Maternal Child Health and Lakota Annotated Bibliography 1 (original) (raw)

Randomized Controlled Trial of a Paraprofessional-Delivered In-Home Intervention for Young Reservation-Based American Indian Mothers

Journal of the American Academy of Child & Adolescent Psychiatry, 2009

Objective: To evaluate the efficacy of a paraprofessional-delivered, home-visiting intervention among young, reservationbased American Indian (AI) mothers on parenting knowledge, involvement, and maternal and infant outcomes. Method: From 2002 to 2004, expectant AI women aged 12 to 22 years (n = 167) were randomized (1:1) to one of two paraprofessionaldelivered, home-visiting interventions: the 25-visit ''Family Spirit'' intervention addressing prenatal and newborn care and maternal life skills (treatment) or a 23-visit breast-feeding/nutrition education intervention (active control). The interventions began during pregnancy and continued to 6 months postpartum. Mothers and children were evaluated at baseline and 2, 6, and 12 months postpartum. Primary outcomes included changes in mothers' parenting knowledge and involvement.

Home-Visiting Intervention to Improve Child Care Among American Indian Adolescent Mothers: A Randomized Trial

Archives of Pediatrics & Adolescent Medicine, 2006

To assess the impact of a paraprofessional-delivered home-visiting intervention to promote child care knowledge, skills, and involvement among pregnant American Indian adolescents. Randomized controlled trial comparing a family-strengthening intervention with a breastfeeding education program. One Apache and 3 Navajo communities. Fifty-three pregnant American Indian adolescents were randomly assigned to intervention (n = 28) or control (n = 25) groups. Follow-up data were available for 19 intervention and 22 control participants. Intervention Paraprofessionals delivered 41 prenatal and infant care lessons in participants' homes from 28 weeks' gestation to 6 months post partum. Child care knowledge, skills, and involvement. Mothers in the intervention compared with the control group had significantly higher parent knowledge scores at 2 months (adjusted mean difference [AMD], +14.9 [95% confidence interval (CI), +7.5 to +22.4]) and 6 months post partum (AMD, +15.3 [95% CI, +5.9 to +24.7]). Intervention group mothers scored significantly higher on maternal involvement scales at 2 months post partum (AMD, +1.5 [95% CI, -0.02 to +3.02]), and scores approached significance at 6 months post partum (AMD, +1.1 [95% CI, -0.06 to +2.2]). No between-group differences were found for child care skills. A paraprofessional-delivered, family-strengthening home-visiting program significantly increased mothers' child care knowledge and involvement. A longer and larger trial is needed to understand the intervention's potential to improve adolescent parenting and related child outcomes in American Indian communities.

Family Intervention in Indigenous Communities: Emergent Issues in Conducting Outcome Research

Australasian Psychiatry, 2007

Objective: Indigenous children and youth are at greater risk of emotional and behavioural problems than non-Indigenous youth, with family life stresses and parenting style identified as common risk factors. There is substantial evidence that parenting programs can improve family relationships and improve child outcomes, however little research has focused on Indigenous communities. Our team is conducting research to evaluate a culturally sensitive adaptation of a mainstream intervention, the Group Triple P – Positive Parenting Program, for Indigenous families. This paper shares some of the insights into research and clinical issues gained as non-Indigenous researchers working with urban, rural and remote Indigenous communities. Methods: The experience of the research team and feedback from practitioners and parents have been drawn on for this discussion. Conclusions: Parenting programs need to be sensitive to the political and cultural context in which parenting takes place, flexibl...

Cultural Adaptations of Evidence-Based Home-Visitation Models in Tribal Communities

Infant mental health journal, 2018

The Tribal Maternal, Infant, and Early Childhood Home Visiting (Tribal MIECHV) Program provides federal grants to tribes, tribal consortia, tribal organizations, and urban Indian organizations to implement evidence-based home-visiting services for American Indian and Alaska Native (AI/AN) families. To date, only one evidence-based home-visiting program has been developed for use in AI/AN communities. The purpose of this article is to describe the steps that four Tribal MIECHV Programs took to assess community needs, select a home-visiting model, and culturally adapt the model for use in AI/AN communities. In these four unique Tribal MIECHV Program settings, each program employed a rigorous needs-assessment process and developed cultural modifications in accordance with community strengths and needs. Adaptations occurred in consultation with model developers, with consideration of the conceptual rationale for the program, while grounding new content in indigenous cultures. Research i...

How indigenous mothers experience selecting and using early childhood development services to care for their infants

International Journal of Qualitative Studies on Health and Well-being

Purpose: Promoting a child's healthy growth and development in the first six years of life is critical to their later health and well-being. Indigenous infants experience poorer health outcomes than non-Indigenous infants, yet little is understood about how parents access and use health services to optimize their infants' growth and development. Exploring the experiences of Indigenous mothers who select and use early childhood development (ECD) services provides important lessons into how best to promote their access and use of health services. Methods: This qualitative interpretive description study was guided by the Two-Eyed Seeing framework and included interviews with 19 Indigenous mothers of infants less than two years of age and 7 providers of ECD services. Results: Mainstream (public) and Indigenous-led health promotion programs both promoted the access and use of services while Indigenous-led programs further demonstrated an ability to provide culturally safe and trauma and violence-informed care. Conclusions: Providers of Indigenous-led services are best suited to deliver culturally safe care for Indigenous mothers and infants. Providers of mainstream services, however, supported by government policies and funding, can better meet the needs of Indigenous mothers and infants by providing cultural safe and trauma and violence-informed care.

Initial evaluation of a cultural approach to implementation of evidence-based parenting interventions in American Indian communities

Journal of Community Psychology, 2009

Indian Child and Family Services The current investigation puts forth the authors' conceptualization of a cultural approach to implementing evidence-based practices with American Indian (AI) families. Their approach involves two phases, the motivational phase, which sets an historical context for current difficulties; and the intervention phase, which links evidence-based skills with cultural traditions, beliefs, and values. Herein, they present preliminary evidence for the efficacy of the intervention phase, overlaid onto the Incredible Years parenting program (Webster-Stratton, 1992). Forty-nine families with American Indian children, ages 3-11 (26 boys), participated in the study; all families participated in the motivational phase and were subsequently randomized to the culturally linked intervention or a control condition. Significant pre-and postimprovements in parenting and child behavior were observed in the intervention group. Moreover, a majority of participants reported high levels of satisfaction with the intervention. Results are discussed in relation to Data Collection Supported by California Endowment. Support for conceptualization of the larger issues within our intervention approach by the National Institute on Drug Abuse

Home-visiting intervention to improve child care among American Indian adolescent mothers

Archives of pediatrics …, 2006

Allison Barlow, MA, MPH; Elena Varipatis-Baker, MPH, MSW; Kristen Speakman, MA, MPH; Golda Ginsburg, PhD; Ingrid Friberg, MHS; Novalene Goklish; Brandii Cowboy; Pauline Fields; Ranelda Hastings; William Pan, DrPH; Raymond Reid, MD, MPH; Mathuram Santosham, MD, ...

Family-centred interventions by primary healthcare services for Indigenous early childhood wellbeing in Australia, Canada, New Zealand and the United States: a systematic scoping review

BMC pregnancy and childbirth, 2017

Primary healthcare services in Australia, Canada, New Zealand and the United States have embraced the concept of family-centred care as a promising approach to supporting and caring for the health of young Indigenous children and their families. This scoping review assesses the quality of the evidence base and identifies the published literature on family- centred interventions for Indigenous early childhood wellbeing. Fourteen electronic databases, grey literature sources and the reference lists of Indigenous maternal and child health reviews were searched to identify relevant publications from 2000 to 2015. Studies were included if the intervention was: 1) focussed on Indigenous children aged from conception to 5 years from the abovementioned countries; 2) led by a primary healthcare service; 3) described or evaluated; and 4) scored greater than 50% against a validated scale for family-centredness. The study characteristics were extracted and quality rated. Reported aims, strategi...