TY - JOUR
T1 - Home-visiting intervention to improve child care among American Indian Adolescent mothers
T2 - A randomized trial
AU - Barlow, Allison
AU - Varipatis-Baker, Elena
AU - Speakman, Kristen
AU - Ginsburg, Golda
AU - Friberg, Ingrid
AU - Goklish, Novalene
AU - Cowboy, Brandii
AU - Fields, Pauline
AU - Hastings, Ranelda
AU - Pan, William
AU - Reid, Raymond
AU - Santosham, Mathuram
AU - Walkup, John
N1 - Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2006/11
Y1 - 2006/11
N2 - 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.
AB - 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.
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U2 - 10.1001/archpedi.160.11.1101
DO - 10.1001/archpedi.160.11.1101
M3 - Article
C2 - 17088511
AN - SCOPUS:33750812528
SN - 1072-4710
VL - 160
SP - 1101
EP - 1107
JO - Archives of Pediatrics and Adolescent Medicine
JF - Archives of Pediatrics and Adolescent Medicine
IS - 11
ER -