Mindfulness, Optimism, and Resilience for Perinatal Health and Equity Study
Nina Ayala
Summary
Dispositional optimism (the general assumption that more good things than bad will occur across various life domains) has been tied to improved somatic and mental health outcomes. Dispositional optimism is malleable, although prior interventions have been time and resource intensive and thus are not well-tailored to the peripartum period. The purpose of this pilot study is to evaluate the feasibility and acceptability of a pregnancy-oriented mindfulness phone application (Expectful) versus standard care among first-time mothers with low dispositional optimism in early pregnancy. Other aims include evaluating the impact of Expectful use on dispositional optimism, adverse pregnancy outcomes (cesarean delivery, hypertensive disorders of pregnancy, and gestational diabetes) and postpartum post-traumatic stress symptoms.
Description
This randomized clinical trial of nulliparous women with low dispositional optimism in early pregnancy seeks to determine whether use of a pregnancy-oriented digital mindfulness application will be feasible and acceptable and show preliminary evidence of efficacy in improving dispositional optimism, reducing adverse perinatal outcomes and improving postpartum post-traumatic stress symptoms. This pilot will include 100 women recruited from the obstetrical service at Women and Infants Hospital of Rhode Island. Women will be included if they are nulliparous, have a singleton pregnancy at \<20 we…
Eligibility
- Age range
- 18+ years
- Sex
- Female
- Healthy volunteers
- No
Inclusion Criteria: * Able to provide informed consent * English speaking * Nulliparous (no prior delivery at or greater than 20w0d gestation) * Pregnant with singleton fetus * \<20w0d gestation * Low dispositional optimism (score \</= 14 on the Revised Life Orientation Test) * Owns a smart phone Exclusion Criteria: * Plan to deliver at another institution * Ongoing (≥1/week) mind-body practice including mindfulness training, meditation or yoga * Pre-gestational hypertensive disorder * Pre-gestational diabetes mellitus
Interventions
- BehavioralDigital Mindfulness Training
Once daily, 5-10 minute mindfulness exercises for 8 week intervention period using the existing perinatal mindfulness application Expectful
Locations (2)
- Obstetrics and Gynecology Care CenterProvidence, Rhode Island
- Prenatal Diagnosis CenterProvidence, Rhode Island