Home-visiting intervention to improve child care among American Indian adolescent mothers - A randomized trial
Home-visiting intervention to improve child care among American Indian adolescent mothers - A randomized trial
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DOI：
10.1001/archpedi.160.11.1101
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发表时间：
2006-11-01
影响因子：
--
通讯作者：
Walkup, John
中科院分区：
文献类型：
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作者：
Barlow, Allison;Varipatis-Baker, Elena;Walkup, John
Objective: To assess the impact of a paraprofessional-delivered home-visiting intervention to promote child care knowledge, skills, and involvement among pregnant American Indian adolescents.Design: Randomized controlled trial comparing a family-strengthening intervention with a breastfeeding education program.Setting: One Apache and 3 Navajo communities.Participants: Fifty-three pregnant American Indian adolescents were randomly assigned to intervention (n = 28) or control (n = 25) groups. Follow-up data were available for 19 intervention and 22 control participants.Intervention: Paraprofessionals delivered 41 prenatal and infant care lessons in participants' homes from 28 weeks' gestation to 6 months post partum.Main Outcome Measures: Child care knowledge, skills, and involvement.Results: Mothers in the intervention compared with the control group had significantly higher parent knowledge scores at 2 months (adjusted mean difference [AMD], + 14.9 [95% confidence interval (CI), + 7.5 to + 22.4]) and 6 months post partum (AMD, + 15.3 [95% CI, + 5.9 to + 24.7]). Intervention group mothers scored significantly higher on maternal involvement scales at 2 months post partum (AMD, + 1.5 [95% CI, -0.02 to + 3.02]), and scores approached significance at 6 months post partum (AMD, + 1.1 [95% CI, -0.06 to + 2.2]). No between-group differences were found for child care skills.Conclusions: A paraprofessional-delivered, family-strengthening home-visiting program significantly increased mothers' child care knowledge and involvement. A longer and larger trial is needed to understand the intervention's potential to improve adolescent parenting and related child outcomes in American Indian communities.
