Impact of a rural preventive care outreach program on children's health.

Cowen, David L.; Culley, Gregory A.; Hochstrasser, Donald L.; Briscoe, M E; Somes, Grant W.

doi:10.2105/ajph.68.5.471

Cited by 7 publications

(5 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…From the mid 1970s to the present, new program purposes and target populations have continued to be identified for home-based early intervention programs. Program goals articulated in recent programs include prevention of child abuse and neglect, improving pregnancy outcomes, monitoring and improving infant health, reducing maternal social isolation, enhancing family coping abilities, and helping families secure formal services (see, for example, Nutting et al, 1975;Cowen et al, 1978;Larson, 1980;van Doornick et al, 1980;Olds, 1982a,b;Affleck et al, 1982a,b). Target populations include teenage parents, parents of low birth weight and/or premature infants, parents of biologically impaired infants, and families under extreme psychosocial stress (due to parental mental illness, marital conflict, or social isolation).…”

Section: The Evolution Ofprogram Purposesmentioning

confidence: 99%

Home-based early intervention: Emerging purposes, intervention approaches, and evaluation strategies

Halpern¹

1984

Infant Ment. Health J.

View full text Add to dashboard Cite

Infant and toddler home visiting programs constitute an important subgroup within the rapidly growing field of early intervention. Scores of such programs have been implemented by health, educational, and mental health agencies during the past decade. Recent reviews have reported on home‐based early intervention for specific populations, such as biologically impaired infants or infants from economically disadvantaged families. Other reviews have focused on the effects of home‐based early intervention in particular outcome domains, such as I.Q., or infant health. In this review the author draws together the information emerging from partial reviews and specific program reports in order to describe the full range of purposes and strategies encompassed by home‐based early intervention and to draw inferences about its potential to enhance infant health and development and broader family functioning.

show abstract

Section: The Evolution Ofprogram Purposesmentioning

confidence: 99%

Home-based early intervention: Emerging purposes, intervention approaches, and evaluation strategies

Halpern¹

1984

Infant Ment. Health J.

View full text Add to dashboard Cite

show abstract

“…6 tttHematocrit Distance and driving time to providers and waiting times in doctors' offices were reported to be greater for controls than for study children. Controls possessed more health insurance that would cover outpatient services.…”

Section: Enabling Variablesmentioning

confidence: 87%

“…for controls; (c) non-high school graduates-0.2 and 9.4 years of maternal schooling for the study and control groups respectively; (d) high school graduates-12. 6 the physical examination. Hospital laboratory facilities were used at both sites to determine hematocrits.…”

Section: Methodsmentioning

confidence: 98%

Follow-up study of the impact of a rural preventive care outreach program on children's health and use of medical services.

Briscoe¹,

Hochstrasser²,

Somes³

et al. 1980

Am J Public Health

Self Cite

View full text Add to dashboard Cite

The present study is a follow-up of a previous evaluation of a rural pediatric preventive care outreach program in Appalachia, which showed that although program participants did not differ substantially from their matched controls on health outcomes, they did have significantly lower utilization rates for outpatient services. The purpose of this second study was to determine whether replication of the original study would yield similar results on a fresh sample of children and whether differences observed between study and control groups would hold firmThe need for more and better outcome data has become an increasingly important concern in the field of health services research.1' 2 Outcome evaluation is defined here as an assessment of the impact of a health care program on the health of individuals who use it and on their utilization of medical services.3'4 This paper presents the results of an attempt to assess the effects of participation in a rural preventive care outreach program on the health and medical care of infants and young children.During 1975 a study was made of a sample of children who had participated in the health outreach program using matched controls from another community in the same area.The results of this initial study, described elsewhere,5'6 showed that although program participants did not differ substantially from their matched controls with respect to health outcomes of the indicator diseases, they did have significantly lower utilization rates for outpatient services. This paper presents the results of a second health outcome and medical care utilization study conducted during the summer of 1977, two years after the first study. The purpose of this present study was to determine whether replication of the original study would yield similar results on a fresh sample of Program services, which are available in the home, are initiated within the child's first month of life and are terminated at age two years. These services, rendered in the home according to a predetermined schedule of seven visits, include nutritional counseling, parental education regarding the importance of appropriate immunizations, assessment of the child's growth and development, treatment of minor health problems (e.g., diaper rash), and referral to the attending physician of any major problems detected. Additional services include (where appropriate) assistance in applying for food stamps, aid for dependent children (AFDC) or other welfare services, and provision of psychological support to the parents.During the program's first year of operation, over 95 per cent of the eligible infants born at the hospital received its

show abstract

“…17 The study showed that the outreach program was not effective in preventing or reducing illness due to common childhood diseases among children receiving the program, compared with a similar group receiving only traditional pediatric services. Most of the reports are anecdotal, describing the activities of outreach workers.iO, ai But a number of studies have been more analytical, evaluating the ability of programs to meet specific objectives.…”

Section: Journal Of Community Healthmentioning

confidence: 95%

Outreach in urban clinics

Rivara¹

1980

J Community Health

View full text Add to dashboard Cite

Outreach services were initially conceived as important elements of neighborhood health centers, but they have not been shown to be effective in outcome evaluations. This study examines the outreach programs in 11 community clinics in Seattle. Interviews were conducted with the program directors and outreach workers of these clinics. Outreach programs have failed to provide an adequate number of jobs and career opportunities for the poor. Workers have not been carefully selected and trained, and goals and objectives of the program have been vague. Unstable funding of outreach has affected the quality as well as the size of the programs. Reasons for the inadequate implementation of the concept of outreach are discussed, and suggestions are made for future programs.

show abstract

Impact of a rural preventive care outreach program on children's health.

Cited by 7 publications

References 6 publications

Home-based early intervention: Emerging purposes, intervention approaches, and evaluation strategies

Home-based early intervention: Emerging purposes, intervention approaches, and evaluation strategies

Follow-up study of the impact of a rural preventive care outreach program on children's health and use of medical services.

Outreach in urban clinics

Contact Info

Product

Resources

About