The Influence of Intervention Augmentation and Strength of Maternal Engagement on Community Child Health Nurse Home Visiting for New Parents: An Exploratory Study

2.50
Hdl Handle:
http://hdl.handle.net/10755/243255
Category:
Full-text
Type:
Presentation
Title:
The Influence of Intervention Augmentation and Strength of Maternal Engagement on Community Child Health Nurse Home Visiting for New Parents: An Exploratory Study
Author(s):
Flemington, Tara J.; Fraser, Jennifer Anne
Lead Author STTI Affiliation:
N/A
Author Details:
Flemington, Tara J., RN, BNurs, BHlthSci, GradCertNursing, tfle7215@uni.sydney.edu.au; Fraser, Jennifer A., PhD, RN, BN, MN;
Abstract:
Purpose:

Sustained and high quality maternal involvement in home visiting programs may be an important factor in reducing child abuse potential in at-risk families. This study aimed to examine this neglected field by investigating factors predicting program engagement and relationship to maternal outcomes in an intensive, nurse-led home visiting program in South East Queensland. Using a theoretical basis of Bronfenbrenner's ecological theory and McCurdy and Daro's theory of parental engagement in home visiting programs, the study aimed to examine engagement in the Australian context.

Methods:

Data from a longitudinal randomised controlled trial investigating standard nurse home visiting (Family Care) and an augmented program (PUP B) were analysed. A chart audit following the trial was then conducted to elicit detailed information about duration of program participation and longer term postnatal depression status. '

Results:

A relationship between maternal engagement, postnatal depression and child abuse potential, maternal engagement and maternal-infant attachment, and enrolment in an augmented program and child abuse potential was found.

Conclusion:

The majority of studies in this area have examined the relationship between either maternal or provider characteristics, or both, and maternal engagement. The limited and conflicting results arising from previous research may be due to a lack of depth and complexity of the variables, or potential confounders, such as community characteristics, being excluded from the analysis. There is a scarcity of research that examines complex explanatory variables and their relationship to engagement and program outcomes. This study found that maternal engagement is an important factor in success of home visiting programs in terms of outcomes achieved and program completion. Further investigation in the Australian context is needed to clarify the direction of influence of explanatory variables.

Keywords:
home visiting; child maltreatment; engagement
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012 ; 12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleThe Influence of Intervention Augmentation and Strength of Maternal Engagement on Community Child Health Nurse Home Visiting for New Parents: An Exploratory Studyen
dc.contributor.authorFlemington, Tara J.en
dc.contributor.authorFraser, Jennifer Anneen
dc.contributor.departmentN/Aen
dc.author.detailsFlemington, Tara J., RN, BNurs, BHlthSci, GradCertNursing, tfle7215@uni.sydney.edu.au; Fraser, Jennifer A., PhD, RN, BN, MN;en
dc.identifier.urihttp://hdl.handle.net/10755/243255-
dc.description.abstract<b>Purpose: </b> <p>Sustained and high quality maternal involvement in home visiting programs may be an important factor in reducing child abuse potential in at-risk families. This study aimed to examine this neglected field by investigating factors predicting program engagement and relationship to maternal outcomes in an intensive, nurse-led home visiting program in South East Queensland. Using a theoretical basis of Bronfenbrenner's ecological theory and McCurdy and Daro's theory of parental engagement in home visiting programs, the study aimed to examine engagement in the Australian context. <p><b>Methods: </b> <p>Data from a longitudinal randomised controlled trial investigating standard nurse home visiting (Family Care) and an augmented program (PUP B) were analysed. A chart audit following the trial was then conducted to elicit detailed information about duration of program participation and longer term postnatal depression status. ' <p><b>Results: </b> <p>A relationship between maternal engagement, postnatal depression and child abuse potential, maternal engagement and maternal-infant attachment, and enrolment in an augmented program and child abuse potential was found. <p><b>Conclusion: </b> <p>The majority of studies in this area have examined the relationship between either maternal or provider characteristics, or both, and maternal engagement. The limited and conflicting results arising from previous research may be due to a lack of depth and complexity of the variables, or potential confounders, such as community characteristics, being excluded from the analysis. There is a scarcity of research that examines complex explanatory variables and their relationship to engagement and program outcomes. This study found that maternal engagement is an important factor in success of home visiting programs in terms of outcomes achieved and program completion. Further investigation in the Australian context is needed to clarify the direction of influence of explanatory variables.en
dc.subjecthome visitingen
dc.subjectchild maltreatmenten
dc.subjectengagementen
dc.date.available2012-09-12T09:19:41Z-
dc.date.issued2012-09-12-
dc.date.issued2012-09-12en
dc.date.accessioned2012-09-12T09:19:41Z-
dc.conference.date2012en
dc.conference.name23rd International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationBrisbane, Australiaen
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