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Purpose: The purpose of this pilot study was to evaluate the influence of a community-based, service-coordination and delivery intervention (CONNECT Program) on urban, minority parents’ human capital, financial capital, community social capital, and service utilization. Method: This study used a pre–posttest single group design and mixed methods as well as incorporated principles of community-based research. Peer outreach workers engaged 80 urban, minority parents living in Manhattan (New York City) in the CONNECT Program, which offered them referrals to formal agency services and informal community supports as well as psychoeducational workshops on varied topics. Results: Findings from paired-samples t-tests indicate that at follow-up, 49 participants displayed significant improvements after 12 months in their education, neighborhood trust, service use, and problem resolution. Discussion: Findings suggest that CONNECT was feasible within the agency and community. Moreover, CONNECT was associated with higher human and community social capital as well as service utilization outcomes.

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Background Mindfulness-Based Childbirth and Parenting (MBCP) is effective in increasing natural childbirth in pregnant women with high fear of childbirth (FOC) as compared to enhanced care as usual (ECAU). We aimed to examine through which pathway of action MBCP reaches this effect, based on a model of approaching or avoiding the challenges related to childbirth. Methods One hundred eleven pregnant women with high FOC were measured pre- and post-intervention on FOC (emotion pathway), catastrophic beliefs about labour pain (cognition pathway) and mindful awareness (attention pathway). A multiple mediation model was used to examine through which pathway the mechanism of change operated in relation to approach (i.e., natural childbirth) versus avoidance (i.e., self-requested caesarean section). Results It was found that greater mindful awareness (18% R2 = 0.18, F[1107] = 22.77, p < 0.0001) was the only significant mechanism of change operating through the attentional pathway leading to natural childbirth. More specifically, nonreactivity to inner experience (a facet of mindful awareness) showed to be the strongest mechanism of change. More extensive meditation practice was positively associated with natural childbirth; however, the number of completed MBCP sessions was not associated with the outcome. Conclusions An increase in mindful awareness was the strongest mechanism of change for better adaptation to the challenges of childbirth. Decreases in neither FOC nor catastrophic beliefs about labour pain were identified as mechanisms of change. Additionally, the more one meditated, the more one was inclined towards a natural childbirth. MBCP enhances adaptation to the challenges of childbirth and less use of obstetric interventions in the presence of high FOC. Trial registration The Netherlands Trial Register (NTR; 4302).