Contributions of CenteringPregnancy to women’s health behaviours, health literacy, and health care use in the Netherlands
The objective of this study was to assess the effects of CenteringPregnancy (CP) in the Netherlands on different health outcomes. A stepped wedged cluster randomized trial was used, including 2132 women of approximately 12 weeks of gestation, from thirteen primary care midwifery centres in and aroun...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-10-01
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| Series: | Preventive Medicine Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335523001353 |
| _version_ | 1827813726307221504 |
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| author | Mary-ann Wagijo Mathilde Crone Birgit Bruinsma-van Zwicht Jan van Lith Deborah L. Billings Marlies Rijnders |
| author_facet | Mary-ann Wagijo Mathilde Crone Birgit Bruinsma-van Zwicht Jan van Lith Deborah L. Billings Marlies Rijnders |
| author_sort | Mary-ann Wagijo |
| collection | DOAJ |
| description | The objective of this study was to assess the effects of CenteringPregnancy (CP) in the Netherlands on different health outcomes. A stepped wedged cluster randomized trial was used, including 2132 women of approximately 12 weeks of gestation, from thirteen primary care midwifery centres in and around Leiden, Netherlands. Data collection was done through self-administered questionnaires. Multilevel intention-to-treat analysis and propensity score matching for the entire group and separately for nulliparous- and multiparous women were employed. The main outcomes were: health behaviour, health literacy, psychological outcomes, health care use, and satisfaction with care. Women’s participation in CP is associated with lower alcohol consumption after birth (OR = 0.59, 95 %CI 0.42–0.84), greater consistency with norms for healthy eating and physical activity (β = 0.19, 95 %CI 0.02–0.37), and higher knowledge about pregnancy (β = 0.05, 95 %CI 0.01–0.08). Compared to the control group, nulliparous women who participating in CP reported better compliance to the norm for healthy eating and physical activity (β = 0.28, 95 %CI0.06–0.51)) and multiparous CP participants consumed less alcohol after giving birth (OR = 0.42, 95 %CI 0.23–0.78). Health care use and satisfaction rates were significantly higher among CP participants. A non-significant trend toward lower smoking rates was documented among CP participants. Overall, the results of this study reveal a positive (postpartum) impact on fostering healthy behaviours among participants. |
| first_indexed | 2024-03-11T23:36:11Z |
| format | Article |
| id | doaj.art-a6a396ca0091408f8925c7e6b3ae21f4 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-03-11T23:36:11Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-a6a396ca0091408f8925c7e6b3ae21f42023-09-20T04:20:51ZengElsevierPreventive Medicine Reports2211-33552023-10-0135102244Contributions of CenteringPregnancy to women’s health behaviours, health literacy, and health care use in the NetherlandsMary-ann Wagijo0Mathilde Crone1Birgit Bruinsma-van Zwicht2Jan van Lith3Deborah L. Billings4Marlies Rijnders5Department of Public Health and Primary Care, Leiden University Medical Center, PO Box 9600, 2300 RC Leiden, The Netherlands; Corresponding author.Department of Public Health and Primary Care, Leiden University Medical Center, PO Box 9600, 2300 RC Leiden, The NetherlandsDepartment of Obstetrics, Leiden University Medical Center, PO Box 9600, 2300 RC Leiden, The NetherlandsDepartment of Obstetrics, Leiden University Medical Center, PO Box 9600, 2300 RC Leiden, The NetherlandsGroup Care Global, 6520 Wissahickon Ave., Philadelphia, PA 19119, USA; University of South Carolina (Columbia, SC) / University of North Carolina, Chapel Hill, NC, USADepartment of Child Health, TNO, PO Box 22152301 CE, Leiden, The NetherlandsThe objective of this study was to assess the effects of CenteringPregnancy (CP) in the Netherlands on different health outcomes. A stepped wedged cluster randomized trial was used, including 2132 women of approximately 12 weeks of gestation, from thirteen primary care midwifery centres in and around Leiden, Netherlands. Data collection was done through self-administered questionnaires. Multilevel intention-to-treat analysis and propensity score matching for the entire group and separately for nulliparous- and multiparous women were employed. The main outcomes were: health behaviour, health literacy, psychological outcomes, health care use, and satisfaction with care. Women’s participation in CP is associated with lower alcohol consumption after birth (OR = 0.59, 95 %CI 0.42–0.84), greater consistency with norms for healthy eating and physical activity (β = 0.19, 95 %CI 0.02–0.37), and higher knowledge about pregnancy (β = 0.05, 95 %CI 0.01–0.08). Compared to the control group, nulliparous women who participating in CP reported better compliance to the norm for healthy eating and physical activity (β = 0.28, 95 %CI0.06–0.51)) and multiparous CP participants consumed less alcohol after giving birth (OR = 0.42, 95 %CI 0.23–0.78). Health care use and satisfaction rates were significantly higher among CP participants. A non-significant trend toward lower smoking rates was documented among CP participants. Overall, the results of this study reveal a positive (postpartum) impact on fostering healthy behaviours among participants.http://www.sciencedirect.com/science/article/pii/S2211335523001353Group antenatal careCenteringPregnancyPerinatal healthPregnancyPropensity score |
| spellingShingle | Mary-ann Wagijo Mathilde Crone Birgit Bruinsma-van Zwicht Jan van Lith Deborah L. Billings Marlies Rijnders Contributions of CenteringPregnancy to women’s health behaviours, health literacy, and health care use in the Netherlands Preventive Medicine Reports Group antenatal care CenteringPregnancy Perinatal health Pregnancy Propensity score |
| title | Contributions of CenteringPregnancy to women’s health behaviours, health literacy, and health care use in the Netherlands |
| title_full | Contributions of CenteringPregnancy to women’s health behaviours, health literacy, and health care use in the Netherlands |
| title_fullStr | Contributions of CenteringPregnancy to women’s health behaviours, health literacy, and health care use in the Netherlands |
| title_full_unstemmed | Contributions of CenteringPregnancy to women’s health behaviours, health literacy, and health care use in the Netherlands |
| title_short | Contributions of CenteringPregnancy to women’s health behaviours, health literacy, and health care use in the Netherlands |
| title_sort | contributions of centeringpregnancy to women s health behaviours health literacy and health care use in the netherlands |
| topic | Group antenatal care CenteringPregnancy Perinatal health Pregnancy Propensity score |
| url | http://www.sciencedirect.com/science/article/pii/S2211335523001353 |
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