To determine if participation in group sessions as part of health supervision visits for infants improves outcomes compared with individual visits in high-risk mothers.
Randomized controlled clinical trial.
Mothers of young infants who had at least 1 of the following risk factors : aged younger than 20 years at delivery, participation in Medicaid, less than a high school education, previous or ongoing substance abuse, or history of abuse as a child.
Two urban university pediatric clinics in Seattle, Wash.
Mother-infant dyads were randomized to receive group well-child care (GWCC) or individual well-child care (IWCC) before the infant was 4 months old ; the intervention continued until the child was 15 months old.
Mothers completed the Sense of Competence and Social Isolation subscales from the Parenting Stress Index and Sarason's Social Support Questionnaire at enrollment and again on completion of the study.
During the 11-month study period, 7 health supervision visits were scheduled for each mother-infant dyad.
Social workers met periodically with mothers during the study and assessed the following functional outcomes : return to school, return to work, enrollment in a substance abuse treatment program, and becoming pregnant.
In addition, data on study children were collected from Child Protective Services to assess referrals because of suspected abuse and/or neglect. (...)
Mots-clés Pascal : Soin intégré, Dépistage, Randomisation, Facteur risque, Milieu familial, Haute teneur, Etude comparative, Relation mère enfant, Prévention, Etats Unis, Amérique du Nord, Amérique, Pédiatrie
Mots-clés Pascal anglais : Managed care, Medical screening, Randomization, Risk factor, Family environment, High content, Comparative study, Mother child relation, Prevention, United States, North America, America, Pediatrics
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0311488
Code Inist : 002B30A03B. Création : 27/11/1998.