• Arch Pediat Adol Med · Nov 2006

    Randomized Controlled Trial

    Home-visiting intervention to improve child care among American Indian adolescent mothers: a randomized trial.

    • Allison Barlow, Elena Varipatis-Baker, Kristen Speakman, Golda Ginsburg, Ingrid Friberg, Novalene Goklish, Brandii Cowboy, Pauline Fields, Ranelda Hastings, William Pan, Raymond Reid, Mathuram Santosham, and John Walkup.
    • Johns Hopkins Center for American Indian Health, 621 N. Washington Street, Baltimore, MD 21205, USA. abarlow@jhsph.edu
    • Arch Pediat Adol Med. 2006 Nov 1;160(11):1101-7.

    ObjectiveTo assess the impact of a paraprofessional-delivered home-visiting intervention to promote child care knowledge, skills, and involvement among pregnant American Indian adolescents.DesignRandomized controlled trial comparing a family-strengthening intervention with a breastfeeding education program.SettingOne Apache and 3 Navajo communities.ParticipantsFifty-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 MeasuresChild care knowledge, skills, and involvement.ResultsMothers 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.ConclusionsA 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.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…