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The Scientific World Journal - Volume 2014 2014, Article ID 285386, 10 pages -

Research Article

Saint Louis University, College for Public Health and Social Justice, 3545 Lafayette Avenue, Salus Center, Room 474, Saint Louis, MO 63104, USA

Centering Healthcare Institute, Boston, MA 02111, USA

Received 29 August 2013; Accepted 12 November 2013; Published 13 February 2014

Academic Editors: P. Chien and N. Tejani

Copyright © 2014 Pamela K. Xaverius and Mary Alice Grady. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Centering Pregnancy CP is an effective method of delivering prenatal care, yet providers have been slow to adopt the CP model. Our main hypothesis is that a site’s adoption of CP is contingent upon knowledge of the CP, characteristics health care personnel, anticipated patient impact, and system readiness. Methods. Using a matched, pretest-posttest, observational design, 223 people completed pretest and posttest surveys. Our analysis included the effect of the seminar on the groups’ knowledge of CP essential elements, barriers to prenatal care, and perceived value of CP to the patients and to the system of care. Results. Before the CP Seminar only 34% of respondents were aware of the model, while knowledge significantly after the Seminar. The three greatest improvements were in understanding that the group is conducted in a circle, the health assessment occurs in the group space, and a facilitative leadership style is used. Child care, transportation, and language issues were the top three barriers. The greatest improvements reported for patients included improvements in timeliness, patient-centeredness and efficiency, although readiness for adoption was influenced by costs, resources, and expertise. Discussion. Readiness to adopt CP will require support for the start-up and sustainability of this model.

Autor: Pamela K. Xaverius and Mary Alice Grady



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