Self-efficacy Quality of life
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: The target population are pregnant women and those with infants in their first year of life (0-12 months) who are at particular psychosocial distress. Contact with the target population is established in the context of prenatal care in gynecological practices as well as in the context of early detection examinations in pediatric practices.
Exclusion criteria
Exclusion criteria: Language not German, English, French, Russian, Fasi, Arabic, Spanish
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The effectiveness and efficiency of the new forms of care are examined as primary outcome measures in the context of the following question: Which form of care is best in gynecological or pediatric practices, ie. H. most effective and efficient, suitable for the transfer of patients with special stress situations into the youth welfare system? For this purpose, in all three conditions, the exposure rate is recorded by means of a self-developed stress screening, the transfer rate by means of the documentation questionnaires of the medical practices and the utilization rate by means of the parent information in the telephone interviews. The endpoint is reached by the case conclusion in the doctor's office or the telephone interview with the parents 2 months after forwarding. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes are the acceptance and the feasibility of the following questions: How satisfied are the patients and staff of the gynecological and pediatric practices with the training, the load history and the transfer in the respective conditions? For this purpose, semi-structured telephone interviews are carried out with all patients who voluntarily agree to a survey. In addition, telephone interviews are conducted with the medical staff of the medical practices and employees of the youth welfare office. In addition, the generalizability and transferability of the results are considered: Which specific conditions are relevant for the transfer of the new form of care to other regions (urban vs. rural catchment, structure parameters of the practices), populations and professions? Analysis of the catchment area, the structural parameters and population specifics by means of data collection in the practices for use as mediator variables. Endpoint is the telephone interview with the parents about 2 months after forwarding. Furthermore, self-efficacy and quality of life will be tested: How do self-efficacy and quality of life change during 6 months in the different condtions? Using a pre-post study design self-efficacy and quality of life will be assessed around the first screening and 6 months later. | — |
Countries
Germany
Contacts
Universitätsklinikum Hamburg-Eppendorf