Integrating Well-Woman and Well-Baby Care to Improve Parenting and Family Wellness

NCT00782028 | Unknown

• 1 other identifier: R21 HDJ2810-01A1
• Study Type: interventional
• Target: 170
• Locations: 0 countries
• Sites: N/A

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.

Conditions

Primary Care

Keywords

primary care, high-risk families, maternal depression

Outcome Measures

Primary Outcomes (1)

• 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 Outcomes (3)

• 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

Study Arms (2)

Standard Care

NO INTERVENTION

No intervention consists of routine well child care

Other: Standard Care

Centering parenting/Group well child care

OTHER

Other: Centering parenting/Group well child care

Interventions

Centering parenting/Group well child care OTHER

Intervention families will receive well child care in a group format for the first 12 month of the child's life.

Centering parenting/Group well child care

Standard Care OTHER

Standard Care

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD): lead

MeSH Terms

Interventions

Standard of Care

Intervention Hierarchy (Ancestors)

Quality Indicators, Health Care; Quality of Health Care; Health Services Administration; Health Care Quality, Access, and Evaluation

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: NIH

Study Record Dates

• First Submitted: October 28, 2008
• First Posted: October 29, 2008
• Study Start: October 1, 2008
• Primary Completion: May 1, 2010
• Study Completion: May 1, 2010
• Last Updated: October 29, 2008

Record last verified: 2008-10