Black or African American
10%
Koniak-Griffin, D., Anderson, N. L., Verzemnieks, I., & Brecht, M. L. (2000). A public health nursing early intervention program for adolescent mothers: Outcomes from pregnancy through 6 weeks postpartum. Nursing Research, 49(3), 130–138.
Study design characteristics contributing to rating
| Design | Attrition | Baseline equivalence | Confounding factors? | Valid, reliable measures? |
|---|---|---|---|---|
| Randomized controlled trial | Low |
Not Applicable |
None |
Not assessed in manuscripts reviewed under Handbook of Procedures and Standards, Version 1 |
Notes from the review of this manuscript
High rating applies to 12 outcomes. Analyses of two outcomes—NCAST total score and NCAST mother’s score—receive a moderate rating because of high attrition.
Child Health
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| Additional days of rehospitalization | 6 weeks postpartum | High | Statistically significant, p = 0.046 | 121 mothers | San Bernardino sample | ||
| Birth weight | 6 weeks postpartum | High | 0.04 | Statistical significance not reported | 121 mothers | San Bernardin o sample | |
| Percentage premature | Intrapartum | High | 0.62 | Statistical significance not reported | 121 mothers | San Bernardino sample | |
| Total number of days for birth-related infant hospitalization | 6 weeks postpartum | High | Not statistically significant, p = 0.07 | 121 mothers | San Bernardino sample | ||
| Total number of days for infant re-hospitalization during the first 6 weeks of life | 6 weeks postpartum | High | Statistically significant, p = 0.01 | 121 mothers | San Bernardino sample |
Family Economic Self-Sufficiency
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| Positive education outcome | 6 weeks postpartum | High | Statistically significant, p < 0.009 | 121 mothers | San Bernardino sample | ||
| Positive education transitions | 6 weeks postpartum | High | Statistically significant, p =0.02 | 121 mothers | San Bernardino sample |
Maternal Health
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| External social competence | 6 weeks postpartum | High | 0.40 | Statistically significant, p =0.03 | 121 mothers | San Bernardino sample | |
| Internal social competence | 6 weeks postpartum | High | 0.28 | Not statistically significant, p > 0.05 | 121 mothers | San Bernardino sample | |
| Number of prenatal health problems | 6 weeks postpartum | High | 0.03 | Not statistically significant, p ≥ 0.05 | 121 mothers | San Bernardino sample | |
| Substance use | 6 weeks postpartum | High | Not statistically significant, p ≥ 0.05 | 121 mothers | San Bernardino sample | ||
| Total number of prenatal visits | 6 weeks postpartum | High | 0.03 | Not statistically significant, p ≥ 0.05 | 121 mothers | San Bernardion sample |
Positive Parenting Practices
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| NCAST mother’s score | 6 weeks postpartum | Moderate | Not statistically significant, p ≥ 0.05 | 97 mothers | San Bernardino sample, NCAST sample | ||
| NCAST total score | 6 weeks postpartum | Moderate | 0.28 | Not statistically significant, p ≥ 0.05 | 97 mothers | San Bernardino sample, NCAST sample |
This study included participants from the following locations:
- California
Study Participants
Participants were recruited via referrals to a county public health department and assigned randomly to either the intervention or the comparison group. Initially 144 mothers were randomly assigned, 75 to the treatment group and 69 to the comparison group (information obtained from authors). One hundred twenty-one young mothers and their children participated in the study. Most were poor, unmarried, and expecting their first child. Mothers ranged in age from 14 to 19 years old at intake (26 weeks or less gestation). Sixty-four percent of the mothers were Latina, 11 percent were African American, and 20 percent were white. Participants were followed from pregnancy through six weeks postpartum. Note: This study contains follow up on the same samples as Koniak-Griffin et al. (1999).
Setting
The study was conducted in San Bernardino County, California, a large, ethnically diverse county adjacent to Los Angeles.
Intervention condition
Note: Navigate to the model page for more information about the home visiting model. See the source manuscript for more information about how the model was implemented in this study.
Comparison Conditions
Comparison group members received traditional public health nursing services, consisting of three home visits: one at intake, one for prenatal care, and one for postpartum/well-baby care information.
Funding Sources
National Institutes of Nursing Research, Grants R0-1 NR02325 and NR02325-S1, and the Office of Research on Women’s Health, Grant NR02325-S2.