Related Experiment Videos

Healthy steps in an integrated delivery system: child and parent outcomes at 30 months

Brian D Johnston1, Colleen E Huebner, Melissa L Anderson

  • 1Department of Pediatrics and Maternal and Child Health Program, University of Washington, Seattle, WA 98104, USA. bdj@u.washington.edu

Archives of Pediatrics & Adolescent Medicine
|August 9, 2006
PubMed

Insights

The Healthy Steps for Young Children program improved child health and parenting, but adding prenatal services showed limited extra benefits. This program supports parents with developmental and behavioral issues in young children.

Area of Science:

  • Pediatric Health
  • Developmental Psychology
  • Public Health Interventions

Background:

  • Parenting young children with developmental and behavioral issues presents challenges.
  • Early intervention programs can support families and improve child outcomes.
  • The Healthy Steps for Young Children (HS) program aims to assist parents in managing these challenges.

Purpose of the Study:

  • To evaluate the impact of the HS program on child health, development, parenting, and parental well-being.
  • To compare the HS program with and without a prenatal component.

Main Methods:

  • A concurrent comparison design with clinic-level assignment to intervention or usual care.
  • A nested randomized trial within the intervention arm compared HS with and without prenatal services.
  • 439 pregnant women were enrolled, with follow-up data collected when children were 30 months old.

Main Results:

  • The HS intervention was linked to improvements in well-child care, immunizations, breastfeeding, reduced TV viewing, injury prevention, and discipline.
  • Prenatal initiation of HS services was associated with enhanced expressive vocabulary at 24 months.
  • Mothers in the intervention group reported more depressive symptoms, but clinically significant depression did not increase.

Conclusions:

  • The HS intervention positively influenced children's health and parenting practices within an integrated delivery system.
  • Initiating HS services during pregnancy provided minimal additional benefits compared to the standard HS program.
Abstract

Related Concept Videos

Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
Guidelines for Writing Outcome01:11

Guidelines for Writing Outcome

When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...
Integrated Healthcare System01:20

Integrated Healthcare System

An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Nursing Clinical Information System01:27

Nursing Clinical Information System

Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Nursing Evaluation01:15

Nursing Evaluation

The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
Section...