Elevating Voices, Addressing Depression, Toxic Stress, and Equity Through Group Prenatal Care: A Pilot Study
Introduction: Elevating Voices, Addressing Depression, Toxic Stress and Equity (EleVATE) is a group prenatal care (GC) model designed to improve pregnancy outcomes and promote health equity for Black birthing people. This article outlines the foundational community-engaged process to develop EleVATE...
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| Format: | Article |
| Language: | English |
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Mary Ann Liebert
2024-12-01
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| Series: | Health Equity |
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| Online Access: | https://www.liebertpub.com/doi/10.1089/heq.2023.0160 |
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| author | Shannon N. Lenze Kelly McKay-Gist Rachel Paul Melissa Tepe Katherine Mathews Sara Kornfield Cheron Phillips Richelle Smith Amanda Stoermer Ebony B. Carter |
| author_facet | Shannon N. Lenze Kelly McKay-Gist Rachel Paul Melissa Tepe Katherine Mathews Sara Kornfield Cheron Phillips Richelle Smith Amanda Stoermer Ebony B. Carter |
| author_sort | Shannon N. Lenze |
| collection | DOAJ |
| description | Introduction: Elevating Voices, Addressing Depression, Toxic Stress and Equity (EleVATE) is a group prenatal care (GC) model designed to improve pregnancy outcomes and promote health equity for Black birthing people. This article outlines the foundational community-engaged process to develop EleVATE GC and pilot study results. Methods: We used community-based participatory research principles and the Ferguson Commission Report to guide creation of EleVATE GC. The intervention, designed by and for Black birthing people, centers trauma-informed care, antiracism, and integrates behavioral health strategies into group prenatal care to address unmet mental health needs. Using a convenience sample of patients seeking care at one of three safety-net health care sites, we compared preterm birth, small for gestational age, depression scores, and other pregnancy outcomes between patients in individual care (IC), CenteringPregnancy™ (CP), and EleVATE GC. Results: Forty-eight patients enrolled in the study (n=11 IC; n=14 CP; n=23 EleVATE GC) and 86% self-identified as Black. Patients participating in group prenatal care (EleVATE GC or CP) were significantly less likely to experience a preterm birth <34 weeks. Rates of small for gestational age, preterm birth <37 weeks, depression scores, and other pregnancy outcomes were similar across groups. Participants in CP and EleVATE GC were more likely to attend their postpartum visit and breastfeed at hospital discharge than those in IC. Discussion: Our findings model a systematic approach to design a feasible, patient-centered, community-based, trauma-informed, antiracist intervention. Further study is needed to determine whether EleVATE GC improves perinatal outcomes and promotes health equity. |
| format | Article |
| id | doaj-art-b164b29a1cad4c3a9e5935fb9d7e67ab |
| institution | Kabale University |
| issn | 2473-1242 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Health Equity |
| spelling | doaj-art-b164b29a1cad4c3a9e5935fb9d7e67ab2025-08-20T03:49:37ZengMary Ann LiebertHealth Equity2473-12422024-12-0181879510.1089/heq.2023.0160Elevating Voices, Addressing Depression, Toxic Stress, and Equity Through Group Prenatal Care: A Pilot StudyShannon N. Lenze0Kelly McKay-Gist1Rachel Paul2Melissa Tepe3Katherine Mathews4Sara Kornfield5Cheron Phillips6Richelle Smith7Amanda Stoermer8Ebony B. Carter9Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.St. Louis Integrated Health Network, St. Louis, Missouri, USA.Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, Missouri, USA.Affinia Healthcare, St. Louis, Missouri, USA.SSM Health St. Mary's and Department of Obstetrics, Gynecology, and Women's Health, St. Louis University, St. Louis, Missouri, USA.Center for Women's Behavioral Wellness, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.St. Louis Integrated Health Network, St. Louis, Missouri, USA.St. Louis Integrated Health Network, St. Louis, Missouri, USA.St. Louis Integrated Health Network, St. Louis, Missouri, USA.Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, Missouri, USA.Introduction: Elevating Voices, Addressing Depression, Toxic Stress and Equity (EleVATE) is a group prenatal care (GC) model designed to improve pregnancy outcomes and promote health equity for Black birthing people. This article outlines the foundational community-engaged process to develop EleVATE GC and pilot study results. Methods: We used community-based participatory research principles and the Ferguson Commission Report to guide creation of EleVATE GC. The intervention, designed by and for Black birthing people, centers trauma-informed care, antiracism, and integrates behavioral health strategies into group prenatal care to address unmet mental health needs. Using a convenience sample of patients seeking care at one of three safety-net health care sites, we compared preterm birth, small for gestational age, depression scores, and other pregnancy outcomes between patients in individual care (IC), CenteringPregnancy™ (CP), and EleVATE GC. Results: Forty-eight patients enrolled in the study (n=11 IC; n=14 CP; n=23 EleVATE GC) and 86% self-identified as Black. Patients participating in group prenatal care (EleVATE GC or CP) were significantly less likely to experience a preterm birth <34 weeks. Rates of small for gestational age, preterm birth <37 weeks, depression scores, and other pregnancy outcomes were similar across groups. Participants in CP and EleVATE GC were more likely to attend their postpartum visit and breastfeed at hospital discharge than those in IC. Discussion: Our findings model a systematic approach to design a feasible, patient-centered, community-based, trauma-informed, antiracist intervention. Further study is needed to determine whether EleVATE GC improves perinatal outcomes and promotes health equity.https://www.liebertpub.com/doi/10.1089/heq.2023.0160mental healthhealth equitygroup prenatal carepatient-centered outcomes research |
| spellingShingle | Shannon N. Lenze Kelly McKay-Gist Rachel Paul Melissa Tepe Katherine Mathews Sara Kornfield Cheron Phillips Richelle Smith Amanda Stoermer Ebony B. Carter Elevating Voices, Addressing Depression, Toxic Stress, and Equity Through Group Prenatal Care: A Pilot Study Health Equity mental health health equity group prenatal care patient-centered outcomes research |
| title | Elevating Voices, Addressing Depression, Toxic Stress, and Equity Through Group Prenatal Care: A Pilot Study |
| title_full | Elevating Voices, Addressing Depression, Toxic Stress, and Equity Through Group Prenatal Care: A Pilot Study |
| title_fullStr | Elevating Voices, Addressing Depression, Toxic Stress, and Equity Through Group Prenatal Care: A Pilot Study |
| title_full_unstemmed | Elevating Voices, Addressing Depression, Toxic Stress, and Equity Through Group Prenatal Care: A Pilot Study |
| title_short | Elevating Voices, Addressing Depression, Toxic Stress, and Equity Through Group Prenatal Care: A Pilot Study |
| title_sort | elevating voices addressing depression toxic stress and equity through group prenatal care a pilot study |
| topic | mental health health equity group prenatal care patient-centered outcomes research |
| url | https://www.liebertpub.com/doi/10.1089/heq.2023.0160 |
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