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Home visit-based baby tailored support program for infants
Hyeji Shin1, Yoonjung Kim2, Jeonghyun Choi2
1Department of Nursing, The Graduate School of Chung-Ang University, 84 Heukseok-ro, Dongjak-gu, Seoul 06974, Republic of Korea.
Insights
The Home Visit-Based Baby Tailored Support Program (H-BTS) improved infant motor and cognitive development and enhanced maternal confidence. This community-based approach supports early intervention for developmental needs.
Area of Science:
- Pediatric Nursing
- Developmental Psychology
- Community Health
Background:
- Rising rates of developmental disabilities in infants necessitate early intervention.
- Existing healthcare models often focus on disease management rather than developmental support.
- Community-based programs can bridge the gap in early developmental assessment and care.
Purpose of the Study:
- To evaluate the effectiveness of the Home Visit-Based Baby Tailored Support Program (H-BTS).
- To assess H-BTS impact on infant cognitive, language, and motor development.
- To examine H-BTS effects on maternal knowledge, anxiety, and parenting efficacy.
Main Methods:
- A non-equivalent control group pretest-posttest design was used with 49 mother-infant dyads in Seoul, Korea.
- The experimental group received biweekly H-BTS sessions and a care diary for three months.
- The control group received only developmental assessments.
Main Results:
- Significant improvements were observed in motor and cognitive development indices in the H-BTS group.
- Language development did not show significant differences between groups.
- Mothers in the H-BTS group showed significant gains in infant development knowledge and parenting efficacy.
Conclusions:
- H-BTS shows promise as a community-based intervention for enhancing infant development and maternal confidence.
- Findings support expanding infant care beyond traditional nursing to include developmental screening and prevention.
- Nurses can play a key role in delivering developmental support and education within the community.
Purpose:
According to the annual developmental screening tests in South Korea, an increasing number of infants require further evaluation for the early assessment and treatment of developmental disabilities. We developed the Home Visit-Based Baby Tailored Support Program (H-BTS) and explored its potential effectiveness on infants' cognitive, language, and motor development, as well as their mothers' knowledge of infant development, parenting anxiety, and parenting efficacy.
Methods:
We employed a non-equivalent control group pretest-posttest design with 49 infants and mothers in Seoul, Korea. The experimental group (n = 25) received 24H-BTS sessions at home, biweekly for three months, with a daily care diary for mothers. The control group (n = 24) underwent developmental assessments only. Both the groups underwent pre- and post-tests.
Results:
We found significant differences in the motor and cognitive development indices between the experimental and control groups, but not in the language development index. The experimental group demonstrated significant improvements in mothers' knowledge of infants' development and parenting efficacy scores.
Conclusion:
Our results can serve as foundational data in community care, expanding infant care beyond disease nursing to include screening and preventive approaches, thereby supporting psychological development and enhancement of maternal confidence in caregiving.
Practice Applications:
This study provides an opportunity to nurses to deliver care for infant development outside the hospital and within the community. Therefore, nurses can educate primary caregivers on effective developmental play methods, thereby fostering stronger relationships and enhancing maternal confidence in caregiving.
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