The effectiveness of a sustained nurse home visiting intervention for Aboriginal infants compared with non-Aboriginal infants and with Aboriginal infants receiving usual child health care: a quasi-experimental trial
- Conditions
- Child developmentBreastfeedingBody mass indexChild vocabulary developmentPublic Health - Health promotion/education
- Registration Number
- ACTRN12616001721493
- Lead Sponsor
- Western Sydney University
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Female
- Target Recruitment
- 231
Mothers in Group A were eligible if they are pregnant with an Aboriginal infant, that is, they or the baby’s father are an Aboriginal person, and had one or more of the following vulnerability factors identified from the routine assessment:
Vulnerability factors: maternal age under 20 years; unsupported parent determined as those mothers who were not married or living with partner; late antenatal care (after 20 weeks); major stressors in the past 12 months determined by a positive response to the question Have you had any major stressors, changes or losses recently?”; current or history of mental health problem or disorder determined by the mother reporting current or past treatment for emotional problems; current probable psychosocial distress determined by an Edinburgh Depression Scale score of 10 or more; relationship issues with the mother’s parents if they report that they were hurt or abused as a child in any way; current substance misuse will be determined by a positive response to questions about the use of prohibited substances and/or alcohol; history of domestic violence if they report that they get so angry that they hit or hurt their partner, that their partner or anyone else hits them, hurts them or makes them afraid.
Mothers in Group B were eligible if they were pregnant with a non-Aboriginal infant, that is, neither they nor the baby’s father are an Aboriginal person, and had one or more of the vulnerability factors described above.
Historical data for Group C were eligible if there were data available on the antenatal risk profile of mother, and they had any of the above risk factors.
Mothers who had insufficient English-language proficiency to undertake the antenatal risk assessment in English (that is, those who required the use of a translated assessment instrument or an interpreter) were ineligible to participate.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Breastfeeding measured by parent self-report of engagement in any breastfeeding at 1 month, 6 months and 12 months post-birth, or report of child age when breastfeeding ceased.[Data at 1, 6, and 12 months post-birth, collated at 12 months as total weeks of any breastfeeding.];Body mass index[4 years];Child development measured using the Griffiths Mental Development Scales (GMDS) (1996 Revision).[18 months and 4 years of child age]
- Secondary Outcome Measures
Name Time Method