The Stony Brook University Calm-Mom Study
The Stony Brook University Calm-Mom Study
The present trial will evaluate the feasibility, acceptability and preliminary efficacy of 2
 different internet-delivered programs for prenatal maternal stress. The Stress Managment and
 Resiliency Training Program (SMART-Mom program), an 8-session Cognitive Behavior Therapy
 (CBT) based mind body program and the Mama Support Program, an 8-session social support group
 program. Sixty pregnant women (<20 weeks Estimated Gestational Age) will be screened and
 either enrolled in the online SMART Mom Program or the Mama Support Program. Outcomes,
 including maternal perceived stress, depression, and anxiety will be assessed at
 post-treatment, three, and six months post program completion. Potential impact on infant
 health outcomes will be assessed via post-delivery electronic medical record review.
Aim 1: The investigators will conduct a randomized clinical trial (RCT; n=60) to assess the
 feasibility, acceptability and preliminary efficacy of the Stress Management and Resillency
 Training program (SMART Pregnancy) delivered online versus a time and attention matched
 prenatal support group (Mama Support). It is expected that SMART-pregnancy participants will
 demonstrate high levels of treatment engagement and adherence. It is predicted that
 participants in the SMART-Pregnancy condition will demonstrate improvements in emotional
 distress and stress regulation (as indexed by hair cortisol concentrations) at post-treatment
 and 3 month follow-up. Aim 2: The investigators will conduct a postnatal chart review to
 explore secondary treatment benefits including pre-and postnatal maternal health and birth
 outcomes.
Inclusion Criteria:

 -  <21 weeks pregnant with medically confirmed viability

 -  Speak, read and write in English fluently,

 -  Endorse elevated levels of prenatal maternal stress (PNMS; i.e., New Prenatal Distress
 Questionnaire Score > 19).

 Exclusion Criteria:

 -  Current enrollment in individual or group psychotherapy

 -  Current un-managed serious mental illness including bipolar disorder and psychosis

 -  History of previous suicide attempt

 -  Inappropriate for participation in group therapy format as determined by study
 director