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An Internet-Delivered Mind-Body Program for Reducing Prenatal Maternal Stress

Award Number: K23HD092888
ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 09/01/2018
PERIOD OF PERFORMANCE END DATE: 02/29/2024

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An Internet-Delivered Mind-Body Program for Reducing Prenatal Maternal Stress - Project Summary. Prenatal Maternal Stress (PNMS) is commonly defined as the combination of stressful life-events, elevated perceived stress, pregnancy-specific stress, and symptoms of depression and anxiety. It is a well-established risk factor for preterm delivery and low birth-weight, both of which are leading causes of infant mortality, mor- bidity and chronic health problems. It is also one of the most robust predictors of postpartum maternal mental health problems. Despite this, PNMS often remains untreated due to inadequate screening, concerns about medication safety, stigma, practical barriers accessing care, and a lack of evidence based interventions. Thus, there is a critical need for the development of comprehensive interventions for PNMS that are accessible to women during pregnancy. The long-term goal of this K 23 proposal is to build a program of research focused on methods for treating PNMS that have demonstrable mental and physical health benefits for woman and children. The overall objective of this application is to evaluate the feasibility (primary aim), acceptability and preliminary efficacy (secondary aims) of the SMART-Pregnancy Program a multimodal CBT-based mind-body intervention for PNMS delivered via videoconferencing. Behavioral intervention technologies such as videocon- ferencing can minimize practical barriers to accessing care. The specific aims are: Phase 1 Program Devel- opment: Aim 1: We will identify treatment needs and preferences, barriers to treatment engagement and ap- propriate countermeasures using a focus group approach (N = 6 groups, 6-8 per group). Data will be synthe- sized and used to develop the online SMART-Pregnancy Program. Aim 2: We will refine and finalized treat- ment modifications by conducting an open pilot of the SMART-Pregnancy protocol via online videoconferenc- ing (N = 8). Exit interviews will be used to assess accessibility, goodness of fit to needs, and barriers to en- gagement and adherence. Phase 2: Program Feasibility: Aim 1 (primary): We will examine the feasibility of conducting an RCT in which women with elevated PNMS are randomized to an online SMART-Pregnancy group (n=30) or treatment as usual (TAU; n=30). We will evaluate rates of eligibility, enrollment, and retention. We predict > 75% retention through all 3 study follow-ups. Aim 2 (secondary): We will collect data on treat- ment adherence (# of sessions attended) and preliminary efficacy. We predict that SMART-Pregnancy partici- pants will attend >75% of online sessions and will display greater reductions in distress and improvements in stress regulation at post-treatment than TAU. We will also explore treatment impact on maternal health and delivery outcomes. Career development goals include: developing expertise in perinatal stress and mental health, learning mixed-methods techniques for optimizing interventions, and gaining experience in the assess- ment of perinatal health and birth outcomes. A multidisciplinary team of leading experts in perinatal stress (Marci Lobel PhD), perinatology (David Garry DO, MFM), mind-body medicine, and mixed-methods (Elyse R. Park PhD, MPH), and grantsmanship/RCT implementation (Adam Gonzalez PhD) will provide mentorship.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = -$21,340 )
2024	2022	THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK	W5510 FRANKS MELVILLE MEMORIAL LIBRARY	STONY BROOK	NY	11794	SUFFOLK	USA	Child Health and Human Development Extramural Research	000	5	8/9/2024	NON-COMPETING CONTINUATION	-$21,340
														Subtotal = -$21,340

Issue Date FY: 2022 ( Subtotal = $140,400 )
2022	2022	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	WEST 5510 FRANKS MELVILLE MEMORIAL LIBRARY	STONY BROOK	NY	11794	SUFFOLK	USA	Child Health and Human Development Extramural Research	000	5	8/12/2022	NON-COMPETING CONTINUATION	$140,400
														Subtotal = $140,400

Issue Date FY: 2021 ( Subtotal = $140,400 )
2021	2021	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	WEST 5510 FRANKS MELVILLE MEMORIAL LIBRARY	STONY BROOK	NY	11794	SUFFOLK	USA	Child Health and Human Development Extramural Research	000	4	8/18/2021	NON-COMPETING CONTINUATION	$140,400
														Subtotal = $140,400

Issue Date FY: 2020 ( Subtotal = $140,400 )
2020	2020	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	WEST 5510 FRANKS MELVILLE MEMORIAL LIBRARY	STONY BROOK	NY	11794	SUFFOLK	USA	Child Health and Human Development Extramural Research	000	3	8/11/2020	NON-COMPETING CONTINUATION	$140,400
														Subtotal = $140,400

Issue Date FY: 2019 ( Subtotal = $140,400 )
2019	2019	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	WEST 5510 FRANKS MELVILLE MEMORIAL LIBRARY	STONY BROOK	NY	11794	SUFFOLK	USA	Child Health and Human Development Extramural Research	000	2	8/6/2019	NON-COMPETING CONTINUATION	$140,400
														Subtotal = $140,400

Issue Date FY: 2018 ( Subtotal = $140,400 )
2018	2018	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	WEST 5510 FRANKS MELVILLE MEMORIAL LIBRARY	STONY BROOK	NY	11794	SUFFOLK	USA	Child Health and Human Development Extramural Research	000	1	8/28/2018	NEW	$140,400
														Subtotal = $140,400

Grand Total All Awards = $680,660

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An Internet-Delivered Mind-Body Program for Reducing Prenatal Maternal Stress

Award Number: K23HD092888

ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 09/01/2018

PERIOD OF PERFORMANCE END DATE: 02/29/2024

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