Using Baby Books to Promote Maternal and Child Health
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 198
- 试验地点
- 4
- 主要终点
- Change in Reading Practices
研究概览
简要总结
The Baby Books Project tests whether embedding educational information into baby books can improve the health and wellbeing of first-time mothers and their young children.
详细描述
This study tests the efficacy of embedding educational information (i.e., pediatric anticipatory guidance) into baby books that first-time mothers read to their infants. This 3-group longitudinal study recruited first-time mothers in their third trimester of pregnancy, randomly assigned them to conditions, and followed them until the child was 18 months of age. One group received educational baby books, another group was given the same illustrated books with non-educational text, and the third group was not given any books. Thus, the effects of educational reading could be parsed from the effects of reading alone. The study aimed to test whether embedding pediatric anticipatory guidance in picture books is an effective method for increasing maternal knowledge of child development, parenting strategies, and safety practices, improving parenting beliefs and attitudes (e.g., parenting efficacy, importance of reading, use of corporal punishment), supporting optimal parenting practices (e.g., breastfeeding and nutrition, responsiveness, safety practices), improving maternal health (stress, depression), and supporting children's healthier development (injuries, illness, immunizations, and linguistic, social, and cognitive development).
Survey and observational data collection occurred in participants' homes during their third trimester of pregnancy and when their child was 2, 4, 6, 9, 12, and 18 months of age. Twelve phone call interviews were conducted between these home visits. When children were 18 months, a retrospective medical chart audit was conducted.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- Double (Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Women who are pregnant with first child and able to read in English at a first grade reading level
排除标准
- •Women with other children, men, those not able to read in English at a first grade level
结局指标
主要结局
Change in Reading Practices
时间窗: Change from 2 to 18 months postpartum
Self-reported joint reading practices
Costs
时间窗: Cumulative costs over study duration
Maternal costs due to their own and their child's illness/injury, use of substances, and purchase of food was measured with the Incurred Cost Questionnaire.
Change in knowledge of child development and parenting
时间窗: Change from Baseline (pregnancy) to 18 months postpartum
Measured with Opinions about Babies questionnaire
Parenting Stress
时间窗: Change from 2 to 18 months post-partum
Measured with the Parenting Stress Index
次要结局
- Beliefs about the Importance of Reading to Children(Change from baseline (prenatal) to 18 months postpartum)
- Injuries and illnesses(16 months (from 2 to 18 months postpartum))
- Home environment and parenting(Change from 2 to 18 months postpartum)
- Infant nutrition(2, 4, 6, 9, 12, and 18 months postpartum)
- Breastfeeding intentions and practices(prenatal and postnatal every visit until no longer breastfeeding)
- Reading self-efficacy(Change from 2 to 18 months postpartum)
- Immunizations, medical visits, and growth status(18 months postpartum)
- Cognitive Development(12 and 18 months postpartum)
- Safety Practices(2, 4, 6, 9, 12, and 18 months postpartum)
- Maternal Depressive Symptoms(Change from baseline (pregnancy) to 18 months postpartum)
- Quality of Parent-Child Interaction(Change from 2 to 18 months postpartum)
- Parenting Satisfaction(Change from 2 to 18 months postpartum)
- Attitudes about Corporal punishment(2, 6, 12 and 18 months postpartum)
- Cognitive and neurological development screening(4, 6, 9 months postpartum)
- Parenting Self-Efficacy(Change from 2 to 18 months postpartum)
- Receptive and Expressive language(Change from 6 to 18 months postpartum)
- Pregnancy uplifts and Hassles(Baselines (pregnancy))
研究者
Leonard Bickman
Professor
Vanderbilt University