In‐depth mental health evaluation of a community sample of nonreferred infants with feeding difficulties

Maldonado-Duran, J. Martin; Fonagy, Peter; Helmig, Linda; Millhuff, Charles; Moody, Chris; Rosen, Libby Averill; VanSickle, Gregg

doi:10.1002/eat.20538

Cited by 5 publications

(2 citation statements)

References 16 publications

(17 reference statements)

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“…There was an initial view that maternal depression did not exist in Africa because of strong family social support systems that are protective [ 5 , 6 ]. However, this no longer stands as migration is breaking down the family support system and there is no structured social support in place [ 7 ]. Also, more evidence of high prevalence is emerging from studies which have used culturally adaptable tools [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

The effect of training and supervision on primary health care workers’ competence to deliver maternal depression inclusive health education in Ibadan, Nigeria: a quasi-experimental study

Adefolarin

Asiki

Sola

et al. 2021

BMC Health Serv Res

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Background Health workers lack the competence to address maternal depression in the routine health education in Nigeria. Hence, awareness among maternal-child health clients is low. We assessed the effect of training and supervision on knowledge, skills, and self-efficacy of primary healthcare workers in delivering health talks and the clients’ knowledge on maternal depression. Methods A quasi-experimental study design was adopted. Five Local Government Area (LGAs) in the Ibadan metropolis were grouped according to geographical proximity and randomly assigned to experimental (Group A = two LGAs) and control (Group B = three LGAs) with 12 primary health centres in each group. All primary health care workers recruited in group A received a one-day training on maternal depression. Good Knowledge Gain (GKG), Good Skill Gain (GSG) and Self-Efficacy (SEG) were assessed in both groups. 1-week post-training, the knowledge of all the PHCs’ attendees in the two groups was assessed. Two weeks post- training, a half of experimental group’s PHCs received supportive supervision and a clinic-based health education delivery skill assessment was conducted. The knowledge of clients and their health seeking were also assessed. Fisher’s exact test, independent t test and Poisson regression were used to analyze differences in percentages and mean/ factors associated with GKG, GSG and SE, using SPSS 25. Results Training improved gains in the experimental versus controls as follows: GKG (84.3% vs. 15.7%), GSG (90.7% vs 9.3%) and SEG (100% vs 0%). Training contributed to the good gain in knowledge (RR = 6.03; 95%CI =2.44–16.46; p < 0.01); skill (RR = 1.88; CI = 1.53–2.33; p < 0.01).) and self-efficacy (RR = 2.74; CI = 2.07–2.73; p < 0.01). Clients in the experimental group had higher knowledge gain score than in the control (7.10 ± 2.4 versus − 0.45 ± 2.37); p < 0.01). The rater supervisor observed better motivation in the supervised group than the not supervised. Forty clients sought help in the intervention group while none in the control group. Thirty-five clients sought help in the supervised group while only five did in the not supervised. Conclusions Training followed by supervision improved the competence of health workers to transfer knowledge to clients. This intervention is recommended for primary healthcare settings to improve uptake of maternal mental health services.

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Section: Introductionmentioning

confidence: 99%

The effect of training and supervision on primary health care workers’ competence to deliver maternal depression inclusive health education in Ibadan, Nigeria: a quasi-experimental study

Adefolarin

Asiki

Sola

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…There was an initial view that maternal depression did not exist in Africa because of strong family social support systems that are protective (5); (6). However, this no longer stands as migration is breaking down the family support system and there is no structured social support in place (7). Also, more evidence of high prevalence is emerging from studies which have used culturally adaptable tools (1).…”

Section: Introductionmentioning

confidence: 99%

The effect of training and supervision on primary health care workers’ competence to deliver maternal depression inclusive health education in Ibadan, Nigeria: a quasi-experimental study.

Adefolarin

Asiki

Arulogun

et al. 2020

Preprint

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Background Health workers lacked the competence to address maternal depression in routine the health education in Nigeria. Hence, awareness among maternal-child health clients is low. We assessed the effect of training and/ supervision on knowledge, skills and self-efficacy of primary healthcare workers in delivering health talks and the clients’ knowledge on maternal depression. Methods A quasi-experimental study design was adopted. Five Local Government Area (LGAs) in the Ibadan metropolis were grouped according to geographical proximity and randomly assigned to experimental (Group A=two LGAs) and control (Group B= three LGAs) with 12 primary health centres in each group. All primary health care workers recruited in group A received a one-day training on maternal depression. Good Knowledge Gain (GKG), Good Skill Gain (GSG) and Self-Efficacy (SEG) based on bloom’s cut off were assessed in both groups. After 1 week, the knowledge of all the PHCs’ attendees in the two groups were assessed. A week after, a half of group A’s PHCs received supportive supervision and a clinic based health education skill assessment was conducted. The knowledge of clients and their health seeking were also assessed. Fisher’s exact test, independent t test and Poisson regression were used to analyze differences in percentages and mean/ factors associated with GKG, GSG and SE, using SPSS 25. Results Training improved gains in the experimental versus controls as follows: GKG (84.3% vs. 15.7%), GSG (90.7% vs 9.3%) and SEG (100% vs 0%). Training contributed to the good gain in knowledge (RR=6.03; 95%CI =2.44-16.46; p<0.01); skill (RR=1.88; CI=1.53-2.33; p<0.01).) and self-efficacy (RR=2.74; CI=2.07-2.73; p<0.01). Clients in the experimental group had higher knowledge gain score than in the control (7.10±2.4 versus -0.45±2.37); p<0.01). The rater supervisor observed better motivation in the supervised group than the not supervised. Forty clients sought help in the intervention group while none in the control group. Thirty-five clients sought help in the supervised group while only five did in the not supervised. Conclusions Training followed by supervision improved the competence of health workers to transfer knowledge to clients. This is recommended in the primary healthcare settings to improve uptake of maternal mental health services.

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Embodiment of the Self in Conditions of Neglect and Antipathy During Childhood and Adolescence

Sauceda-García

Maldonado-Duran

2023

Handbook of Mind/Body Integration in Child and Adolescent Development

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In‐depth mental health evaluation of a community sample of nonreferred infants with feeding difficulties

Abstract: Feeding problems tend to have patterns according to the age of the baby in a nonreferred sample. They are not associated with an altered parent-infant relationship nor poor feeding technique. Parents often adapt successfully to the uniqueness of the baby to maintain weight gain.

Cited by 5 publications

References 16 publications

The effect of training and supervision on primary health care workers’ competence to deliver maternal depression inclusive health education in Ibadan, Nigeria: a quasi-experimental study

The effect of training and supervision on primary health care workers’ competence to deliver maternal depression inclusive health education in Ibadan, Nigeria: a quasi-experimental study

The effect of training and supervision on primary health care workers’ competence to deliver maternal depression inclusive health education in Ibadan, Nigeria: a quasi-experimental study.

Embodiment of the Self in Conditions of Neglect and Antipathy During Childhood and Adolescence

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