Parenting
Conditions
Keywords
Home visiting interventions, American Indian, Community based participatory research
Brief summary
The aim of the proposed research is to implement and evaluate a follow-up study of the impact of the Family Spirit family strengthening program among a high-risk sample of Apache mothers and their children. The Family Spirit intervention is a 52-session home-visiting curriculum administered by American Indian paraprofessionals to young mothers from 28 weeks gestation through the child's first 3 years of life. In a series of pilot studies and a recently completed randomized controlled trial, the Family Spirit intervention has been found to positively impact several maternal, parenting and child outcomes up through three years postpartum. In the proposed study, the investigators will implement the Family Spirit intervention to young mothers (12-20 years at conception), with revisions to several assessment measures and to the curriculum such that the substance abuse prevention curriculum modules will be taught earlier than in the original study.
Detailed description
This is a single group pre-post study designed to evaluate the impact of a home visiting intervention in improving parenting self-efficacy and a number of other maternal and child health and behavioral outcomes among a sample of young mothers, including maternal substance use. The Family Spirit intervention consists of 52 sessions (30-60 minutes in duration) delivered during a 39-month intervention phase. All sessions are designed to be taught at the participant's home, but they may also occur at another location chosen by the participant (e.g. study office, vehicle). Outcome data will be collected at Baseline and at 2 months, 6 months, 12 months, 24 months and 36 months postpartum.
Interventions
BEHAVIORALFamily Spirit
The Family Spirit intervention consists of 52 sessions (30-60 minutes in duration) delivered during a 39-month intervention phase and designed to positively impact a number of maternal and child behavioral and health outcomes.
Sponsors
Johns Hopkins Bloomberg School of Public Health
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
12 Years to 20 Years
Healthy volunteers
Yes
Inclusion criteria
* Pregnant American Indian female less than or equal to 32 weeks gestation. * Reside within 60 miles of Whiteriver Indian Health Service unit. * Age 12-20 years of age at time of conception
Exclusion criteria
* Completed previous randomized controlled trial of Family Spirit * ≤11 years old or ≥21 years old at time of conception of index pregnancy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Increase in score on parenting self-efficacy scale | 24 months postpartum |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Improved prenatal and infant medical care practices | 24 months postpartum | Includes: prenatal care utilization, prenatal use of alcohol/drugs, preconception care, inter-birth intervals, screening for maternal depressive symptoms, breastfeeding, well-child visit utilization, maternal and child health insurance status |
| Reduction in emergency department visits due to childhood injuries | 24 months postpartum | Includes: visits for children to emergency department for all causes and due to injury, home safety |
| Improved school readiness scores | 24 months postpartum | Includes: parent support for children's learning and development, parent knowledge of child development, parenting behaviors, parent-child relationship, parent stress, child's communication and literacy, child's cognitive skills, child's approach to learning, child's social behavior, and child's physical health and development |
| Improved score on family economic self-sufficiency scale | 24 months postpartum | — |
| Increased referrals for community resources | 24 months postpartum | — |
Countries
United States
Outcome results
None listed