Centering Pregnancy in Missouri: A System Level Analysis
Background. Centering Pregnancy (CP) is an effective method of delivering prenatal care, yet providers have been slow to adopt the CP model. Our main hypothesis is that a site’s adoption of CP is contingent upon knowledge of the CP, characteristics health care personnel, anticipated patient impact,...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2014/285386 |
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| author | Pamela K. Xaverius Mary Alice Grady |
| author_facet | Pamela K. Xaverius Mary Alice Grady |
| author_sort | Pamela K. Xaverius |
| collection | DOAJ |
| description | Background. Centering Pregnancy (CP) is an effective method of delivering prenatal care, yet providers have been slow to adopt the CP model. Our main hypothesis is that a site’s adoption of CP is contingent upon knowledge of the CP, characteristics health care personnel, anticipated patient impact, and system readiness. Methods. Using a matched, pretest-posttest, observational design, 223 people completed pretest and posttest surveys. Our analysis included the effect of the seminar on the groups’ knowledge of CP essential elements, barriers to prenatal care, and perceived value of CP to the patients and to the system of care. Results. Before the CP Seminar only 34% of respondents were aware of the model, while knowledge significantly after the Seminar. The three greatest improvements were in understanding that the group is conducted in a circle, the health assessment occurs in the group space, and a facilitative leadership style is used. Child care, transportation, and language issues were the top three barriers. The greatest improvements reported for patients included improvements in timeliness, patient-centeredness and efficiency, although readiness for adoption was influenced by costs, resources, and expertise. Discussion. Readiness to adopt CP will require support for the start-up and sustainability of this model. |
| format | Article |
| id | doaj-art-94deb47deee9407ea4fd82a4dfb93d29 |
| institution | Kabale University |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-94deb47deee9407ea4fd82a4dfb93d292025-02-03T05:57:21ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/285386285386Centering Pregnancy in Missouri: A System Level AnalysisPamela K. Xaverius0Mary Alice Grady1Saint Louis University, College for Public Health and Social Justice, 3545 Lafayette Avenue, Salus Center, Room 474, Saint Louis, MO 63104, USACentering Healthcare Institute, Boston, MA 02111, USABackground. Centering Pregnancy (CP) is an effective method of delivering prenatal care, yet providers have been slow to adopt the CP model. Our main hypothesis is that a site’s adoption of CP is contingent upon knowledge of the CP, characteristics health care personnel, anticipated patient impact, and system readiness. Methods. Using a matched, pretest-posttest, observational design, 223 people completed pretest and posttest surveys. Our analysis included the effect of the seminar on the groups’ knowledge of CP essential elements, barriers to prenatal care, and perceived value of CP to the patients and to the system of care. Results. Before the CP Seminar only 34% of respondents were aware of the model, while knowledge significantly after the Seminar. The three greatest improvements were in understanding that the group is conducted in a circle, the health assessment occurs in the group space, and a facilitative leadership style is used. Child care, transportation, and language issues were the top three barriers. The greatest improvements reported for patients included improvements in timeliness, patient-centeredness and efficiency, although readiness for adoption was influenced by costs, resources, and expertise. Discussion. Readiness to adopt CP will require support for the start-up and sustainability of this model.http://dx.doi.org/10.1155/2014/285386 |
| spellingShingle | Pamela K. Xaverius Mary Alice Grady Centering Pregnancy in Missouri: A System Level Analysis The Scientific World Journal |
| title | Centering Pregnancy in Missouri: A System Level Analysis |
| title_full | Centering Pregnancy in Missouri: A System Level Analysis |
| title_fullStr | Centering Pregnancy in Missouri: A System Level Analysis |
| title_full_unstemmed | Centering Pregnancy in Missouri: A System Level Analysis |
| title_short | Centering Pregnancy in Missouri: A System Level Analysis |
| title_sort | centering pregnancy in missouri a system level analysis |
| url | http://dx.doi.org/10.1155/2014/285386 |
| work_keys_str_mv | AT pamelakxaverius centeringpregnancyinmissouriasystemlevelanalysis AT maryalicegrady centeringpregnancyinmissouriasystemlevelanalysis |