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

Study Overview
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Brief Summary
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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.

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

Conditions
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Primary Care

Intervention / Treatment
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* Other: Centering parenting/Group well child care
* Other: Standard Care


Participation Criteria
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Eligibility Criteria
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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
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Standard Care<br>No intervention consists of routine well child care | Other: Standard Care<br> <br> |
| Other: Centering parenting/Group well child care<br> | Other: Centering parenting/Group well child care<br>* Intervention families will receive well child care in a group format for the first 12 month of the child's life.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improved maternal and child health behaviors will be measured using a computer assisted interview. |  | Interviews will be given at 2 weeks, 6 and 12 months of age. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Better health care utilization for babies will be measured using Medical records review. |  | 1 year | 
| Better psychosocial outcomes for mothers, fathers and babies will be measured using a computer assisted interview. |  | 2 weeks, 6 months and 12 months of age | 
| Improved parenting skills will be assessed using a computer assisted inteview. |  | 2 weeks, 6 months ad 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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primary care, high-risk families, maternal depression