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Enhancing resource utilization among pregnant adolescents.
Linda Flynn1, Marilyn Budd, Julie Modelski
1Rutgers College of Nursing, Rutgers, The State University of New Jersey, Newark, New Jersey 07102, USA. lflynn@rutgers.edu
Public Health Nursing (Boston, Mass.)
|February 26, 2008
Summary
A home visitation program significantly increased prenatal care appointments for pregnant adolescents. While resource utilization improved, the intervention did not impact infant birth weight.
Area of Science:
- Public Health
- Maternal and Child Health
- Adolescent Health
Background:
- Pregnant adolescents face unique challenges in accessing healthcare and community resources.
- Early and consistent prenatal care is crucial for positive birth outcomes.
- Interventions supporting resource utilization can improve health trajectories for this population.
Purpose of the Study:
- To evaluate the effectiveness of a home visitation intervention for pregnant adolescents.
- To assess the intervention's impact on healthcare resource utilization.
- To determine the intervention's effect on key birth outcomes.
Main Methods:
- A quasiexperimental design with repeated measures and a comparison group.
- Intervention group: 83 low-income pregnant adolescents receiving monthly home visits from nurses and social workers.
- Comparison group: 216 deidentified electronic birth certificate records.
Main Results:
- Significant increase in resource utilization, including prenatal care appointments, among intervention participants.
- Intervention teens attended significantly more prenatal care visits compared to the comparison group.
- No significant difference in mean infant birth weight between the intervention and comparison groups.
Conclusions:
- The home visitation intervention appears effective in enhancing resource utilization for pregnant adolescents.
- Targeted support can improve access to essential prenatal care services.
- Further research is needed to explore impacts on other birth outcomes.
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