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The present trial will evaluate the feasibility, acceptability and preliminary efficacy of inter-net-delivered mind-body program for prenatal maternal stress. The Stress Managment and Resiliency Training Program (SMART-Pregnancy program) is a 8-session Cognitive Behavior Therapy (CBT) based program which teaches strategies for eliciting the relaxation response, improving cognitive flexibility and developing adaptive coping strategies. Sixty pregnant women (<20 weeks Estimated Gestational Age) will be screened and either enrolled in the online SMART Pregnancy program or referred for treatment as usual. Outcomes, including maternal perceived stress, depression and anxiety will be assessed at 8-weeks and 20-weeks post randomization. Potential impact on infant health outcomes will be assessed via post-delivery electronic medical record review.
Aim 1: The investigators will conduct a randomized clinical trial (RCT; n=60) to assess the feasibility, acceptability and preliminary efficacy of the Stress Management and Resillency Training program (SMART Pregnancy) delivered online versus treatment as usual (TAU). It is expected that SMART-pregnancy participants will demonstrate high levels of treatment engagement and adherence. It is predicted that participants in the SMART-Pregnancy condition will demonstrate improvements in emotional distress and stress regulation (as indexed by hair cortisol concentrations) at post-treatment and 3 month follow-up. Aim 2: The investigators will conduct a postnatal chart review to explore secondary treatment benefits including pre-and postnatal maternal health and birth outcomes.
SMART Pregnancy, Treatment as usual
Stony Brook University, Department of Psychiatry
Not yet recruiting
Stony Brook University
Published on BioPortfolio: 2019-07-15T10:04:46-0400
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