Primary Care
Conditions
Keywords
primary care, high-risk families, maternal depression
Brief summary
We hypothesize that relative to families who receive standard individual postpartum and pediatric care, families that receive group care will be more likely to have: * Improved maternal and child health behaviors: i.e increased breastfeeding, exercise, child safety measures in the home and decreased smoking. * Better health care use for babies: i.e. attend more care visits, on-time and complete immunizations and decreased emergency services use. * Better psychosocial outcomes for the families: i.e. decreased stress and depression, and increased social support. * Improved parenting skills: i.e. improved knowledge of child development, involvement in developmentally appropriate activities, and parental sense of competence.
Interventions
OTHERCentering parenting/Group well child care
Intervention families will receive well child care in a group format for the first 12 month of the child's life.
OTHERStandard Care
Sponsors
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Postpartum woman with baby in her care * Receive well-woman care, well-child care and interviews in English * Willingness to receive care in a group setting * Woman planning to receive care at the Yale Women's Center for herself and the Primary Care Center for her baby
Exclusion criteria
* severe medical problem requiring individualized care for mother or baby * Baby born at less than 37 weeks gestation * Baby remaining in hospital when mother getting discharged for any other reason except hyperbilirubinemia * Baby with severe cardiac, respiratory, neuro-developmental or surgical problems
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improved maternal and child health behaviors will be measured using a computer assisted interview. | Interviews will be given at 2 weeks, 6 and 12 months of age. |
Secondary
| Measure | Time frame |
|---|---|
| Better health care utilization for babies will be measured using Medical records review. | 1 year |
| Better psychosocial outcomes for mothers, fathers and babies will be measured using a computer assisted interview. | 2 weeks, 6 months and 12 months of age |
| Improved parenting skills will be assessed using a computer assisted inteview. | 2 weeks, 6 months ad 12 months |
Outcome results
None listed