Journal ArticleDOI
Social Support and Psychological Functioning Among High‐Risk Mothers: The Impact of the Baby Love Maternal Outreach Worker Program
TLDR
The results suggest that the intensity of support is an important component of maternal home visitation programs that aim to improve women's psychological functioning, and participants provided with more intensive home visitor support had significantly higher self-esteem and were less depressed.Abstract:
This study compared two groups of high-risk Medicaid-eligible mothers, 221 who participated in a maternal home visitation program and 198 who did not, to determine whether program participation was associated with improvements in the mothers' psychological functioning 1 year after delivery, and whether these improvements were associated with the type and intensity of support provided by home visitors. The results suggest that, compared to nonparticipants, participants provided with more intensive home visitor support had significantly higher self-esteem (p = 0.039) and were less depressed (p = 0.015). Participants with less intensive home visitor support, however, did not differ significantly from nonparticipants in their self-esteem or depression levels. No significant differences were observed in the perceived stress levels of participants as compared with nonparticipants, regardless of the intensity of home visitor support. Mothers who had support from the baby's father, however, had significantly lower perceived stress levels than mothers with no support from the baby's father (p = 0.046). Moreover, the type of support provided by home visitors (emotional, instrumental, informational) did not appear to be related to the mothers' psychological functioning. This study suggests that the intensity of support is an important component of maternal home visitation programs that aim to improve women's psychological functioning.read more
Citations
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Outcomes of Community Health Worker Interventions
Meera Viswanathan,Jennifer L. Kraschnewski,Brett Nishikawa,Laura C Morgan,Patricia Thieda,Amanda Honeycutt,Kathleen N. Lohr,Daniel E Jonas +7 more
TL;DR: The literature showed mixed results of effectiveness when analyzed by clinical context: CHW interventions had the greatest effectiveness relative to alternatives for some disease prevention, asthma management, cervical cancer screening, and mammography screening outcomes.
Journal ArticleDOI
Cumulative environmental risk in substance abusing women: early intervention, parenting stress, child abuse potential and child development
TL;DR: Compared to drug-abusing women with fewer than five risks, women with five or more risks found parenting more stressful and indicated greater inclination towards abusive and neglectful behavior, placing their infants at increased risk for poor parenting, abuse and neglect.
Journal ArticleDOI
Outcomes and Costs of Community Health Worker Interventions: A Systematic Review
Meera Viswanathan,Jennifer L. Kraschnewski,Brett Nishikawa,Laura C Morgan,Laura C Morgan,Amanda Honeycutt,Patricia Thieda,Kathleen N. Lohr,Daniel E Jonas +8 more
TL;DR: The effectiveness of CHWs in many health care areas requires further research that addresses the methodologic limitations of prior studies and that contributes to translating research into practice.
Journal ArticleDOI
Community Health Worker Intervention to Decrease Cervical Cancer Disparities in Hispanic Women
TL;DR: The observed association between cervical cancer knowledge and Pap smear receipt underscores the importance of educating vulnerable populations about the diseases that disproportionately affect them.
Journal ArticleDOI
Predictors of Early Engagement in Home Visitation
Robert T. Ammerman,Robert T. Ammerman,Jack Stevens,Frank W. Putnam,Mekibib Altaye,Jaclyn E. Hulsmann,Heather D. Lehmkuhl,Jennifer C. Monroe,Thomas A. Gannon,Judith B. Van Ginkel +9 more
TL;DR: To the extent that mothers who are actively engaged in home visitation are likely to have increased psychosocial needs, curricula may require modification and augmentation to address these needs and optimize program effectiveness.
References
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Journal ArticleDOI
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
TL;DR: The CES-D scale as discussed by the authors is a short self-report scale designed to measure depressive symptomatology in the general population, which has been used in household interview surveys and in psychiatric settings.
Journal ArticleDOI
A global measure of perceived stress.
TL;DR: The Perceived Stress Scale showed adequate reliability and, as predicted, was correlated with life-event scores, depressive and physical symptomatology, utilization of health services, social anxiety, and smoking-reduction maintenance and was a better predictor of the outcome in question than were life- event scores.
Journal ArticleDOI
Stress, social support, and the buffering hypothesis.
Sheldon Cohen,Thomas Ashby Wills +1 more
TL;DR: There is evidence consistent with both main effect and main effect models for social support, but each represents a different process through which social support may affect well-being.
Journal ArticleDOI
Social support: a conceptual analysis
Catherine Penny Hinson Langford,Juanita Enevoldsen Bowsher,Joseph P. Maloney,Patricia P. Lillis +3 more
TL;DR: Findings from this conceptual analysis suggested four of the most frequently used defining attributes of social support: emotional, instrumental, informational, and appraisal.
Journal ArticleDOI
The association between prenatal stress and infant birth weight and gestational age at birth: A prospective investigation
TL;DR: Independent of biomedical risk, maternal prenatal stress factors are significantly associated with infant birth weight and with gestational age at birth.