Nurse Home Visiting and Maternal Mental Health: 3-Year Follow-Up of a Randomized Trial
| Autor: | Fiona Mensah, Diana Harris, Francesca Orsini, Anneke Grobler, Tracey Bruce, Penelope Dakin, Anna Price, Lynn Kemp, Hannah Bryson, Sharon Goldfeld, Susan Perlen, Harriet Hiscock, Lisa Gold |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Maternal Health Prenatal care Nurses Community Health law.invention Young Adult 03 medical and health sciences 0302 clinical medicine Nursing Randomized controlled trial Pregnancy law 030225 pediatrics Humans Medicine Young adult Depression (differential diagnoses) business.industry Infant Newborn Infant Odds ratio Home Care Services Mental health House Calls Mental Health Child Preschool Pediatrics Perinatology and Child Health Community health Anxiety Female medicine.symptom business Follow-Up Studies |
| Zdroj: | Pediatrics. 147:e2020025361 |
| ISSN: | 1098-4275 0031-4005 |
| DOI: | 10.1542/peds.2020-025361 |
| Popis: | BACKGROUND: Poor mental health is recognized as one of the greatest global burdens of disease. Maternal mental health is crucial for the optimal health of mothers and their children. We examined the effects of an Australian Nurse Home Visiting (NHV) program (right@home), offered to pregnant women experiencing adversity, on maternal mental health and well-being at child age 3 years. METHODS: A randomized controlled trial of NHV delivered via universal child and family health services (2013–2016). Pregnant women experiencing adversity (≥2 of 10 risk factors) were recruited from 10 antenatal clinics across 2 states. Intervention comprised 25 home visits until child age 2 years. The outcomes assessed 1-year postintervention completion were maternal self-report of mental health symptoms (Depression Anxiety Stress Scales) and positive aspects of mental health (personal well-being and self-efficacy). RESULTS: Of the 722 women enrolled in the trial, 255 of 363 (70%) intervention and 240 of 359 (67%) control group women provided data at 3 years. Compared with controls, the intervention group reported better mental health (reverse Depression Anxiety Stress Scales scores): effect sizes of 0.25 (depression; 95% confidence interval [CI]: 0.08 to 0.32), 0.20 (anxiety; 95% CI: 0.05 to 0.30), 0.17 (stress; 95% CI: 0.09 to 0.37), and 0.23 (total score; 95% CI: 0.12 to 0.38); 0.16 (95% CI: 0.04 to 0.29) for personal well-being; and an odds ratio of 1.60 (95% CI: 1.19 to 2.16) for self-efficacy. CONCLUSIONS: An NHV designed to support mothers experiencing adversity can lead to later maternal mental health benefits, even after the program ends. |
| Databáze: | OpenAIRE |
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