Integrating Well-Woman and Well-Baby Care to Improve Parenting and Family Wellness
Not Applicable
- Conditions
- Primary Care
- Interventions
- Other: Standard CareOther: Centering parenting/Group well child care
- Registration Number
- NCT00782028
- Lead Sponsor
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
- Brief Summary
We hypothesize that relative to families who receive standard individual postpartum and pediatric care, families that receive group care will be more likely to have:
* Improved maternal and child health behaviors: i.e increased breastfeeding, exercise, child safety measures in the home and decreased smoking.
* Better health care use for babies: i.e. attend more care visits, on-time and complete immunizations and decreased emergency services use.
* Better psychosocial outcomes for the families: i.e. decreased stress and depression, and increased social support.
* Improved parenting skills: i.e. improved knowledge of child development, involvement in developmentally appropriate activities, and parental sense of competence.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 170
Inclusion Criteria
- Postpartum woman with baby in her care
- Receive well-woman care, well-child care and interviews in English
- Willingness to receive care in a group setting
- Woman planning to receive care at the Yale Women's Center for herself and the Primary Care Center for her baby
Exclusion Criteria
- severe medical problem requiring individualized care for mother or baby
- Baby born at less than 37 weeks gestation
- Baby remaining in hospital when mother getting discharged for any other reason except hyperbilirubinemia
- Baby with severe cardiac, respiratory, neuro-developmental or surgical problems
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Standard Care Standard Care No intervention consists of routine well child care Centering parenting/Group well child care Centering parenting/Group well child care -
- Primary Outcome Measures
Name Time Method Improved maternal and child health behaviors will be measured using a computer assisted interview. Interviews will be given at 2 weeks, 6 and 12 months of age.
- Secondary Outcome Measures
Name Time Method Better health care utilization for babies will be measured using Medical records review. 1 year Better psychosocial outcomes for mothers, fathers and babies will be measured using a computer assisted interview. 2 weeks, 6 months and 12 months of age Improved parenting skills will be assessed using a computer assisted inteview. 2 weeks, 6 months ad 12 months