Hispanic or Latino
100%
Source
Nguyen, J. D., Carson, M. L., Parris, K. M., & Place, P. (2003). A comparison pilot study of public health field nursing home visitation program interventions for pregnant Hispanic adolescents. Public Health Nursing, 20(5), 412. doi:10.1046/j.1525-1446.2003.20509.x
Model(s) Reviewed
Note: Navigate to model page for more information about the home visiting model. See the study manuscript for more information about how the model was implemented in this study.
Funding Sources
Funder(s) not listed.
Study Design
| Design | Attrition | Baseline equivalence | Confounding factors | Valid, reliable measures? |
|---|---|---|---|---|
| Randomized controlled trial | Low | Established on ethnicity. Not established on SES |
None |
Not assessed in manuscripts reviewed under Handbook of Procedures and Standards, Version 1 |
Study Participants
Drawing on pregnant adolescent patients who had been referred by physicians, community clinics, schools, and other social-and health-service agencies, this pilot study identified eligible adolescents before randomly assigning them to study groups. Eligible participants were on or eligible for Medi-Cal, at less than 28 weeks gestation, younger than 20 years old, and pregnant with their first child. Participants assigned to the comparison group received traditional Public Health Field Nursing (PHFN) services, while the program group received services from advanced trained public health nurses (ATPHN). A total of 225 Hispanic adolescents enrolled in the study (104 program and 121 comparison). Typical study participants were single, never married, enrolled in school, and planning to continue education postpartum. Across the two groups, 49 mothers were lost to follow-up, and birth outcome information was available on 156 infants (71 program and 85 comparison).
Setting
Urban communities in Orange County, California
Home Visiting Services
Program group participants received weekly ATPHN home visits lasting 60-90 minutes for the first four weeks, followed by visits every other week until delivery,weekly for the next six weeks, every other week until the child was 21 months old and monthly until the child was 24 months old. Home visits focused on promoting self-efficacy by encouraging adolescents to set personal goals, make adaptive behavior changes to promote healthy pregnancy outcomes, develop positive parenting skills, and optimize the developmental potential of the infant. ATPHNs assisted program participants with developing informal support systems and provided referrals as needed.
Model(s) Reviewed
Note: Navigate to model page for more information about the home visiting model. See the study manuscript for more information about how the model was implemented in this study.
Comparison Conditions
Participants in the comparison group received a minimum of three PHFN visits: one initial assessment, one antepartum visit, and one postpartum and newborn visit. During these visits, the nurse provided physical assessment, education, and referrals.
Findings that rate moderate or high in this manuscript
Child health
| Outcome measure | Timing of follow-up | Rating | Direction of Effect | Effect size (absolute value) | Stastical significance | Sample size | Sample description | |
|---|---|---|---|---|---|---|---|---|
Gestational age (months) |
Birth |
Moderate | 0.02 | Not reported |
154 children | NFP-trained nurse visitors and comparison nurse visitors |
||
Birth weight (grams) |
Birth |
Moderate | 0.29 | Not reported |
156 children | NFP-trained nurse visitors and comparison nurse visitors |
This study included participants with the following characteristics at enrollment:
Race/Ethnicity
Maternal Education
Other Characteristics
This study included participants from the following locations:
- California