Black or African American
11%
Koniak-Griffin, D., Mathenge, C., Anderson, N. L., & Verzemnieks, I. (1999). An early intervention program for adolescent mothers: A nursing demonstration project. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 28(1), 51–59.
Model(s) Reviewed
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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.
Study Design
| Design | Attrition | Baseline equivalence | Confounding factors | Valid, reliable measures? |
|---|---|---|---|---|
| Randomized controlled trial | Low | Established on race/ethnicity, SES, and baseline outcomes. |
None |
Not assessed in manuscripts reviewed under Handbook of Procedures and Standards, Version 1 |
One comparison group member was analyzed as part of the intervention group.
Information on outcomes was received through communication with the authors.
Findings that rate moderate or high in this manuscript
Maternal health
| Outcome measure | Timing of follow-up | Rating | Direction of Effect | Effect size (absolute value) | Stastical significance | Sample size | Sample description | |
|---|---|---|---|---|---|---|---|---|
| Urinary tract infection | Ante- and intrapartum | Moderate | 0.13 | Statistical significance not reported | 121 mothers | San Bernardino sample | ||
| Cystitis | Ante- and intrapartum | Moderate | 0.15 | Statistical significance not reported | 121 mothers | San Bernardino sample | ||
| Pyelonephritis | Ante- and intrapartum | Moderate | 0.00 | Statistical significance not reported | 121 mothers | San Bernardino sample | ||
| Anemia | Ante- and intrapartum | Moderate | 0.09 | Statistical significance not reported | 121 mothers | San Bernardino sample | ||
| Preterm labor | Ante- and intrapartum | Moderate | 0.26 | Statistical significance not reported | 121 mothers | San Bernardino sample | ||
| Pregnancy-induced hypertension | Ante- and intrapartum | Moderate | 0.44 | Statistical significance not reported | 121 mothers | San Bernardino sample | ||
| Sexually transmitted disease | Ante- and intrapartum | Moderate | 0.63 | Statistical significance not reported | 121 mothers | San Bernardino sample | ||
| Substance use | 6 weeks postpartum | Moderate | Not statistically significant, p ≥ 0.05 | 121 mothers | San Bernardino sample |
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. Sixty-two were assigned to the intervention group, and 59 were assigned to the comparison group. In the analysis, however, one mother in the comparison group was analyzed as part of the intervention group, resulting in an analytic sample of 63 in the intervention group and 58 in the comparison group (information obtained from authors). Most were poor, unmarried, and expecting their first child. Mothers ranged in age from 14 to 19 years old. 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 the same sample as Koniak-Griffin et al. (2000).
Setting
The study was conducted in San Bernardino County, California, a large, ethnically diverse county adjacent to Los Angeles.
Home Visiting Services
The intervention included a combination of home visits and motherhood preparation classes, both conducted by specially trained public health nurses. The intervention began in mid-pregnancy and continued through the first year of the infant’s life. Participants received approximately 17 home visits by a public health nurse. Each visit lasted between two and two and a half hours. In addition, participants attended four “Preparation for Motherhood” classes lasting six hours each. In addition, The intervention covered five main content areas: (1) health, (2) sexuality and family planning, (3) life skills, (4) maternal role, and (5) social support systems.
Model(s) Reviewed
Navigate to model page for more information about the home visiting model.
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.
Were any subgroups examined?
No
This study included participants from the following locations:
- California