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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

基本信息

批准号：
7209678
负责人：
JOHN M. LEVENTHAL
金额：
$ 20.64万
依托单位：
YALE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-09-30 至 2009-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7209678
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&apos s Group Women&apos 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

项目摘要

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(申请人提供)：这一发展项目的长期目标是通过开发一种新的第一年保健模式来改善产后妇女、婴儿和家庭的健康和健康，该模式集儿科护理、妇女保健和家庭育儿教育于一体。我们希望该模型的发展将会1)提高母亲对自己和孩子的健康行为；2)提高心理社会功能；3)改善亲子关系；4)增加父子参与；5)改善共同父母关系；6)改善育儿行为。母亲和婴儿的健康与产前和产后息息相关。利用生态模式，这一开发项目的目标是：1)设计一种护理模式，用一种综合形式的二元护理取代单独的“健康妇女”和“健康婴儿”护理，在集体环境中满足母亲和婴儿的需求，并将父亲纳入其中，以促进改善育儿和家庭健康；2)为这种模式制定标准化课程(即，中心育儿)，以服务于不同的家庭；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。中心育儿组双胎护理将基于中心妊娠加(CP+)护理模式，该模式已在一项大型NIMH随机对照试验(R01MH/HD61175)中为产前妇女开发和评估。中心育儿将建立在CP+的优势之上，为产后2周至1岁的妇女和婴儿提供护理，并吸引父亲的参与。我们将召集由妇女健康、儿科、心理、教育、父亲和医疗创新等领域的国家专家组成的课程开发工作组，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施的因素。我们将在两个地点对这一模式进行试点测试，参与者按分娩月份随机分配到中心育儿中心(n=57女性/25男性)或标准的个别儿科和产后护理(对照组，n=57女性/25男性)。我们假设，那些接受以中心为中心的育儿护理的人将会有所改善：1)心理社会结果；2)育儿技能；3)健康行为；4)医疗保健利用；5)父亲参与。这笔发展赠款提供了发展一种更好的、可持续的、成本中性的团体护理模式的机会，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。