Although maternal stress, anxiety, and depression have been linked to negative birth outcomes, few studies have investigated preventive interventions targeting maternal mental health as a means of reducing such problems. This randomized controlled study examines whether Family Foundations (FF)—a transition to parenthood program for couples focused on promoting coparenting quality, with previously documented impact on maternal stress, depression, and anxiety—can buffer the negative effects of maternal mental health problems.
To assess the effects of FF, we used a randomized block design with a sample of 259 expectant mothers assigned to FF or a control condition and analyzed using propensity score models. We examine two-way interactions of condition (intervention vs. control) with maternal mental health problems (financial stress, depression, and anxiety) on birth outcomes (birth weight, days in hospital for mothers and infants). For birth weight, we assess whether intervention effects depend on length of gestation by including a third interaction term.
FF buffered (p < 0.05) the negative impact of maternal mental health problems on birth weight and both mother and infant length of post-partum hospital stay. For birth weight, assignment to FF was associated with higher birth weight for infants born before term.
These results demonstrate that a psycho-educational program for couples focused on enhancing mutual coparental support, with preventive effects on maternal mental health, can reduce incidence of birth problems among women at elevated risk. Such improvements in birth outcomes could translate into substantial reductions in public and personal healthcare costs. Future work should assess mediating mechanisms of intervention impact and cost-benefit ratio of the intervention.
Purpose/Objectives: To determine whether exercise could reduce biomarkers of cancer progression in prostate cancer survivors (PCSs) on androgen-deprivation therapy (ADT).
Design: Randomized, controlled trial.
Setting: Oregon Health and Science University School of Nursing.
Sample: 51 PCSs randomized to one year of resistance and impact training or a stretching control group.
Methods: The authors investigated changes in body composition and cancer-related biomarkers, and the influence of age and fat loss on changes in biomarkers.
Main Research Variables: Body composition (total fat, trunk fat, and lean mass), insulin, insulin-like growth factor-1, and sex hormone–binding globulin.
Findings: In the 36 PCSs with baseline and 12-month data, total fat (p = 0.02) and trunk fat (p = 0.06) mass decreased in the training group compared to gains in controls. Loss of total and trunk fat each mediated the relationship between groups and one-year change in insulin (p < 0.05). Age moderated the insulin response to exercise where insulin reductions were smaller with increasing age (p = 0.03).
Conclusions: Resistance and impact exercise may reduce body fat among PCSs undergoing ADT, in turn exerting an insulin-lowering effect.
Implications for Nursing: Nurses should counsel PCSs to exercise to reduce the risk of obesity and associated conditions, including cancer progression.
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Jenny, who graduated with a degree in Public Health with a concentration in Health Promotion and Health Behavior, is one of five Oregon State students given the honor by the Women’s Center as part of the Women of Achievement celebration. The awards recognize and celebrate the outstanding contributions of scholarship, leadership and service of undergraduate and graduate women at Oregon State.
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Motorcycle safety for all Oregon riders is #publichealth
Hotline volunteers refer to recipes and research-based information vetted by the U.S. Department of Agriculture. The answers aren’t always obvious.
“It’s so important because there’s so much misinformation on the web,” says Nellie Oehler. “For canning recipes, it has to be research-based or it can be lethal.”
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