Increasing Prenatal Care Compliance in At-Risk Black Women: Findings from a RCT of Patient Navigation and Behavioral Incentives

Svikis, Dace; Kelpin, Sydney S.; Bishop, Diane L.; Parlier-Ahmad, Anna Beth; Jones, Heather A.; Villalobos, Gabriela; Varner, Sara B.; Lanni, Susan; Karjane, Nicole W.; Cathers, Lauretta; Langhorst, Diane M.; Masho, Saba W.

doi:10.1007/s40615-021-00995-9

Cited by 10 publications

(18 citation statements)

References 57 publications

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“…Three studies assessed the effects of a patient navigation program within a single cohort [ 28 , 31 , 34 ]. The remaining studies varied in design, including randomized controlled trials (n=2) [ 27 , 29 ], pre- and post-studies (n=2) [ 25 , 35 ], a case-control study (n=1) [ 26 ], and a qualitative study (n=1) [ 23 ]. Only six were primary interventional studies [ 22 , 24 , 28 - 30 , 35 ].…”

Section: Resultsmentioning

confidence: 99%

“…Each study included in this review specifically focused on women or families with unique socioeconomic and obstetric statuses. The majority of these studies involved participants with low incomes (n=8) [ 24 - 26 , 30 - 34 ], followed by those from ethnic minority groups (n=4) [ 22 , 23 , 29 , 35 ]. One of the remaining studies focused on women living on islands far removed from well-equipped mainland medical centers [ 28 ], while another study included women who had an unplanned cesarean section during delivery [ 27 ] ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…The outcomes could be classified into several categories ( Table 1 ). The most frequently reported outcome category in quantitative studies was the completion rates of care services or referred services (n=7) [ 22 , 25 , 26 , 29 , 30 , 33 , 35 ], which included attending prenatal or postpartum visits, receiving perinatal care services (e.g., screening for postpartum depression, glucose tolerance tests, or influenza vaccination), or using preferred contraception methods. Only two studies reported waiting times were reported [ 22 , 28 ].…”

Section: Resultsmentioning

confidence: 99%

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Patient navigation in women’s health care for maternal health and noncancerous gynecologic conditions: a scoping review

2024

Womens Health Nurs

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Purpose: This study investigated the scope of patient navigation studies on women’s health care for maternal health and noncancerous gynecologic conditions and aimed to report the characteristics of the identified patient navigation programs.Methods: A scoping review was conducted following Arksey and O’Malley’s framework. Five electronic databases were searched for relevant studies published in English: PubMed, Embase, Cochrane Library, CINAHL, and PsycInfo. There were no restrictions on the publication date and the search was completed in July 2023.Results: This scoping review included 14 studies, which collectively examined seven patient navigation programs. All selected studies were related to maternal health issues (e.g., perinatal health problems and contraception for birth spacing). Close to two-thirds of the patient navigation services were provided by women (n=9, 64.3%) and half by lay navigators (n=7, 50.0%). The majority incorporated the use of mobile health technologies (n=11, 78.6%). All of the patient navigation programs included in the review coordinated the necessary clinical and social support services to improve women’s access to care.Conclusion: Patient navigation appears to be in its nascent phase in the field of maternal health. The results of this study suggest that the implementation of patient navigation services could potentially improve access to care for socially disadvantaged women and families. Furthermore, providing patient navigation services that are specifically tailored to meet women’s needs could improve the quality of maternity care.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Patient navigation in women’s health care for maternal health and noncancerous gynecologic conditions: a scoping review

2024

Womens Health Nurs

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“…Access to trusted community knowledge could be standardized through promotoras (ie, Spanish-speaking CHWs) and patient navigators. Such personnel have been shown to increase access to postpartum care 38,39 . However, a recent study reported that the desire for CHW involvement varied among a cohort of Black birthing people, 40 underscoring the need to center community preferences when developing nontraditional approaches to prenatal care.…”

Section: Discussionmentioning

confidence: 99%

“…Such personnel have been shown to increase access to postpartum care. 38,39 However, a recent study reported that the desire for CHW involvement varied among a cohort of Black birthing people, 40 underscoring the need to center community preferences when developing nontraditional approaches to prenatal care. Our findings indicate that the use of navigators and promotoras may be an acceptable strategy to mitigate the chilling effect among pregnant Latine immigrants.…”

Section: Policy Implicationsmentioning

confidence: 99%

Philadelphia Latine Immigrant Birthing People’s Perspectives on Mitigating the Chilling Effect on Prenatal Care Utilization

Montoya-Williams,

Barreto,

Laguna-Torres

et al. 2024

Medical Care

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Research Design: Community-engaged qualitative study using inductive thematic analysis of semistructured interviews. Objective: To understand Latine immigrants’ recent prenatal care experiences and develop community-informed strategies to mitigate policy-related chilling effects on prenatal care utilization. Background: Decreased health care utilization among immigrants due to punitive immigration policies (ie, the “chilling effect”) has been well-documented among Latine birthing people both pre and postnatally. Patients and Methods: Currently or recently pregnant immigrant Latine people in greater Philadelphia were recruited from an obstetric clinic, 2 pediatric primary care clinics, and 2 community-based organization client pools. Thematic saturation was achieved with 24 people. Participants’ pregnancy narratives and their perspectives on how health care providers and systems could make prenatal care feel safer and more comfortable for immigrants. Results: Participants’ recommendations for mitigating the chilling effect during the prenatal period included training prenatal health care providers to sensitively initiate discussions about immigrants’ rights and reaffirm confidentiality around immigration status. Participants suggested that health care systems should expand sources of information for pregnant immigrants, either by partnering with community organizations to disseminate information or by increasing access to trusted individuals knowledgeable about immigrants’ rights to health care. Participants also suggested training non-medical office staff in the use of interpreters. Conclusion: Immigrant Latine pregnant and birthing people in greater Philadelphia described ongoing fear and confusion regarding the utilization of prenatal care, as well as experiences of discrimination. Participants’ suggestions for mitigating immigration-related chilling effects can be translated into potential policy and programmatic interventions which could be implemented locally and evaluated for broader applicability.

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What is the volume, diversity and nature of recent, robust evidence for the use of peer support in health and social care? An evidence and gap map

Price

Bell

Shaw

et al. 2022

Campbell Systematic Reviews

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Background: Peer support interventions involve people drawing on shared personal experience to help one another improve their physical or mental health, or reduce social isolation. If effective, they may also lessen the demand on health and social care services, reducing costs. However, the design and delivery of peer support varies greatly, from the targeted problem or need, the setting and mode of delivery, to the number and content of sessions. Robust evidence is essential for policymakers commissioning peer support and practitioners delivering services in health care and community settings. This map draws together evidence on different types of peer support to support the design and delivery of interventions.Objectives: The aim of this map was to provide an overview of the volume, diversity and nature of recent, high quality evidence on the effectiveness and costeffectiveness of the use of peer support in health and social care. Search Methods: We searched MEDLINE, seven further bibliographic databases, and Epistemonikos for systematic reviews (in October 2020), randomised controlled trials (in March 2021) and economic evaluations (in May 2021) on the effectiveness of peer support interventions in health and social care. We also conducted searches of Google Scholar, two trial registers, PROSPERO, and completed citation chasing on included studies.Selection Criteria: Systematic reviews, randomised controlled trials and economic evaluations were included in the map. Included studies focused on adult populations with a defined health or social care need, were conducted in high-income countries, and published since 2015. Any measure of effectiveness was included, as was any form of peer support providing the peer had shared experience with the participant and a formalised role.

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Increasing Prenatal Care Compliance in At-Risk Black Women: Findings from a RCT of Patient Navigation and Behavioral Incentives

Cited by 10 publications

References 57 publications

Patient navigation in women’s health care for maternal health and noncancerous gynecologic conditions: a scoping review

Patient navigation in women’s health care for maternal health and noncancerous gynecologic conditions: a scoping review

Philadelphia Latine Immigrant Birthing People’s Perspectives on Mitigating the Chilling Effect on Prenatal Care Utilization

What is the volume, diversity and nature of recent, robust evidence for the use of peer support in health and social care? An evidence and gap map

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