Exploring the Feasibility of Kōmmour Prenatal to Reduce Maternal and Infant Health Disparities

NCT ID: NCT04558619

Last Updated: 2026-02-02

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-04-05
• Study Completion Date: 2026-04-01

Brief Summary

The purpose of the study is to culturally adapt and examine the feasibility of a group prenatal program (Kōmmour Prenatal) to reduce maternal and infant health disparities among Marshallese Pacific Islander women in the US. The study will also gather information from providers of Kōmmour Prenatal and stakeholders in the Marshallese community familiar with the program to learn of their experience with the program.

Conditions

Kōmmour Prenatal Among Marshallese Pregnant Women

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: OTHER
• Blinding Strategy: NONE

Study Groups

Kōmmour Prenatal

Group Type: OTHER

Kōmmour Prenatal

Intervention Type: BEHAVIORAL

Centering Pregnancy, a group prenatal care model, is a promising intervention that challenges the standard model of one-on-one counseling of prenatal care. The model, is currently implemented at the UAMS, but as of yet to be adapted for Pacific Islanders. Centering Pregnancy replaces the individual prenatal care visit with a group model for obstetrically low-risk women. This model provides substantially more health promotion content than the traditional one-on-one prenatal care model. The intervention occurs from week 14 of pregnancy through birth, following the same same schedule as individual care. Group visits are 90-120 minutes each and follow a unique structured curriculum that incorporates standards of care. In the group setting, credentialed prenatal providers conduct a one-on-one assessment with each patient (30 min) and then facilitate group discussions on the topics of pregnancy, using adult learning principles (60-90 min).

Interventions

Kōmmour Prenatal

Centering Pregnancy, a group prenatal care model, is a promising intervention that challenges the standard model of one-on-one counseling of prenatal care. The model, is currently implemented at the UAMS, but as of yet to be adapted for Pacific Islanders. Centering Pregnancy replaces the individual prenatal care visit with a group model for obstetrically low-risk women. This model provides substantially more health promotion content than the traditional one-on-one prenatal care model. The intervention occurs from week 14 of pregnancy through birth, following the same same schedule as individual care. Group visits are 90-120 minutes each and follow a unique structured curriculum that incorporates standards of care. In the group setting, credentialed prenatal providers conduct a one-on-one assessment with each patient (30 min) and then facilitate group discussions on the topics of pregnancy, using adult learning principles (60-90 min).

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Women who self-identify as Marshallese
• 18 years of age or older
• And 8-20 weeks pregnant

Exclusion Criteria

• Women who do not self-identify as Marshallese
• Not 18 years of age or older
• And not 8-20 weeks pregnant

• Minimum Eligible Age: 18 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

University of Arkansas

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Britni Ayers, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Arkansas for Medical Sciences Northwest

Locations

University of Arkansas for Medical Sciences Northwest

Fayetteville, Arkansas, United States

Site Status: RECRUITING

Countries

United States

Central Contacts

Catarina Young

Role: CONTACT

CYoung@uams.edu

479-644-1096

Pearl A McElfish, PhD

Role: CONTACT

pamcelfish@uams.edu

479-713-8680

Facility Contacts

Britni L Ayers, PhD

Role: primary

BLAyers@uams.edu

479-713-8000

References

Ayers BL, Eswaran H, CarlLee S, Reece S, Manning N, McElfish PA. Exploring the feasibility, acceptability, and preliminary effectiveness of a culturally adapted group prenatal program, CenteringPregnancy, to reduce maternal and infant health disparities among Marshallese Pacific Islanders: A study protocol. Contemp Clin Trials Commun. 2023 Apr 3;33:101127. doi: 10.1016/j.conctc.2023.101127. eCollection 2023 Jun.

Reference Type: DERIVED

PMID: 37091509 (View on PubMed)

Other Identifiers

261186

Identifier Type: -

Identifier Source: org_study_id