Familias Sanas: An Intervention Designed to Increase Rates of Postpartum Visits among Latinas (original) (raw)
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Familias Sanas: An Intervention Designed to Increase Rates of Postpartum Visits among Latinas
Journal of Health Care for the Poor and Underserved, 2010
Familias Sanas (Healthy Families) is an educational intervention implemented and tested with lowincome, immigrant Latina mothers. The program was designed to reduce existing health disadvantages of Latinas by empowering them to take active part in the management of their health and by encouraging them to advocate for themselves. Familias Sanas was implemented at a prenatal clinic located at a major urban hospital in the southwestern U.S. The efficacy of the intervention was evaluated through a randomized control trial measuring the participants' rate of postpartum visits and other relevant well-being measures. Initial findings show a significant effect of the intervention, with participants in the experimental group returning for their postpartum clinic visit at a higher rate in comparison with the control group. The results are discussed from a culturally specific perspective. Practice, policy, and research implications and recommendations are provided.
Madres para la Salud: Design of a theory-based intervention for postpartum Latinas
Contemporary Clinical Trials, 2011
Background-Weight gain in young women suggests that childbearing may be an important contributor to the development of obesity in women. Depressive symptoms can interfere with resumption of normal activity levels following childbirth or with the initiation of or adherence to physical activity programs essential for losing pregnancy weight. Depression symptoms may function directly to promote weight gain through a physiologic mechanism. Obesity and its related insulin resistance may contribute to depressed mood physiologically. Although physical activity has well-established beneficial effects on weight management and depression, women tend to under participate in physical activity during childbearing years. Further, the mechanisms underpinning the interplay of overweight, obesity, physical activity, depression, and inflammatory processes are not clearly explained.
BMC Health Services Research, 2019
Background: Lifestyle interventions regularly rely on study staff to implement the intervention and collect outcomes data directly from study participants. This study describes the experiences of project staff in two randomized controlled trials of a postpartum lifestyle intervention to reduce risk factors for type 2 diabetes in Latinas. Latinas are the fastest growing minority group in the U.S. and have the highest rates of type 2 diabetes after a diagnosis of gestational diabetes mellitus. The challenges of implementing lifestyle interventions for postpartum women have been poorly documented. Methods: A qualitative focus group was conducted with eight staff members (five health educators and three health interviewers) involved in Proyecto Mamá and Estudio Parto. The discussion was audio recorded, transcribed, and coded in NVivo. Focus group topics included: 1) participant recruitment, 2) participant retention, 3) implementation of the lifestyle intervention, 4) assessment of behavior change, 5) overall challenges and rewarding aspects of the trial, and 6) recommended changes for future trials. Results: Key themes emerged regarding enabling factors and barriers to implementing a lifestyle intervention in postpartum Latinas. Enabling factors included: a) the staff's belief in the importance of the intervention, b) opportunities associated with the longitudinal nature of the trial, c) belief that the staff could empower participants to make behavior change, d) benefits of flexible intervention sessions, and e) connection with participants due to shared cultural backgrounds. Barriers included: a) participant stressors: home, food, and financial insecurity, b) low health literacy, c) issues related to recent immigration to the continental U.S., d) handling participant resistance to behavior change, e) involvement of family members in assessment visits, f) limitations of the assessment tools, and g) time limitations. Conclusions: Findings highlight the challenging contexts that many study participants face, and shed light on the potentially influential role of health educators and interviewers in intervention implementation and data collection. Specific recommendations are made for strategies to improve adherence to diabetes prevention programs in postpartum underserved and minority populations in this challenging, transitional period of life.
A look of women-mothers about prenatal care
Journal of Nursing Ufpe Online, 2013
Objective: to analyze the maternal gaze related to prenatal care in a riverside community. Method: a descriptive study with a qualitative approach, conducted with 16 women, mothers of children under six months of age, the city of Belém/Pará/Brazil. The production data was conducted to identify socioeconomic form and interview with open questions. The analytical process was supported in thematic analysis, respecting the individuality and uniqueness of each witness, after approval of the research project by the Research Ethics Committee, Protocol No. 007/2009. Results: the socioeconomic profile revealed reduced maternal education, poor sanitation and housing financial difficulties. The narratives emerged from the four analytical categories: The search for pre-natal; the importance of prenatal care; Learning prenatal, family prenatal. Conclusion: need public policies that strengthen prenatal care in all locations, considering the peculiarities of the cultural context for comprehensive care. Descriptors: Women's Health; Obstetric; Prenatal Care. RESUMO Objetivo: analisar o olhar materno relacionado à assistência pré-natal em uma comunidade ribeirinha. Método: estudo descritivo com abordagem qualitativa, realizado com 16 mulheres, mães de crianças com até seis meses de idade, da cidade de Belém/PA/Brasil. A produção de dados foi realizada com formulário para identificação socioeconômica e entrevista com perguntas abertas. O processo analítico foi respaldado na análise temática, respeitando-se a individualidade e a especificidade de cada depoente, depois da aprovação do projeto de pesquisa pelo Comitê de Ética em Pesquisa, Protocolo nº 007/2009. Resultados: o perfil socioeconômico materno revelou reduzida escolaridade, precárias condições sanitárias de moradia e dificuldades financeiras. A partir das narrativas emergiram as quatro categorias analíticas: A busca pelo prénatal; A importância do pré-natal; O aprendizado no pré-natal; A família no pré-natal. Conclusão: são necessárias políticas públicas que fortaleçam a assistência pré-natal em todas as localidades, considerando as peculiaridades culturais do contexto para um cuidado integral. Descritores: Saúde da Mulher; Enfermagem Obstétrica; Cuidado Pré-Natal. RESUMEN Objetivo: analizar la mirada materna relacionada con la atención prenatal en una comunidad ribereña. Método: se realizó un estudio descriptivo con abordaje cualitativo, realizado con 16 mujeres, madres de niños menores de seis meses de edad, de la ciudad de Belém/Pará/Brasil. Los datos de producción se llevó a cabo para identificar la forma socioeconómica y la entrevista con preguntas abiertas. El proceso de análisis se apoya en el análisis temático, respetando la individualidad y la singularidad de cada testigo, después de la aprobación del proyecto de investigación por el Comité de Ética de la Investigación, el Protocolo N º 007/2009. Resultados: el perfil socioeconómico reveló redujo la educación materna, la falta de saneamiento y las dificultades financieras de vivienda. Los relatos surgieron de las cuatro categorías de análisis: La búsqueda de pre-natal; La importancia de la atención prenatal; Aprender prenatal; Familia prenatal. Conclusión: la necesidad de políticas públicas que fortalezcan la atención prenatal en todos los lugares, teniendo en cuenta las peculiaridades del contexto cultural para la atención integral. Descriptores: Salud de la Mujer; Obstetricia; Clase Prenatal.
Las Dos Cosas: An Analysis of Attitudes of Latina Women on Non-Exclusive Breastfeeding
Breastfeeding Medicine, 2012
Background: Non-exclusive breastfeeding among Latina women is commonly seen in the newborn period. The reasons behind las dos cosas (''both things'') are not well understood but have included the beliefs that formula has vitamins and that adding formula will result in a chubbier baby, which is desirable. Many previous studies involved Mexican and Puerto Rican women living in the mainland United States. Methods: We performed detailed semistructured interviews with 17 Latina mothers in late pregnancy or the newborn period at a community hospital and an affiliated clinic in Massachusetts, serving a large Dominican population. Women were asked about their beliefs about breastfeeding, colostrum, and infant formula. Transcripts were analyzed using Nvivo 9 software (QSR International Pty. Ltd., Melbourne, Australia) to identify the frequencies of common trends. Results: The most common reasons for introducing formula were treatment for insufficient milk, to keep the baby fuller longer, and planning for return to work. None of the women understood the potential risks of introducing formula on the establishment of breastfeeding, particularly on milk supply. Many thought that even limited amounts of breastfeeding were sufficient to produce a healthier child, failing to understand a negative dose-response effect of formula on health and milk production. While every woman saw breastfeeding as healthier, only one saw formula as unhealthy, an important distinction. None of the women expressed familiarity with medical recommendations around breastfeeding duration or exclusivity, with many believing that breastmilk alone would be insufficient to satisfy the hunger or nutritional needs of a growing child after as little as 3 months. Women consistently demonstrated a willingness to learn from health professionals. Conclusions: In counseling Latina women, it may be important to discuss the risks of formula to infant health, breastfeeding, and milk supply and to include the medical recommendations for breastfeeding exclusivity. Educational opportunities exist in the prenatal setting and when postpartum women request formula.
Development and Testing of a Prenatal Breastfeeding Education Intervention for Hispanic Women
Journal of Perinatal Education, 2005
Many immigrant Hispanic women in the United States choose to bottle-feed rather than breastfeed. This article describes an intervention that was developed and tested in a two-step process. Two studies were undertaken. First, a qualitative inquiry explored the breastfeeding beliefs, attitudes, meanings, and practices of Hispanic women. Results informed the design of a culturally appropriate prenatal breastfeeding education intervention. Secondly, the researchers undertook a quantitative study of the intervention's success in increasing breastfeeding duration among Hispanic women. Methodology and findings of this study have implications for future interventions that promote breastfeeding.