Integrating Well-Woman and Well-Baby Care to Improve Parenting & Family Wellness

整合女性健康和婴儿护理以改善育儿方式

• 批准号: 7503402
• 负责人: JOHN M. LEVENTHAL
• 金额: $ 24.33万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2010-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7503402
• 关键词: Academy; Address; Affect; Age; American; Anemia; Area; Breast Feeding; Caring; Child; Child Development; Child Psychology; Childbirth; Childhood; Communities; Community Health; Community Hospitals; Competence; Complement component C1s; Data; Decision Making; Depth; Development; Discipline; Education; Educational Curriculum; Emergency medical service; Evaluation; Exercise; Family; Fathers; First Pregnancy Trimester; Future; Gestational Age; Goals; Grant; Guidelines; Gynecologist; Health; Health Personnel; Health Promotion; Health Psychology; Health behavior; Healthcare; Home environment; Hour; Immunization; Individual; Infant; Infant Care; Infant Health; Institution; Intervention; Knowledge; Lead; Leadership; Life; Link; Maternal and Child Health; Measures; Mediation; Mental Depression; Mental Health; Midwife; Modeling; Mothers; National Institute of Mental Health; Nurse Midwives; Nurse Practitioners; Object Attachment; Outcome; Parent-Child Relations; Parenting Education; Parenting behavior; Parents; Participant; Patient Education; Patients; Pediatric Nursing; Pediatrics; Personal Satisfaction; Physician Assistants; Pilot Projects; Postpartum Depression; Postpartum Period; Postpartum Women; Pregnancy; Prenatal care; Process; Protocols documentation; Provider; Psychologist; Randomized; Randomized Controlled Trials; Readiness; Reading; Relative (related person); Research Infrastructure; Research Personnel; Risk; Risk Assessment; Risk Reduction; Safety; Screening procedure; Sexual Health; Site; Smoking; Social Environment; Social isolation; Standardization; Standards of Weights and Measures; Stress; Testing; Time; Training; Unsafe Sex; Visit; Week; Woman; Women' s Group; Women' s Health; Work; base; cohort; cost; design; fatherhood; health care service utilization; improved; innovation; member; men; model development; pediatrician; peer; prenatal; programs; psychologic; psychosocial; satisfaction; service utilization; skills; therapy development; uptake

DESCRIPTION (provided by applicant): The long-term goal of this development project is to improve the health and wellness of postpartum women, babies, and families through the development of a new model of healthcare for the first year of life that integrates pediatric care, well-woman care, and parenting education for families. We hope the development of this model will 1) enhance mothers' health behaviors for self and baby; 2) increase psychosocial functioning; 3) improve parent-child relationships; 4) increase father-child involvement; 5) improve co-parent relationships; and 6) improve parenting behaviors. The health of mother and baby are linked pre- and post- partum. Using the Ecological Model, this development project aims to: 1) Design a model of care to replace separate "well-woman" and "well-baby" care with an integrated form of dyad care that will address the needs of both mother and baby in a group setting, and incorporate fathers to promote improved parenting and family wellness; 2) Develop a standardized curriculum for this model (i.e., CenteringParenting) that will serve diverse families; 3) Pilot test this model of care in hospital and community health care center settings. CenteringParenting group dyad care will be based upon the CenteringPregnancy Plus (CP+) model of care, which has been developed and evaluated for prenatal women in a large NIMH RCT (R01MH/HD61175). CenteringParenting would build on the strengths of CP+ to provide care to groups of women and babies from 2 weeks to 1 year postpartum, and engage fathers. We will convene a Curriculum Development Working Group comprised of national experts in the fields of women's health, pediatrics, psychology, education, fatherhood and healthcare innovation to develop and standardize a curriculum. A process evaluation will identify factors that influence successful model development and implementation. We will pilot test this model at 2 sites, with participants randomly assigned by month of delivery to CenteringParenting (n=57 women/25 men) or standard individual pediatric and postpartum care (Controls, n=57 women/25 men). We hypothesize that those receiving CenteringParenting care will have improved: 1) psychosocial outcomes; 2) parenting skills; 3) health behaviors; 4) healthcare utilization; and 5) father involvement. This development grant provides the opportunity to develop a superior, sustainable, cost-neutral group model of care that could improve the health of postpartum women and babies, and the wellness of families.

描述（由申请人提供）：本开发项目的长期目标是通过开发一种新的生命第一年医疗保健模式来改善产后妇女、婴儿和家庭的健康和保健，该模式将儿科护理、健康妇女护理和家庭育儿教育结合起来。我们希望该模型的开发能够1)提高母亲对自己和婴儿的健康行为；2)增强社会心理功能；3)改善亲子关系；4)增加亲子参与；5)改善共同父母关系；6)改善育儿行为。产前和产后母亲和婴儿的健康息息相关。利用生态模式，该发展项目旨在：1)设计一种护理模式，以一种综合形式的双元护理取代分开的“健康妇女”和“健康婴儿”护理，以满足母亲和婴儿在群体环境中的需求，并将父亲纳入其中，以促进改善养育和家庭健康；2)为这种模式开发一个标准化的课程（即中心育儿），为不同的家庭服务；3)在医院和社区卫生保健中心环境中对这种护理模式进行试点测试。中心育儿组双元护理将基于中心妊娠+ (CP+)护理模式，该模式已在一项大型NIMH RCT （R01MH/HD61175）中为产前妇女开发和评估。中心育儿将以CP+的优势为基础，为产后2周到1年的妇女和婴儿群体提供护理，并让父亲参与其中。我们将召集一个课程制定工作组，由妇女保健、儿科、心理学、教育、父亲和保健创新领域的国家专家组成，以制定和规范课程。过程评估将确定影响成功的模型开发和实现的因素。我们将在两个地点对该模型进行试点测试，参与者按分娩月份随机分配到CenteringParenting （n=57名女性/25名男性）或标准的儿科和产后护理（n=57名女性/25名男性）。我们假设那些接受CenteringParenting护理的人会有以下改善：1)心理社会结果；2)育儿技巧；3)健康行为；4)医疗保健利用；还有父亲的介入。这项发展赠款为发展一种优质、可持续、成本中立的群体护理模式提供了机会，这种模式可以改善产后妇女和婴儿的健康以及家庭的健康。