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Variations in sustained home visiting care for mothers and children experiencing adversity

OBJECTIVE: This study aimed to examine the variations in care received by mothers and families within a sustained home visiting program. We sought to identify the extent to which there were variations in home visiting care in response to the program schedule and families’ risk factors. DESIGN AND SA...

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Autores principales: Kanda, Kie, Blythe, Stacy, Grace, Rebekah, Elcombe, Emma, Kemp, Lynn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9299687/
https://www.ncbi.nlm.nih.gov/pubmed/34862813
http://dx.doi.org/10.1111/phn.13014
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author Kanda, Kie
Blythe, Stacy
Grace, Rebekah
Elcombe, Emma
Kemp, Lynn
author_facet Kanda, Kie
Blythe, Stacy
Grace, Rebekah
Elcombe, Emma
Kemp, Lynn
author_sort Kanda, Kie
collection PubMed
description OBJECTIVE: This study aimed to examine the variations in care received by mothers and families within a sustained home visiting program. We sought to identify the extent to which there were variations in home visiting care in response to the program schedule and families’ risk factors. DESIGN AND SAMPLE: Data collected within the right@home program, a randomized controlled trial (RCT) for a sustained nurse home visiting intervention in Australia, were analyzed. A total of 352 women comprised the intervention arm of the trial. MEASUREMENTS: Visit content in the home visiting program, sociodemographic data, and families’ risk factors were used for analysis. RESULTS: Our results confirmed that the majority of women received scheduled content on time or within an acceptable timeframe, except for the sleeping program. Women with identified risks were significantly more likely to receive content related to those risks than women without those risks (smoking: Odds Ratio [OR] = 15.39 [95%CI 3.7–64.7], mental health: OR = 15.04 [1.8–124.0], domestic violence: OR = 4.07 [2.0–8.3], and drugs and alcohol: OR = 1.81 [1.1–3.0]). CONCLUSIONS: The right@home program had high compliance with the scheduled content. Capacity development in responding to mothers with the risk of domestic violence and drugs and alcohol is recommended. Further research is required to explore the relationship between variations in care and critical outcomes.
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spelling pubmed-92996872022-07-21 Variations in sustained home visiting care for mothers and children experiencing adversity Kanda, Kie Blythe, Stacy Grace, Rebekah Elcombe, Emma Kemp, Lynn Public Health Nurs Population Studies OBJECTIVE: This study aimed to examine the variations in care received by mothers and families within a sustained home visiting program. We sought to identify the extent to which there were variations in home visiting care in response to the program schedule and families’ risk factors. DESIGN AND SAMPLE: Data collected within the right@home program, a randomized controlled trial (RCT) for a sustained nurse home visiting intervention in Australia, were analyzed. A total of 352 women comprised the intervention arm of the trial. MEASUREMENTS: Visit content in the home visiting program, sociodemographic data, and families’ risk factors were used for analysis. RESULTS: Our results confirmed that the majority of women received scheduled content on time or within an acceptable timeframe, except for the sleeping program. Women with identified risks were significantly more likely to receive content related to those risks than women without those risks (smoking: Odds Ratio [OR] = 15.39 [95%CI 3.7–64.7], mental health: OR = 15.04 [1.8–124.0], domestic violence: OR = 4.07 [2.0–8.3], and drugs and alcohol: OR = 1.81 [1.1–3.0]). CONCLUSIONS: The right@home program had high compliance with the scheduled content. Capacity development in responding to mothers with the risk of domestic violence and drugs and alcohol is recommended. Further research is required to explore the relationship between variations in care and critical outcomes. John Wiley and Sons Inc. 2021-12-03 2022 /pmc/articles/PMC9299687/ /pubmed/34862813 http://dx.doi.org/10.1111/phn.13014 Text en © 2021 The Authors. Public Health Nursing published by Wiley Periodicals LLC https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Population Studies
Kanda, Kie
Blythe, Stacy
Grace, Rebekah
Elcombe, Emma
Kemp, Lynn
Variations in sustained home visiting care for mothers and children experiencing adversity
title Variations in sustained home visiting care for mothers and children experiencing adversity
title_full Variations in sustained home visiting care for mothers and children experiencing adversity
title_fullStr Variations in sustained home visiting care for mothers and children experiencing adversity
title_full_unstemmed Variations in sustained home visiting care for mothers and children experiencing adversity
title_short Variations in sustained home visiting care for mothers and children experiencing adversity
title_sort variations in sustained home visiting care for mothers and children experiencing adversity
topic Population Studies
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9299687/
https://www.ncbi.nlm.nih.gov/pubmed/34862813
http://dx.doi.org/10.1111/phn.13014
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