Enhancing child safety and well-being through pediatric group well-child care and home visitation: The Well Baby Plus Program

Rushton, Francis E.; Byrne, Westley W.; Darden, Paul M.; McLeigh, Jill D.

doi:10.1016/j.chiabu.2015.01.008

Cited by 30 publications

(27 citation statements)

References 38 publications

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“…Studies of group well-baby care have focused on the amount of anticipatory guidance provided, 11,17 immunization rates, 11,17 child weight, 17,18 and satisfaction. 11,17 Future studies on the effectiveness of group care should include at least some of the qualitative outcomes suggested by women who participated in this study as having the greatest utility in their lives, even 3 years after care ended: the acquisition and long-term use of skills that promote healthy nutrition, stress management, responsive parenting, and better family communication. In addition, further qualitative work using a grounded theory approach would help uncover the process by which women incorporate these skills into their daily practice.…”

Section: Resultsmentioning

confidence: 99%

“…Group prenatal care and group well‐baby care are promising strategies for better addressing family needs and improving clinical and social outcomes. Studies to date have shown that the immediate outcomes associated with group prenatal and well‐baby care are at least as good, if not better, than those associated with individual care and include greater satisfaction, higher breastfeeding initiation rates, lower rates of preterm birth, and lower rates of overweight and obesity in children participating in group pediatric care at 15 months and 24 months . However, whether the knowledge and skills gained in group prenatal or group well‐baby care are used long term is unknown.…”

Section: Introductionmentioning

confidence: 99%

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A Qualitative Study of Women's Recall of Content and Skills Developed in Group Prenatal and Well‐Baby Care 2 Years Later

Hackley¹,

Elyachar‐Stahl²,

Savage³

et al. 2018

J Midwife Womens Health

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Introduction Group prenatal and well‐baby care is a system of health care visits that occur in a group setting. Each individual session lasts approximately 2 hours, allowing more time for education and support than can occur in an individual visit. Compared with individual care, research suggests that group care is associated with similar or better short‐term outcomes, but no studies have yet examined potential long‐term benefits beyond one year postpartum. The purpose of this qualitative descriptive study was to elicit women's recall about content covered in group prenatal and well‐baby care and whether they were or were not continuing to use skills discussed during group prenatal and well‐baby care 2 or more years after their group ended. Methods Eligible women participated in group prenatal and/or well‐baby care between 2008 and 2012, were aged at least 18 years, and were English‐speaking. Of the 127 eligible women, 32 were reached and 17 agreed to participate. Women were interviewed on average 3 years after group prenatal or well‐baby care ended using a semistructured interview guide. Transcripts were reviewed and coded by each team member. Final codes and themes were identified using an iterative review process among the research team. Results Three themes were identified: sustained change, transferable skills, and group as a safe haven. All women were still using strategies discussed during group and had made sustained improvements in nutrition, stress management, and/or in the quality of their interactions with their children, partner, or families. The group environment was described as a safe haven: a respectful, nonjudgmental space that allowed women to share and support each other while learning new skills. Discussion This is the first study to document that group prenatal and well‐baby care is associated with long‐term benefits in areas not yet reported in the literature: nutrition, family communication, and parenting.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Qualitative Study of Women's Recall of Content and Skills Developed in Group Prenatal and Well‐Baby Care 2 Years Later

Hackley¹,

Elyachar‐Stahl²,

Savage³

et al. 2018

J Midwife Womens Health

View full text Add to dashboard Cite

show abstract

“…Eight studies (Sanigorski 2008 , de Silva‐Sanigorski 2010 , Fotu 2011 , Kremer 2011 , Utter 2011 , Millar 2011 , Rushton 2015 , Peters 2016 ) were characterized as having used an asset‐based approach in the design and implementation of their intervention as published. All of the studies identified and characterized by the research team as fitting the inclusion criteria for this approach used an approach to build off of existing resources in the community and specifically focused on developing capacity from those assets.…”

Section: Resultsmentioning

confidence: 99%

“…In Rushton et al . 2015 , the authors describe a programme that identified existing community assets and then used those assets to provide a health promotion programme for low‐income parents of infants. They used a combination of group well visits and a home visitation programme to promote health and safety under the overarching goal of preventing child abuse.…”

Section: Resultsmentioning

confidence: 99%

Capacity‐oriented approaches to developing childhood obesity interventions: a systematic review

Foster

Bendiks

et al. 2017

Clinical Obesity

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Capacity-oriented approaches to health interventions seek to empower the target population or community to manage the health issue themselves using resources they can control. Positive deviance, resilience and asset-based approaches are three such methods for developing and implementing health interventions. This study aimed to review the efficacy of interventions explicitly applying these methods in addressing childhood obesity using adiposity as the primary outcome, measured by standardized body mass index. The search strategy was developed and implemented across four electronic databases. Of the 181 records identified and screened, 11 studies were identified as using a capacity-oriented approach overall. Asset-based approaches (n=8 studies) enrolled 47,880 participants, positive deviance (n=2 studies) enrolled 781 participants, and resilience-based interventions (n=1 study) enrolled 35 participants. The asset-based approaches were mixed with three of the eight studies showing a significant reduction in adiposity while the other five did not find a difference. The positive deviance and resilience-based studies showed signs of efficacy in reducing adiposity. There was significant design heterogeneity across studies and varied interpretations and definitions of the approaches used. Further work should attempt to bring some consensus on the use of these approaches to facilitate comparison and advance the science of capacity-oriented interventions for childhood obesity.

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“…37 Evidence suggests that these programs positively affect health outcomes in high-risk families, particularly with respect to health care utilization and child developmental outcomes. [36][37][38][39] Indeed, programs such as Early Head Start, Healthy Steps, the Nurse-Family Partnership, and Home Instruction for Parents of Preschool Youngsters have improved adherence to preventive and developmental services and increased satisfaction with primary care. [40][41][42][43] Such programs have been termed a "sound investment" for long-term health and economic outcomes, prompting further expansion into low-income communities.…”

Section: Figurementioning

confidence: 99%

Determinants of Health and Pediatric Primary Care Practices

Beck

Tschudy²,

Coker

et al. 2016

Pediatrics

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More than 20% of children nationally live in poverty. Pediatric primary care practices are critical points-of-contact for these patients and their families. Practices must consider risks that are rooted in poverty as they determine how to best deliver family-centered care and move toward action on the social determinants of health. The Practice-Level Care Delivery Subgroup of the Academic Pediatric Association's Task Force on Poverty has developed a roadmap for pediatric providers and practices to use as they adopt clinical practice redesign strategies aimed at mitigating poverty's negative impact on child health and well-being. The present article describes how care structures and processes can be altered in ways that align with the needs of families living in poverty. Attention is paid to both facilitators of and barriers to successful redesign strategies. We also illustrate how such a roadmap can be adapted by practices depending on the degree of patient need and the availability of practice resources devoted to intervening on the social determinants of health. In addition, ways in which practices can advocate for families in their communities and nationally are identified. Finally, given the relative dearth of evidence for many poverty-focused interventions in primary care, areas that would benefit from more in-depth study are considered. Such a focus is especially relevant as practices consider how they can best help families mitigate the impact of povertyrelated risks in ways that promote long-term health and well-being for children.abstract

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Enhancing child safety and well-being through pediatric group well-child care and home visitation: The Well Baby Plus Program

Cited by 30 publications

References 38 publications

A Qualitative Study of Women's Recall of Content and Skills Developed in Group Prenatal and Well‐Baby Care 2 Years Later

A Qualitative Study of Women's Recall of Content and Skills Developed in Group Prenatal and Well‐Baby Care 2 Years Later

Capacity‐oriented approaches to developing childhood obesity interventions: a systematic review

Determinants of Health and Pediatric Primary Care Practices

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