The effect of frequency of public health nurse home visits on low-risk family wellbeing 2-8 weeks postpartum, a cluster randomised trial

2.50
Hdl Handle:
http://hdl.handle.net/10755/155983
Type:
Presentation
Title:
The effect of frequency of public health nurse home visits on low-risk family wellbeing 2-8 weeks postpartum, a cluster randomised trial
Abstract:
The effect of frequency of public health nurse home visits on low-risk family wellbeing 2-8 weeks postpartum, a cluster randomised trial
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Christie, Janice, PhD
P.I. Institution Name:Queen's University Belfast
Title:Teaching Fellow
[Evidence-based Presentation] Health visitors (UK, registered specialist community public health nurses) visit all families once 10-14 day post-birth. Thereafter, contact is based on professionally assessed need and local policy regarding routine child-health surveillance. Research has identified that intensive home visitation has family wellbeing benefits for 'higher risk' families. While the early postpartum period has been identified as a time when all first-time parents should receive additional support, no study has evaluated the effect of frequency of visits on 'low-risk' family outcomes. The aim of this study is to determine the effect of frequency of postpartum visits on 'low-risk' family outcomes. A cluster randomised trial was undertaken, in which health visitors were the unit of randomisation (n=40, control; n=40 intervention). For the purposes of this study 'risk' was defined according to modified Browne and Herbert (1997) criteria, excluding families with physical and psychosocial concerns. First-time mothers (n=159) with a control group health visitor received one planned home visit and 136 'intervention' parents received six, weekly visits. Mothers self-completed depression, self-efficacy and role restriction psychometric scales at 2 and 8-weeks postpartum and data regarding duration of breastfeeding, use of emergency services, service satisfaction and infant difficulties were collected 8-weeks. Multilevel modeling data analysis was performed. Mothers in the intervention group used less emergency services (CI 0.162/1.584 p=0.016) and were more satisfied by their care (CI 8.363/21.12 p<0.000). No group differences were found regarding self-efficacy, role restriction, infant problems or duration of breastfeeding. Parents who received a higher frequency of home visits reported high levels of depression (CI 0.31/2.341 p=0.012) however, evidence was found that several nurses accounted for this greater distress. It was concluded there is a need for greater use of evidence based practice protocols and monitoring of post-birth care outcomes. Further research should consider the effect of antenatal services on postpartum wellbeing.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe effect of frequency of public health nurse home visits on low-risk family wellbeing 2-8 weeks postpartum, a cluster randomised trialen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155983-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The effect of frequency of public health nurse home visits on low-risk family wellbeing 2-8 weeks postpartum, a cluster randomised trial</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Christie, Janice, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Queen's University Belfast</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Teaching Fellow</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">j.christie@qub.ac.uk</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based Presentation] Health visitors (UK, registered specialist community public health nurses) visit all families once 10-14 day post-birth. Thereafter, contact is based on professionally assessed need and local policy regarding routine child-health surveillance. Research has identified that intensive home visitation has family wellbeing benefits for 'higher risk' families. While the early postpartum period has been identified as a time when all first-time parents should receive additional support, no study has evaluated the effect of frequency of visits on 'low-risk' family outcomes. The aim of this study is to determine the effect of frequency of postpartum visits on 'low-risk' family outcomes. A cluster randomised trial was undertaken, in which health visitors were the unit of randomisation (n=40, control; n=40 intervention). For the purposes of this study 'risk' was defined according to modified Browne and Herbert (1997) criteria, excluding families with physical and psychosocial concerns. First-time mothers (n=159) with a control group health visitor received one planned home visit and 136 'intervention' parents received six, weekly visits. Mothers self-completed depression, self-efficacy and role restriction psychometric scales at 2 and 8-weeks postpartum and data regarding duration of breastfeeding, use of emergency services, service satisfaction and infant difficulties were collected 8-weeks. Multilevel modeling data analysis was performed. Mothers in the intervention group used less emergency services (CI 0.162/1.584 p=0.016) and were more satisfied by their care (CI 8.363/21.12 p&lt;0.000). No group differences were found regarding self-efficacy, role restriction, infant problems or duration of breastfeeding. Parents who received a higher frequency of home visits reported high levels of depression (CI 0.31/2.341 p=0.012) however, evidence was found that several nurses accounted for this greater distress. It was concluded there is a need for greater use of evidence based practice protocols and monitoring of post-birth care outcomes. Further research should consider the effect of antenatal services on postpartum wellbeing.</td></tr></table>en_GB
dc.date.available2011-10-26T14:20:32Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:20:32Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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