This trial is evaluating whether The Mastery Lifestyle Intervention will improve 4 primary outcomes, 3 secondary outcomes, and 3 other outcomes in patients with Premature Births. Measurement will happen over the course of Assessing change over time: 14-20 weeks, 20-26 weeks, 32-36 weeks pregnant.
This trial requires 221 total participants across 2 different treatment groups
This trial involves 2 different treatments. The Mastery Lifestyle Intervention is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.
"The number of Americans with a single birth prematurely has declined markedly during the past 30 years; however, it still is at a high level. The percentage of the population with a single birth that is prematurely has tripled. A major public health problem exists, and prevention measures are urgently needed and should be given top priority." - Anonymous Online Contributor
"In order to reduce adverse maternal and neonatal outcomes associated with premature birth, we need to identify strategies and interventions that target preterm fetal growth." - Anonymous Online Contributor
"Premature birth can be prevented in the first 33 weeks of gestation by improving nutrition and improving the general status of the mother. This can reduce the incidence and death from prematurity." - Anonymous Online Contributor
"Premature birth can be attributed to multiple possible causes. The most common reasons listed were smoking, age (greater than 39 years) or multiple pregnancies (more than 2). However the most important causes of premature birth are genetics, health of the pregnancy (disease, exposure to harmful substances and lack of adequate prenatal care) and socio-economic deprivation. However, these factors explain only half the variation. The other causes of premature birth are in need of further study." - Anonymous Online Contributor
"Premature birth (before 35 weeks of gestation) is a major health concern. There are many reasons for premature birth including fetal abnormalities. Abnormal growth of the head (macrosomia/microcephaly) and breathing problems are the most commonly identifiable neonatal manifestations. Neonates of this kind are at increased risk of sudden infant death syndrome, which is associated with developmental delay, respiratory infections, and sudden unexpected death. This condition is more common in those born to women under the age of 30.\n" - Anonymous Online Contributor
"A neonatal intensive care unit may be suggested for babies with gestational age between 22 and 27 weeks; premature babies, in whom the mother is under twenty-five years of age and is of low socioeconomic standing, may benefit more from non-invasive treatments such as maternal or fetal massage." - Anonymous Online Contributor
"Premature birth is a serious condition that occurs in 0.45-1.5 per 1000 births. As soon as a child is found to be premature, a team can take steps to help the child survive their early first weeks of life. Such steps might include medical, nursing, social and family, and other forms of care. There is no exact rate at which prematurity progresses from the first day of a pregnancy to the time of premature birth. Nevertheless, there are certain indications of the health problems that can result from premature birth." - Anonymous Online Contributor
"Findings from a recent study suggests that the common practice of providing clients with an 'intention to change' is not effective in reducing their unhealthy health behaviors. More comprehensive approaches are needed when aiming to change clients' behavior." - Anonymous Online Contributor
"For those who do not demonstrate improvement from their baseline PROM at 3 months, an MLI is not likely to effectively improve HRQOL. However, for those who do demonstrate a significant improvement from 3 months to the termination of the MLI, the improvement in HRQOL persists post-MLI." - Anonymous Online Contributor
"When comparing two studies with a different cut-off age from 30 weeks onward, we found a significant difference in mean gestational age at birth: 14.3 weeks for a Chinese study vs. 17.5 weeks for this study." - Anonymous Online Contributor
"[Focuses principally on a recent meta-analysis of clinical and pre-clinical studies published during 2006 to 2014.] The meta-analysis of clinical trial studies (published during 2006 to 2013) shows positive results of mastery lifestyle intervention on decreasing depressive symptoms, and on improving the cognitive, psychosocial adjustment, motivation to cope, and health-related quality of life. The meta-analysis of pre-clinical studies (published during 2004 to 2014) shows positive results of mastery lifestyle intervention on improving long-term memory. Results from a recent paper may contribute further to developing therapeutic modalities for patients with chronic non-cognitive depression." - Anonymous Online Contributor
"There were many new treatments being studied and researched. There was a strong need and need for further research, to determine the best treatments to offer women and their families. Until further research tells us what is the most effective treatment, we should continue offering all treatments available. When we learn what may work best and in which circumstances, we should then work with patients to decide for themselves what treatment is best for them in their individual situation." - Anonymous Online Contributor