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Enhanced Information Package Given at Birth: Effects on Early Parenting Experiences and Use of Educational Resources and Community Services at Age 3 Months. Matern Child Health J 2019; 23:377-385. [PMID: 30600511 DOI: 10.1007/s10995-018-2670-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Objectives To determine the effect of an enhanced information package, the Welcome to Parenthood® (W2P) Kit, given at birth on (a) early parenting experiences and (b) use of educational resources and community services. Methods Two-group, post-test only design, with parents (mothers and fathers) in comparison group (n = 186; received standard discharge information) recruited prior to intervention group (n = 195; received W2P Kit); most were Canadian-born and highly educated. Participants completed an investigator-designed, online or telephone survey at 3 months postpartum, which generated quantitative and qualitative data. The W2P Kit included evidence-based, educational resources about infant feeding, child development, and parenting skills that targeted mothers and fathers, information about community services for new parents, infant board book, and small gifts. Results At 3 months postpartum the intervention group was significantly more likely to be aware of, and to have used, the educational resources than the comparison group. The intervention group was also more likely to have made an unplanned visit to the doctor for their infant, but groups did not differ in early parenting experiences or use of community services. Parents who received the W2P Kit reported that it was helpful to learn about various aspects of child development and parenting. Conclusions for Practice Parents who received the W2P Kit reported increased awareness and use of educational resources, but participants in both groups reported similar experiences as a new parent and use of community services. An enhanced information package given at birth may be a useful health promotion strategy.
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Nygren P, Green B, Winters K, Rockhill A. What's Happening During Home Visits? Exploring the Relationship of Home Visiting Content and Dosage to Parenting Outcomes. Matern Child Health J 2018; 22:52-61. [PMID: 29948763 PMCID: PMC6153727 DOI: 10.1007/s10995-018-2547-5] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
Introduction Research has documented modest positive impacts of early childhood home visiting programs. However, understanding more about what home visitors do during visits and how much time they spend on specific topics may provide insight into the variability in effectiveness of services. Methods Outcome data were collected via parent survey at program enrollment and 12 months from 123 women in three MIECHV-funded home visiting models. Home visitors completed weekly home visit content and activity logs. Results Families received an average of 28 visits during the study (3.1 visits per month). Of ten content areas, the three most often discussed were early childhood development, physical care of children, and the parent–child-relationship. Multivariate regression models were used to explore the association of home visit dosage, home visit content and cumulative risk factors on parenting outcomes. Women whose visits were focused more on parenting topics reported lower parenting-related stress at follow-up compared to those whose visits had less parenting content. Additionally, higher-risk women who received greater numbers of home visits showed larger reductions in their attitudes about harsh punishment over time, compared to high-risk women with fewer home visits. Discussion Receiving home visits that emphasize parenting content may contribute to reduced parenting-related stress. For high-risk women in particular, receiving more visits overall may be important to achieving positive outcomes. Implications for practice include working to engage and retain high-risk families. Future home visiting research calls for improved methods for collecting data on content/activity during visits, the necessity for long-term follow-up, and testing for the effectiveness of varied and flexible visit schedules/content focus for women and families with trauma exposure.
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Affiliation(s)
- Peggy Nygren
- Regional Research Institute for Human Services, Graduate School of Social Work, Portland State University, Market Center Building, Suite 900,1600 SW 4th Ave, Portland, OR, 97201, USA. .,Center for Improvement of Child and Family Services, Graduate School of Social Work, Portland State University, Market Center Building, Suite 400,1600 SW 4th Ave, Portland, OR, 97201, USA.
| | - Beth Green
- Center for Improvement of Child and Family Services, Graduate School of Social Work, Portland State University, Market Center Building, Suite 400,1600 SW 4th Ave, Portland, OR, 97201, USA
| | - Katie Winters
- Regional Research Institute for Human Services, Graduate School of Social Work, Portland State University, Market Center Building, Suite 900,1600 SW 4th Ave, Portland, OR, 97201, USA
| | - Anna Rockhill
- Regional Research Institute for Human Services, Graduate School of Social Work, Portland State University, Market Center Building, Suite 900,1600 SW 4th Ave, Portland, OR, 97201, USA
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Ginja S, Coad J, Bailey E, Kendall S, Goodenough T, Nightingale S, Smiddy J, Day C, Deave T, Lingam R. Associations between social support, mental wellbeing, self-efficacy and technology use in first-time antenatal women: data from the BaBBLeS cohort study. BMC Pregnancy Childbirth 2018; 18:441. [PMID: 30419842 PMCID: PMC6233574 DOI: 10.1186/s12884-018-2049-x] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2017] [Accepted: 10/09/2018] [Indexed: 01/13/2023] Open
Abstract
Background Information and communication technologies are used increasingly to facilitate social networks and support women during the perinatal period. This paper presents data on how technology use affects the association between women’s social support and, (i) mental wellbeing and, (ii) self-efficacy in the antenatal period. Methods Data were collected as part of an ongoing study - the BaBBLeS study - exploring the effect of a pregnancy and maternity software application (app) on maternal wellbeing and self-efficacy. Between September 2016 and February 2017, we aimed to recruit first-time pregnant women at 12–16 gestation weeks in five maternity sites across England and asked them to complete questionnaires. Outcomes included maternal mental wellbeing (Warwick-Edinburgh Mental Wellbeing Scale), and antenatal self-efficacy (antenatal version of the Tool to Measure Parenting Self-Efficacy). Other variables assessed were perceived social support (Multidimensional Scale of Perceived Social Support), general technology use (adapted from Media and Technology Usage and Attitudes Scale). Potential confounders were age, ethnicity, education, socioeconomic deprivation, employment, relationship status and recruitment site. Linear regression models were developed to analyse the relationship between social support and the outcomes. Results Participants (n = 492, median age = 28 years) were predominantly white British (64.6%). Half of them had a degree or higher degree (49.3%), most were married/living with a partner (83.6%) and employed (86.2%). Median (LQ-UQ) overall scores were 81.0 (74.0–84.0) for social support (range 12–84), 5.1 (4.7–5.4) for technology use (range 1–6), 54.0 (48.0–60.0) for mental well-being (range 14–70), and 319.0 (295.5–340) for self-efficacy (range 0–360). Social support was significantly associated with antenatal mental well-being adjusting for confounders [adj R2 = 0.13, p < .001]. The addition of technology use did not alter this model [adj R2 = 0.13, p < .001]. Social support was also significantly associated with self-efficacy after adjustment [adj R2 = 0.14, p < .001]; technology had limited impact on this association [adj R2 = 0.13, p < .001]. Conclusions Social support is associated with mental well-being and self-efficacy in antenatal first-time mothers. This association was not significantly affected by general technology use as measured in our survey. Future work should investigate whether pregnancy-specific technologies yield greater potential to enhance the perceived social support, wellbeing and self-efficacy of antenatal women. Electronic supplementary material The online version of this article (10.1186/s12884-018-2049-x) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Samuel Ginja
- School of Psychology, Ulster University, Cromore Road, Coleraine, Co., Londonderry, BT52 1SA, UK
| | - Jane Coad
- Centre for Innovative Research Across the Life Course (CIRAL), Faculty of Health & Life Sciences, Coventry University, Priory Street, Coventry, CV1 5FB, UK
| | - Elizabeth Bailey
- Centre for Innovative Research Across the Life Course (CIRAL), Faculty of Health & Life Sciences, Coventry University, Priory Street, Coventry, CV1 5FB, UK
| | - Sally Kendall
- Centre for Health Services Studies, University of Kent, Canterbury, Kent, CT2 7NF, UK
| | - Trudy Goodenough
- Centre for Child & Adolescent Health, University of the West of England Bristol, Oakfield House, Oakfield Grove, Clifton, Bristol, BS8 2BN, UK
| | - Samantha Nightingale
- Centre for Innovative Research Across the Life Course (CIRAL), Faculty of Health & Life Sciences, Coventry University, Priory Street, Coventry, CV1 5FB, UK
| | - Jane Smiddy
- Nursing, Midwifery and Health, Health and Life Sciences, Northumbria University, Coach Lane Campus, Benton, Newcastle upon Tyne, NE7 7XA, UK
| | - Crispin Day
- Department of Psychology, Child & Adolescent Mental Health Service Research Unit, King's College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park, London, SE5 8AB, UK
| | - Toity Deave
- Centre for Child & Adolescent Health, University of the West of England Bristol, Oakfield House, Oakfield Grove, Clifton, Bristol, BS8 2BN, UK
| | - Raghu Lingam
- Population Child Health Research Group, Women's and Children's Health, University of New South Wales, Sydney, Australia.
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Johnston JC, McNeil D, van der Lee G, MacLeod C, Uyanwune Y, Hill K. Piloting CenteringParenting in Two Alberta Public Health Well-Child Clinics. Public Health Nurs 2016; 34:229-237. [DOI: 10.1111/phn.12287] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Jennifer Cyne Johnston
- Population, Public, and Aboriginal Health; Alberta Health Services; Calgary Alberta Canada
- Department of Community Health Sciences; Cumming School of Medicine; University of Calgary; Calgary Alberta Canada
| | - Deborah McNeil
- Population, Public, and Aboriginal Health; Alberta Health Services; Calgary Alberta Canada
- Department of Community Health Sciences; Cumming School of Medicine; University of Calgary; Calgary Alberta Canada
- School of Nursing; University of Calgary; Calgary Alberta Canada
| | - Germaeline van der Lee
- Population, Public, and Aboriginal Health; Alberta Health Services; Calgary Alberta Canada
| | - Cheryl MacLeod
- Public Health; Calgary Zone; Alberta Health Services; Calgary Alberta Canada
| | - Yvonne Uyanwune
- Population, Public, and Aboriginal Health; Alberta Health Services; Calgary Alberta Canada
| | - Kaitlyn Hill
- Population, Public, and Aboriginal Health; Alberta Health Services; Calgary Alberta Canada
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Benzies KM, Barker L, Churchill J, Smith J, Horn S. UpStart Parent Survey-Prenatal: A New Tool for Evaluating Prenatal Education Programs. Public Health Nurs 2016; 33:440-8. [DOI: 10.1111/phn.12269] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- Karen M. Benzies
- Faculty of Nursing; University of Calgary; Calgary Alberta Canada
| | | | | | - Jennifer Smith
- Faculty of Nursing; University of Calgary; Calgary Alberta Canada
| | - Sarah Horn
- Faculty of Nursing; University of Calgary; Calgary Alberta Canada
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