult With Illustrated Literature

Conditions
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Premature Birth, Prenatal Stress

Intervention / Treatment
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* Other: Illustrated handout at prenatal consult
* Other: Standard Prenatal Consult


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 99 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Illustrated Consult<br> | Other: Illustrated handout at prenatal consult<br>* Illustrated consult group will be given an illustration paper describing the majority of the issues discussed at the prenatal consult<br>|
| Experimental: Standard Consult<br> | Other: Standard Prenatal Consult<br>* Standard prenatal consult<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Maternal Anxiety | Using the State-Trait Anxiety Inventory (STAI), maternal anxiety will be assessed between the two groups | Within 48 hours of consultation |