New Families- Innovation and Development of the Child Health Services in Oslo
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 428
- Locations
- 2
- Primary Endpoint
- Self-Efficacy in fathers 6 weeks postpartum
Study Overview
Brief Summary
The New Families (NF) program will improve quality of existing services, secure personalised service and early intervention in Child Health Service (CHS) in Oslo. The study will measure the effects of a primary prevention family-centered healthcare intervention in Norwegian CHS.
Detailed Description
The New Families (NF) program will improve quality of existing services, secure personalised service and early intervention in Child Health Service (CHS) in Oslo. The study will: 1) Measure the effects of a primary prevention family-centered healthcare intervention in Norwegian CHS, 2) Create case studies from CHS praxis advancing Public Health Nurse (PHN) training and education in Oslo and Norway, 3) Establish a model for how to include users in service development in CHS, 4) Enhance the knowledge base of the PHN practice in CHS Anticipated results: The project will bolster the knowledge base for education and professional practices within the service by strengthen the existing research within the field. The anticipated results of the project are that the intervention will increase maternal and parental self-efficacy, reduce the risk of postpartum depression among first-time mothers, reduce parental stress, increase social support, improve maternal attachment, improve generic health status, improve partner relationship and improve child development compared with usual care. The intervention research in this project can be a future model for service improvement in the CHS.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •First time parents living in the chosen districts
Exclusion Criteria
- •All other parents
Outcomes
Primary Outcomes
Self-Efficacy in fathers 6 weeks postpartum
Time Frame: 6 weeks postpartum
Perceived Maternal Parenting Self-Efficacy (PMP S-E) 20 items. score 22-88. A higher score indicates a higher level of maternal self-efficacy
Self-Efficacy in mothers 3 months postpartum
Time Frame: 3 months postpartum
Perceived Maternal Parenting Self-Efficacy (PMP S-E) 20 items. score 22-88. A higher score indicates a higher level of maternal self-efficacy
Depression in mothers in pregnancy
Time Frame: 28 weeks pregnancy
Edinburgh postnatal depression scale (EPDS). 10 items. Score 0-30. Score 12 or above indicate postpartum depression.
Depression in fathers when partner is pregnant
Time Frame: 28 weeks pregnancy
Edinburgh postnatal depression scale (EPDS). 10 items. Score 0-30. Score 12 or above indicate postpartum depression.
Depression in mothers three months postpartum
Time Frame: 3 months postpartum
Edinburgh postnatal depression scale (EPDS). 10 items. Score 0-30. Score 12 or above indicate postpartum depression.
Depression in fathers three months postpartum
Time Frame: 3 months postpartum
Edinburgh postnatal depression scale (EPDS). 10 items. Score 0-30. Score 12 or above indicate postpartum depression.
Sense of Coherence in mothers in pregnancy
Time Frame: 28 weeks pregnancy
Sense of Coherence Scale (SOC 13). 26 items. Score 13-90. Higher score is positive, score under 66 is low.
Sense of Coherence in fathers in pregnancy
Time Frame: 28 weeks pregnancy
Sense of Coherence Scale (SOC 13). 26 items. Score 13-90. Higher score is positive, score under 66 is low.
Sense of Coherence in mothers three months postpartum
Time Frame: 3 months postpartum
Sense of Coherence Scale (SOC 13). 26 items. Score 13-90. Higher score is positive, score under 66 is low.
Sense of Coherence in fathers three months postpartum
Time Frame: 3 months postpartum
Sense of Coherence Scale (SOC 13). 26 items. Score 13-90. Higher score is positive, score under 66 is low.
Self-Efficacy in mothers 6 weeks postpartum
Time Frame: 6 weeks postpartum
Perceived Maternal Parenting Self-Efficacy (PMP S-E) 20 items. score 22-88. A higher score indicates a higher level of maternal self-efficacy
Self-Efficacy in fathers 3 months postpartum
Time Frame: 3 months postpartum
Perceived Maternal Parenting Self-Efficacy (PMP S-E) 20 items. score 22-88. A higher score indicates a higher level of maternal self-efficacy
Parental Stress in fathers 3 months postpartum
Time Frame: 3 months postpartum
Parental Stress Scale (PSS) is formatted in the form of an 18-item self-report scale. Items represent positive (e.g. emotional benefits, personal development) and negative (demands on resources, restrictions) themes of parenthood. A higher score indicates a higher level of parental stress.
Parental Stress in mothers 3 months postpartum
Time Frame: 3 months postpartum
Parental Stress Scale (PSS) is formatted in the form of an 18-item self-report scale. Items represent positive (e.g. emotional benefits, personal development) and negative (demands on resources, restrictions) themes of parenthood. A higher score indicates a higher level of parental stress.
Quality of Life in women and men during pregnancy and postpartum
Time Frame: Pregnancy week 28, 3 months postpartum, 12 months postpartum.
To explore first-time parents' QoL during pregnancy and first-time mothers QoL postpartum, and to evaluate the difference in QoL between mothers in the intervention and control districts. Instrument: WHOQOL-BREF, 26-item. Score 4-20, higher scores indicate higher QoL.
Secondary Outcomes
- What are the barriers and facilitators to implementation of the PHN intervention?(The interviews will take place about 12 months postpartum)
Investigators
Kari Glavin
Professor
VID Specialized University