Status of High Body Weight Among Nurse-Family Partnership Children

Thorland, W.; Currie, Dustin W.; Colangelo, Claire

doi:10.1097/nmc.0000000000000369

Cited by 5 publications

(5 citation statements)

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“…Such findings, largely based on randomized trials, add further support to the potential for NFP to facilitate clients' growth toward economic self-sufficiency, as a result of the program's replication. Additionally, prior studies of other cohorts from NFP replications have also shown beneficial impacts on birth outcomes and child development metrics Thorland, Currie, & Colangelo, 2017;Thorland, Currie, Wiegand, et al, 2017).…”

Section: Discussionmentioning

confidence: 95%

Education and employment outcomes in clients of the Nurse–Family Partnership

Flowers

Sainer

Stoneburner

et al. 2020

Public Health Nursing

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Objectives Nurse–Family Partnership (NFP) is an evidence‐based home visitation program designed for low‐income, first‐time mothers to support pregnancy, child development, and maternal self‐sufficiency. This study examined educational and employment outcomes among NFP clients compared to a reference sample. Design Entropy balancing and a difference‐in‐difference design were used to compare the two samples of women from 2007 to 2016. Sample There were 127,427 women in the NFP sample, and 787 women in the reference cohort. Measurements Educational outcomes included high school completion and employment outcomes consisted of employment status. Results Across a one‐year interval, NFP mothers with less than a high school diploma or general education diploma (GED) at baseline showed a 9.5 percentage point increase in diploma or GED attainment compared to the reference mothers [95% CI: 0.015–0.180]. Similarly, mothers enrolled in NFP who were not employed at baseline showed a 7.8 percentage point increase in employment compared to the reference mothers [95% CI: 0.003–0.150]. Conclusions The findings in this study show positive results for NFP mothers attaining high school completion and employment compared to mothers in the reference group. Such findings are of importance with regard to progression toward economic self‐sufficiency and corresponding reduction of health disparities.

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Section: Discussionmentioning

confidence: 95%

Education and employment outcomes in clients of the Nurse–Family Partnership

Flowers

Sainer

Stoneburner

et al. 2020

Public Health Nursing

Self Cite

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“…More than two-thirds of pregnant women exceed the Institute of Medicine (IOM) 2009 gestational weight gain (GWG) recommendations [1–3]. Excess gestational weight gain is problematic for women entering pregnancy at any size [4], and pregnant women with overweight and obesity are at increased risk for adverse maternal outcomes including gestational diabetes, hypertension [5, 6], Cesarean delivery [6, 7], and postpartum weight retention [2, 8], and infant outcomes including large for gestational age at birth [9] and obesity in childhood [10, 11]. Limiting gestational weight gain as recommended by the IOM guidelines may, therefore, have beneficial effects for both mother and infant at delivery and later in life highlighting the critical need for interventions promoting appropriate weight gain during pregnancy [12].…”

Section: Introductionmentioning

confidence: 99%

Mood and quality of life changes in pregnancy and postpartum and the effect of a behavioral intervention targeting excess gestational weight gain in women with overweight and obesity: a parallel-arm randomized controlled pilot trial

Altazan

Redman

Burton

et al. 2019

BMC Pregnancy Childbirth

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BackgroundIntensive lifestyle interventions in pregnancy have shown success in limiting gestational weight gain, but the effects on mood and quality of life in pregnancy and postpartum are less known. The purpose was to quantify changes in mental and physical quality of life and depressive symptoms across pregnancy and the postpartum period, to determine the association between gestational weight gain and change in mood and quality of life, and to assess the effect of a behavioral intervention targeting excess gestational weight gain on these outcomes.MethodsA three group parallel-arm randomized controlled pilot trial of 54 pregnant women who were overweight or obese was conducted to test whether the SmartMoms® intervention decreased the proportion of women with excess gestational weight gain. Individuals randomized to Usual Care (n = 17) did not receive any weight management services from interventionists. Individuals randomized to the SmartMoms® intervention (n = 37) were provided with behavioral weight management counseling by interventionists either in clinic (In-Person, n = 18) or remotely through a smartphone application (Phone, n = 19). In a subset of 43 women, mood and mental and physical quality of life were assessed with the Beck Depression Inventory-II and the Rand 12-Item short form, respectively, in early pregnancy, late pregnancy, 1–2 months postpartum, and 12 months postpartum.ResultsThe SmartMoms® intervention and Usual Care groups had higher depressive symptoms (p < 0.03 for SmartMoms® intervention, p < 0.01 for Usual Care) and decreased physical health (p < 0.01) from early to late pregnancy. Both groups returned to early pregnancy mood and physical quality of life postpartum. Mental health did not change from early to late pregnancy (p = 0.8), from early pregnancy to 1–2 months (p = 0.5), or from early pregnancy to 12 months postpartum (p = 0.9), respectively. There were no significant intervention effects. Higher gestational weight gain was associated with worsened mood and lower physical quality of life across pregnancy.ConclusionHigh depressive symptoms and poor quality of life may be interrelated with the incidence of excess gestational weight gain. The behavioral gestational weight gain intervention did not significantly impact these outcomes, but mood and quality of life should be considered within future interventions and clinical practice to effectively limit excess gestational weight gain.Trial registrationNCT01610752, Expecting Success, Registered 31 May 2012.Electronic supplementary materialThe online version of this article (10.1186/s12884-019-2196-8) contains supplementary material, which is available to authorized users.

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“…More than 40% of low-income children enrolled in federally funded programs are overweight or obese by age 5 [43–46] Recent data further indicates that the prevalence of high Weight-For-Length among children enrolled in home visitation programs is substantially greater than that of the general U.S. population (based on NHANES data). This trend also persisted across strata based on the sex of the child, as well as across primary classifications of race-ethnicity [133] Given the high prevalence of obesity in this priority population, childhood obesity will likely be identified as a priority to be addressed by home visitation programs nationwide. These priorities are set forth by the funder of our home visitation partner for this project (U.S. Maternal Infant and Early Childhood Home Visiting Program; Health Resources and Services Administration; U.S. Department of Health and Human Services).…”

Section: Resultsmentioning

confidence: 99%