Mindfulness, Optimism, and Resilience for Perinatal Health and Equity Study

Description

Dispositional optimism (the general assumption that more good things than bad will occur across various life domains) has been tied to improved somatic and mental health outcomes. Dispositional optimism is malleable, although prior interventions have been time and resource intensive and thus are not well-tailored to the peripartum period. The purpose of this pilot study is to evaluate the feasibility and acceptability of a pregnancy-oriented mindfulness phone application (Expectful) versus standard care among first-time mothers with low dispositional optimism in early pregnancy. Other aims include evaluating the impact of Expectful use on dispositional optimism, adverse pregnancy outcomes (cesarean delivery, hypertensive disorders of pregnancy, and gestational diabetes) and postpartum post-traumatic stress symptoms.

Conditions

Postpartum Psychiatric Disorders

Study Overview

Study Details

Study overview

Dispositional optimism (the general assumption that more good things than bad will occur across various life domains) has been tied to improved somatic and mental health outcomes. Dispositional optimism is malleable, although prior interventions have been time and resource intensive and thus are not well-tailored to the peripartum period. The purpose of this pilot study is to evaluate the feasibility and acceptability of a pregnancy-oriented mindfulness phone application (Expectful) versus standard care among first-time mothers with low dispositional optimism in early pregnancy. Other aims include evaluating the impact of Expectful use on dispositional optimism, adverse pregnancy outcomes (cesarean delivery, hypertensive disorders of pregnancy, and gestational diabetes) and postpartum post-traumatic stress symptoms.

Mindfulness, Optimism, and Resilience for Perinatal Health and Equity Study

Mindfulness, Optimism, and Resilience for Perinatal Health and Equity Study

Condition
Postpartum Psychiatric Disorders
Intervention / Treatment

-

Contacts and Locations

Providence

Obstetrics and Gynecology Care Center, Providence, Rhode Island, United States, 02905

Providence

Prenatal Diagnosis Center, Providence, Rhode Island, United States, 02905

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Able to provide informed consent
  • * English speaking
  • * Nulliparous (no prior delivery at or greater than 20w0d gestation)
  • * Pregnant with singleton fetus
  • * \<20w0d gestation
  • * Low dispositional optimism (score \</= 14 on the Revised Life Orientation Test)
  • * Owns a smart phone
  • * Plan to deliver at another institution
  • * Ongoing (≥1/week) mind-body practice including mindfulness training, meditation or yoga
  • * Pre-gestational hypertensive disorder
  • * Pre-gestational diabetes mellitus

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

FEMALE

Accepts Healthy Volunteers

No

Collaborators and Investigators

Nina Ayala,

Study Record Dates

2026-10-01