Integrating Well-Woman and Well-Baby Care to Improve Parenting and Family Wellness

United States Department of Health and Human Services (HHS)

Status

Unknown

Conditions

Primary Care

Treatments

Other: Standard Care

Other: Centering parenting/Group well child care

Study type

Interventional

Funder types

NIH

Identifiers

NCT00782028

R21 HDJ2810-01A1

Details and patient eligibility

About

We hypothesize that relative to families who receive standard individual postpartum and pediatric care, families that receive group care will be more likely to have:

Improved maternal and child health behaviors: i.e increased breastfeeding, exercise, child safety measures in the home and decreased smoking.
Better health care use for babies: i.e. attend more care visits, on-time and complete immunizations and decreased emergency services use.
Better psychosocial outcomes for the families: i.e. decreased stress and depression, and increased social support.
Improved parenting skills: i.e. improved knowledge of child development, involvement in developmentally appropriate activities, and parental sense of competence.

Enrollment

170 estimated patients

Sex

All

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Postpartum woman with baby in her care
Receive well-woman care, well-child care and interviews in English
Willingness to receive care in a group setting
Woman planning to receive care at the Yale Women's Center for herself and the Primary Care Center for her baby

Exclusion criteria

severe medical problem requiring individualized care for mother or baby
Baby born at less than 37 weeks gestation
Baby remaining in hospital when mother getting discharged for any other reason except hyperbilirubinemia
Baby with severe cardiac, respiratory, neuro-developmental or surgical problems