Effect of Home Visiting with Pregnant Teens on Maternal Health

Samankasikorn, Wilaiporn; Pierce, Brittany; Ivany, Amanda St.; Gwon, Seok Hyun; Schminkey, Donna; Bullock, Linda

doi:10.1097/nmc.0000000000000235

Cited by 9 publications

(6 citation statements)

References 17 publications

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“…This study is congruent with another study following teenage pregnant women, which showed that depressive scores in teenage mothers by ethnicity were significantly different at baseline, but these differences were no longer significant by 3 months postpartum [30]. In contrast, Horowitz and Garber…”

Section: Discussionsupporting

confidence: 88%

The Effects of a Resilience Enhancing Nursing Program on Depression among Pregnant Teenagers

Kuasit

Chunuan

Hatthakit

et al. 2020

Walailak J Sci & Tech

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The purposes of this study were to evaluate the effects of the resilience enhancing nursing program (RENP) on resilience and depression among pregnant teenagers who received this program. A quasi experimental was conducted with 130 pregnant Thai women. Final analysis included 130 participants (Intervention n = 64 and control group n = 66). The RENP was delivered in three steps including; Step 1, establishing trusting relationships; Step 2, improving the resilience, and Step 3, monitoring and encouraging the resilience practice. The research instruments consisted of a demographic data questionnaire, and resilience and depressive program instruments, including a handbook and self-report. Research data were analyzed and displayed, providing percentage, mean, standard deviation, chi-square, independent t-test, paired t-test, and the repeated measures ANOVA. The findings showed a significant difference in depression by time alone (p = 0.001). However, there was no significant difference by group alone in depression (p = 0.969). This study revealed mean score on depression in the experimental group was not significantly lower than before entering the program at week 4 and week 8 (p = 0.870, p = 0.428). However, resilience showed difference in score over time between the experimental group and control group. There was a significant difference in resilience score by time alone (F = 10.523, p < 0.001). The results can contribute to guiding nurses to enhance decrease in depression in pregnant teenagers in the earlier first trimester in antenatal care units. Nurse or nurse midwife should be concerned about the potential for early detection in the prenatal period and provide appropriate interventions to teenage mothers in the postnatal period.

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Section: Discussionsupporting

confidence: 88%

The Effects of a Resilience Enhancing Nursing Program on Depression among Pregnant Teenagers

Kuasit

Chunuan

Hatthakit

et al. 2020

Walailak J Sci & Tech

View full text Add to dashboard Cite

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“…Studies were conducted in three high-income countries in the region of the Americas: the United States (n = 14 studies [33,[46][47][48][49][50][51][52][53][54][55][56][57][58][59];, Canada (n = 2 [60,61];, and Chile (n = 1 [62]). A short description of all studies is given in Table 1.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…There was a low risk of bias for selective reporting in the majority of studies (n = 15, 88.2%). Other biases posing high risk were identified in three instances: these related to loss of a cluster in one cluster RCT [55], potential volunteer bias [56] and baseline non-equivalence [51,52,56]. Risk of bias assessments for each article are available in Supplemental File 2.…”

Section: Risk Of Biasmentioning

confidence: 99%

Psychosocial interventions targeting mental health in pregnant adolescents and adolescent parents: a systematic review

et al. 2020

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Background Pregnancy and parenthood are known to be high-risk times for mental health. However, less is known about the mental health of pregnant adolescents or adolescent parents. Despite the substantial literature on the risks associated with adolescent pregnancy, there is limited evidence on best practices for preventing poor mental health in this vulnerable group. This systematic review therefore aimed to identify whether psychosocial interventions can effectively promote positive mental health and prevent mental health conditions in pregnant and parenting adolescents. Methods We used the standardized systematic review methodology based on the process outlined in the World Health Organization’s Handbook for Guidelines Development. This review focused on randomized controlled trials of preventive psychosocial interventions to promote the mental health of pregnant and parenting adolescents, as compared to treatment as usual. We searched PubMed/Medline, PsycINFO, ERIC, EMBASE and ASSIA databases, as well as reference lists of relevant articles, grey literature, and consultation with experts in the field. GRADE was used to assess the quality of evidence. Results We included 17 eligible studies (n = 3245 participants). Interventions had small to moderate, beneficial effects on positive mental health (SMD = 0.35, very low quality evidence), and moderate beneficial effects on school attendance (SMD = 0.64, high quality evidence). There was limited evidence for the effectiveness of psychosocial interventions on mental health disorders including depression and anxiety, substance use, risky sexual and reproductive health behaviors, adherence to antenatal and postnatal care, and parenting skills. There were no available data for outcomes on self-harm and suicide; aggressive, disruptive, and oppositional behaviors; or exposure to intimate partner violence. Only two studies included adolescent fathers. No studies were based in low- or middle-income countries. Conclusion Despite the encouraging findings in terms of effects on positive mental health and school attendance outcomes, there is a critical evidence gap related to the effectiveness of psychosocial interventions for improving mental health, preventing disorders, self-harm, and other risk behaviors among pregnant and parenting adolescents. There is an urgent need to adapt and design new psychosocial interventions that can be pilot-tested and scaled with pregnant adolescents and adolescent parents and their extended networks, particularly in low-income settings.

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“…In a randomized control study conducted over the perinatal period, Samankasikorn et al (15) randomized 150 teenage pregnant people into a control and an intervention group. All the participants were high-risk; all were teenagers, and most were unmarried.…”

Section: Interventions Initiated During the Perinatal Periodmentioning

confidence: 99%

Home Visiting as an Equitable Intervention for Perinatal Depression: A Scoping Review

et al. 2022

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ObjectiveMaternal mental health disorders are a leading complication of childbirth. While few systems are adequately able to identify and treat depression, people experiencing perinatal depression may benefit from the intervention of home visiting. The intent of home visiting interventions is to alleviate stressors of parenthood for people facing additional risk factors. The aim of this scoping review is to investigate the effect of home visiting on perinatal depression grounded in published studies.MethodsWe conducted a scoping review of the existing literature of studies relevant to perinatal depression and home visiting. We entered keywords in five search databases: MEDLINE, PsycInfo, CINAHL, Social Work Abstracts, and Google Scholar. All relevant literature published between January 1999–December 2019 was reviewed. Duplicates, books, and errata were excluded from the study. As a scoping review, we included all studies published in English describing the inclusion of maternal depression in home visits. We hypothesize birthing people with perinatal depression will benefit from home visiting interventions.ResultsThe results from the scoping review and describe the use of home visiting to improve perinatal mental health. An initial 12,652 records were identified in the search. After duplicates were removed, the titles of 2,140 articles were assessed for applicability, however 29 identified for full-text eligibility and were included in this analysis. The majority of the studies included in this review were quantitative (n = 23), followed by qualitative (n = 3), and mixed methods (n = 3). Nearly all studies (n = 28) using validated instruments such as the Edinburgh Postnatal Depression Scale to determine depressive symptoms.DiscussionThis review offers preliminary qualitative insights on the efficacy of home visiting for administrating perinatal depression care. Studies show that home visiting programs can provide treatment for perinatal depression and reduce the effects of depression for birthing people. Our review suggests that the efficacy of home visiting programs beginning in the postpartum period are less predictable than prenatal home visiting intervention among various populations, including people experiencing both high-risk and low-risk situations.

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Effect of Home Visiting with Pregnant Teens on Maternal Health

Abstract: The RMP home-visiting intervention can lead to improved self-esteem scores in teens, particularly in Hispanic teens. Improved self-esteem has been shown to lead to better parenting.

Cited by 9 publications

References 17 publications

The Effects of a Resilience Enhancing Nursing Program on Depression among Pregnant Teenagers

The Effects of a Resilience Enhancing Nursing Program on Depression among Pregnant Teenagers

Psychosocial interventions targeting mental health in pregnant adolescents and adolescent parents: a systematic review

Home Visiting as an Equitable Intervention for Perinatal Depression: A Scoping Review

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