Primary Prevention
Conditions
Keywords
public health nurse, intervention, home visit
Brief summary
The New Families (NF) program will improve quality of existing services, secure personalised service and early intervention in Child Health Service (CHS) in Oslo. The study will measure the effects of a primary prevention family-centered healthcare intervention in Norwegian CHS.
Detailed description
The New Families (NF) program will improve quality of existing services, secure personalised service and early intervention in Child Health Service (CHS) in Oslo. The study will: 1) Measure the effects of a primary prevention family-centered healthcare intervention in Norwegian CHS, 2) Create case studies from CHS praxis advancing Public Health Nurse (PHN) training and education in Oslo and Norway, 3) Establish a model for how to include users in service development in CHS, 4) Enhance the knowledge base of the PHN practice in CHS Anticipated results: The project will bolster the knowledge base for education and professional practices within the service by strengthen the existing research within the field. The anticipated results of the project are that the intervention will increase maternal and parental self-efficacy, reduce the risk of postpartum depression among first-time mothers, reduce parental stress, increase social support, improve maternal attachment, improve generic health status, improve partner relationship and improve child development compared with usual care. The intervention research in this project can be a future model for service improvement in the CHS.
Interventions
OTHERSupportive home visits to new families
The new families are offered home visits by a public health nurse from 28 weeks in pregnancy until the child is two years old. The number of home visits depends on the families needs and wishes. They also get the usual follow up from the Child health center.
OTHERTreatment as usual
Follow up at the Child health center according to national regulations
Sponsors
Oslo Municipality
University of Oslo
Norwegian Institute of Public Health
The Research Council of Norway
VID Specialized University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* First time parents living in the chosen districts
Exclusion criteria
* All other parents
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life in women and men during pregnancy and postpartum | Pregnancy week 28, 3 months postpartum, 12 months postpartum. | To explore first-time parents' QoL during pregnancy and first-time mothers QoL postpartum, and to evaluate the difference in QoL between mothers in the intervention and control districts. Instrument: WHOQOL-BREF, 26-item. Score 4-20, higher scores indicate higher QoL. |
| Depression in mothers in pregnancy | 28 weeks pregnancy | Edinburgh postnatal depression scale (EPDS). 10 items. Score 0-30. Score 12 or above indicate postpartum depression. |
| Depression in fathers when partner is pregnant | 28 weeks pregnancy | Edinburgh postnatal depression scale (EPDS). 10 items. Score 0-30. Score 12 or above indicate postpartum depression. |
| Depression in mothers three months postpartum | 3 months postpartum | Edinburgh postnatal depression scale (EPDS). 10 items. Score 0-30. Score 12 or above indicate postpartum depression. |
| Depression in fathers three months postpartum | 3 months postpartum | Edinburgh postnatal depression scale (EPDS). 10 items. Score 0-30. Score 12 or above indicate postpartum depression. |
| Sense of Coherence in mothers in pregnancy | 28 weeks pregnancy | Sense of Coherence Scale (SOC 13). 26 items. Score 13-90. Higher score is positive, score under 66 is low. |
| Sense of Coherence in fathers in pregnancy | 28 weeks pregnancy | Sense of Coherence Scale (SOC 13). 26 items. Score 13-90. Higher score is positive, score under 66 is low. |
| Sense of Coherence in mothers three months postpartum | 3 months postpartum | Sense of Coherence Scale (SOC 13). 26 items. Score 13-90. Higher score is positive, score under 66 is low. |
| Sense of Coherence in fathers three months postpartum | 3 months postpartum | Sense of Coherence Scale (SOC 13). 26 items. Score 13-90. Higher score is positive, score under 66 is low. |
| Self-Efficacy in mothers 6 weeks postpartum | 6 weeks postpartum | Perceived Maternal Parenting Self-Efficacy (PMP S-E) 20 items. score 22-88. A higher score indicates a higher level of maternal self-efficacy |
| Self-Efficacy in fathers 6 weeks postpartum | 6 weeks postpartum | Perceived Maternal Parenting Self-Efficacy (PMP S-E) 20 items. score 22-88. A higher score indicates a higher level of maternal self-efficacy |
| Self-Efficacy in mothers 3 months postpartum | 3 months postpartum | Perceived Maternal Parenting Self-Efficacy (PMP S-E) 20 items. score 22-88. A higher score indicates a higher level of maternal self-efficacy |
| Self-Efficacy in fathers 3 months postpartum | 3 months postpartum | Perceived Maternal Parenting Self-Efficacy (PMP S-E) 20 items. score 22-88. A higher score indicates a higher level of maternal self-efficacy |
| Parental Stress in fathers 3 months postpartum | 3 months postpartum | Parental Stress Scale (PSS) is formatted in the form of an 18-item self-report scale. Items represent positive (e.g. emotional benefits, personal development) and negative (demands on resources, restrictions) themes of parenthood. A higher score indicates a higher level of parental stress. |
| Parental Stress in mothers 3 months postpartum | 3 months postpartum | Parental Stress Scale (PSS) is formatted in the form of an 18-item self-report scale. Items represent positive (e.g. emotional benefits, personal development) and negative (demands on resources, restrictions) themes of parenthood. A higher score indicates a higher level of parental stress. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| What are the barriers and facilitators to implementation of the PHN intervention? | The interviews will take place about 12 months postpartum | This research question will be explored by addressing the process of implementation. Data will be collected through a short survey and semi-structured interviews with PHNs and users (first-time mothers/fathers). An interview guide will be developed |
Countries
Norway
Outcome results
None listed