Tasmina Hydery1, Sara Shields2, Eden Hen3, Paul Rizzo4, Kate Sullivan5, Judith A Savageau1. 1. Family Medicine and Community Health, University of Massachusetts Chan Medical School, 55 N Lake Avenue, Worcester, MA, 01655, USA. 2. Worcester Healthy Baby Collaborative and Family Health Center of Worcester, Family Medicine and Community Health, University of Massachusetts Chan Medical School, 26 Queen Street, Worcester, MA, 01610, USA. sara.shields@umassmed.edu. 3. Kaiser Permanente Oakland Medical Center, 3600 Broadway, Oakland, CA, 94611, USA. 4. Cambridge Health Alliance, 195 Canal Street, Malden, MA, 02148, USA. 5. Commonwealth Medicine, University of Massachusetts Chan Medical School, 333 South Street, Shrewsbury, MA, 01545, USA.
Abstract
INTRODUCTION: Community forum participants voted for an education and resource distribution program (using a baby box) to help reduce local infant mortality. Although multiple sites have implemented similar programs, there is limited peer-reviewed literature about outcomes. METHODS: A retrospective pre- and immediate post-survey design with an intervention (video and written education and resource distribution) in between was utilized with a follow-up survey. The primary research objectives were whether viewing educational videos led to change in self-reported likelihood of select maternal behaviors. Other objectives were whether demographic characteristics were associated with self-reported likelihood of behaviors, and to assess the actual self-reported postpartum behavior. RESULTS: Participants reported a change in likelihood in: asking a WIC counselor for help (p < 0.001); talking with a provider about substance use (p = 0.014), postpartum depression (p < 0.001) and birth control (p = 0.025); and using the baby box as a sleeping space (p < 0.01). After watching the educational videos, college-educated participants were significantly more likely than participants with high school education or less to report likelihood to breastfeed (p = 0.039). Over half of the participants (59.2%) in the follow-up survey reported breastfeeding most to all of the time, compared to 91.5% who reported they were more likely to breastfeed in the post-education survey. The proportion of participants at the follow-up survey who reported bed-sharing most or all of the time (5.7%) was lower than those participants who had said they were likely or very likely to bed-share in the post-education survey (11.3%). Although nearly all participants (98.6%) in the post-education survey reported that they were likely to use the baby box, at the postpartum follow-up, 39.1% reported actual use of the baby box. CONCLUSIONS FOR PRACTICE: The program positively impacted self-reported likelihood of several health behaviors. A community-driven approach to maternal education and resource distribution may be beneficial in other cities.
INTRODUCTION: Community forum participants voted for an education and resource distribution program (using a baby box) to help reduce local infant mortality. Although multiple sites have implemented similar programs, there is limited peer-reviewed literature about outcomes. METHODS: A retrospective pre- and immediate post-survey design with an intervention (video and written education and resource distribution) in between was utilized with a follow-up survey. The primary research objectives were whether viewing educational videos led to change in self-reported likelihood of select maternal behaviors. Other objectives were whether demographic characteristics were associated with self-reported likelihood of behaviors, and to assess the actual self-reported postpartum behavior. RESULTS: Participants reported a change in likelihood in: asking a WIC counselor for help (p < 0.001); talking with a provider about substance use (p = 0.014), postpartum depression (p < 0.001) and birth control (p = 0.025); and using the baby box as a sleeping space (p < 0.01). After watching the educational videos, college-educated participants were significantly more likely than participants with high school education or less to report likelihood to breastfeed (p = 0.039). Over half of the participants (59.2%) in the follow-up survey reported breastfeeding most to all of the time, compared to 91.5% who reported they were more likely to breastfeed in the post-education survey. The proportion of participants at the follow-up survey who reported bed-sharing most or all of the time (5.7%) was lower than those participants who had said they were likely or very likely to bed-share in the post-education survey (11.3%). Although nearly all participants (98.6%) in the post-education survey reported that they were likely to use the baby box, at the postpartum follow-up, 39.1% reported actual use of the baby box. CONCLUSIONS FOR PRACTICE: The program positively impacted self-reported likelihood of several health behaviors. A community-driven approach to maternal education and resource distribution may be beneficial in other cities.
Authors: Sarah S Cohen; Dominik D Alexander; Nancy F Krebs; Bridget E Young; Michael D Cabana; Peter Erdmann; Nicholas P Hays; Carla P Bezold; Elizabeth Levin-Sparenberg; Marco Turini; Jose M Saavedra Journal: J Pediatr Date: 2018-10-04 Impact factor: 4.406
Authors: Ann L Kellams; Kelly K Gurka; Paige P Hornsby; Emily Drake; Mark Riffon; Daphne Gellerson; Gauri Gulati; Valerie Coleman Journal: J Hum Lact Date: 2015-08-19 Impact factor: 2.219