A implementação de um programa de visitas domiciliárias com foco na parentalidade: um relato de experiência

Fracolli, Lislaine Aparecida; Reticena, Kesley de Oliveira; Abreu, Flávia Corrêa Porto de; Chiesa, Anna Maria

doi:10.1590/s1980-220x2017044003361

Cited by 18 publications

(19 citation statements)

References 16 publications

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“…Nurses were supervised weekly by the developers of the program (senior nurses and a child psychologist) to discuss cases, plan visits, and to guarantee fidelity and quality of visits. More details about the intervention can be found elsewhere [ 35 , 36 ].…”

Section: Methodsmentioning

confidence: 99%

Maternal Parenting Electronic Diary in the Context of a Home Visit Intervention for Adolescent Mothers in an Urban Deprived Area of São Paulo, Brazil: Randomized Controlled Trial

Fatori¹,

Argeu²,

Brentani³

et al. 2020

JMIR Mhealth Uhealth

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Background Pregnancy during adolescence is prevalent in low- and middle-income countries (LMICs), which is associated with various adverse outcomes that can be prevented with home visiting programs. However, testing these interventions in LMICs can be challenging due to limited resources. The use of electronic data collection via smartphones can be an alternative and ideal low-cost method to measure outcomes in an environment with adverse conditions. Objective Our study had two objectives: to test the efficacy of a nurse home visiting intervention on maternal parenting and well-being measured by an electronic daily diary (eDiary), and to investigate the compliance rate of the eDiary measurement method. Methods We conducted a randomized controlled trial to test the efficacy of Primeiros Laços, a nurse home visiting program, for adolescent mothers living in an urban deprived area of São Paulo, Brazil. A total of 169 pregnant adolescents were assessed for eligibility criteria, 80 of whom were included and randomized to the intervention (n=40) and control group (care as usual, n=40). Primeiros Laços is a home visiting intervention delivered by trained nurses tailored to first-time pregnant adolescents and their children, starting during the first 16 weeks of pregnancy until the child reaches 24 months of age. Participants were assessed by blind interviewers at 8-16 weeks of pregnancy (baseline), 30 weeks of pregnancy, and when the child was 3, 6, and 12 months of age. At 18 months, participants were assessed regarding maternal parenting and parental well-being using a 7-consecutive-day eDiary. The smartphone app was programmed to notify participants every day at 9:00 PM over a period of seven days. Results We were able to contact 57/80 (71%) participants (29 from the intervention group and 28 from the control group) when the child was 18 months of age. Forty-eight of the 57 participants (84%) completed at least one day of the eDiary protocol. The daily compliance rate ranged from 49% to 70%. Our analyses showed a significant effect of the intervention on parental well-being (B=0.32, 95% CI [0.06, 0.58], P=.02) and the maternal parenting behavior of the mother telling a story or singing to the child (odds ratio=2.33, 95% CI [1.20, 4.50], P=.01).Our analyses showed a significant effect of the intervention on parental well-being (B=0.32, P=.02) and the maternal parenting behavior of the mother telling a story or singing to the child (odds ratio=2.33, P=.01). Conclusions The Primeiros Laços intervention improved maternal parenting and parental well-being, demonstrating its promise for low-income adolescent mothers. The compliance rate of the eDiary assessment showed that it was generally accepted by adolescent mothers with limited resources. Future studies can implement ambulatory assessment in LMICs via smartphones to measure mother and child behaviors. Trial Registration ClinicalTrials.gov NCT02807818; https://clinicaltrials.gov/ct2/show/NCT02807818

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Section: Methodsmentioning

confidence: 99%

Maternal Parenting Electronic Diary in the Context of a Home Visit Intervention for Adolescent Mothers in an Urban Deprived Area of São Paulo, Brazil: Randomized Controlled Trial

Fatori¹,

Argeu²,

Brentani³

et al. 2020

JMIR Mhealth Uhealth

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“…The RN received initial training, weekly supervision, and special training in lling out the protocol for the systematization of actions, which especially constructed for the program (17) .…”

Section: Methodsmentioning

confidence: 99%

Nurse Home Visit Program to Promote Parenting In Brazil: Premises And Planning

Siqueira

Chiesa

Miguel

et al. 2020

Preprint

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BackgroundPromoting good parenting has been a challenge for public policies since child development became part of the Sustainable Development Goals until 2030. Home visitation programs have been proved to be effective in supporting the most vulnerable families, especially the vulnerable, first time pregnant’s teenagers, in acquiring skills and incorporating parenting practices that promote integral child development. The Young Mothers Caregivers is an innovative, experimental program, implemented in the context of a RCT. This paper aims to analyze the fidelity of the HVs, regarding the planning and the operative framework of the young Mothers Cargivers’ protocol.MethodsThis qualitative study was conducted by content analysis from nurse’s records of 390 HVs delivered for 39 teenagers, attended by YMCP. The software Wordart was used to visualize the frequency of themes. The analysis examined, 1) which priority areas were most focused on in HV records, and 2) which themes were prominent in each content priority area, according to the five axes that compose the bases of the interventions. ResultsThe first trimester of HV focused on “Care with Health” axis (specially “Nutrition”); along with “Life Course” axis, “Familiar&Social Network”, “Environment” and “Parenting”. In the second trimester of HV, again “Care with Health” axis (primarily focused on “Nutrition” and “Birth”) was identified in records, as was the concept of “Parenting” (“Praise”, “Attachment”, and “Expressing Feelings”). In the third trimester of HV, “Care with Health” axis (primarily through Breastfeeding and Birth) and “Parenting” axis(through Praise, Attachment, and Readiness to Address Concerns) were prominent. ConclusionsThe content priorities raised in each HV trimester, with different themes within each category, indicating the capacity to adjust the protocol according to the youth interest. At different times, some categories were more highlighted than others. The study found recurring emphasis on praise and the nurse’s ability to address concerns, underscoring the importance of a strong relationship among the nurse visitor and the young mother. Relevance to PracticeData highlights the role of responsive communication and participant’s centered needs as skills for nurses that delivers HV. This is a crucial aspect to structure the monitoring and supervision axes of the Program, for further scaling up.

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“…The study was conducted in the context of the Young Mothers Caregivers Program (PJMC), implemented by a group of Brazilian researchers of the Universidade de São Paulo in the city of São Paulo (SP), Brazil. The program is being tested and implemented in the research "The effects of the visiting program for young pregnant women on child development: a pilot study" since August 2015 (12) .…”

Section: Scenariomentioning

confidence: 99%

“…Interventions with primiparous adolescents between 14 and 19 years of age who live in situations of social vulnerability occur through HV carried out by nurses, starting in pregnancy and lasting until the child is two years old. These interventions have the purpose of: improving pregnancy results by helping adolescents to improve prenatal health; improving health and social and cognitive development of the child; preparing parents and families to adjust their bond with the infant; offering sensitive and competent care; and improving the life course of mothers and parents by helping them to develop a vision for their future, restarting life projects planned before pregnancy (12) .…”

Section: Scenariomentioning

confidence: 99%

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Vivências de interação entre mãe adolescente e enfermeira visitadora: um estudo fenomenológico

Abreu-D’Agostini

Charepe

Reticena

et al. 2020

Rev. esc. enferm. USP

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RESUMO Objetivo Compreender as vivências de interação entre mães adolescentes e enfermeiras visitadoras no Programa Jovens Mães Cuidadoras. Método Pesquisa qualitativa, em que se utilizou o referencial teórico-metodológico da Fenomenologia Social, sendo realizadas entrevistas fenomenológicas com enfermeiras visitadoras e mães adolescentes. Resultados Participaram três enfermeiras visitadoras e nove mães adolescentes. A compreensão das vivências permitiu a elaboração de três categorias de contextos de significados relacionados ao tempo passado e presente: “As vivências de participação no Programa Jovens Mães Cuidadoras”; “A interação vivida por enfermeiras visitadoras e mães adolescentes”; “Parentalidade e papel maternal”. Conclusão A interação entre enfermeiras visitadoras e mães adolescentes no programa foi caracterizada como positiva, por proporcionar à mãe maior segurança em desempenhar seu papel maternal e parental. As atitudes das enfermeiras e das mães adolescentes se mostraram fundamentais para o estabelecimento de interação positiva.

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A implementação de um programa de visitas domiciliárias com foco na parentalidade: um relato de experiência

Abstract: By adopting Home Visits as a care tool with a focus on parenting, the experience of implementing the program proved to be an innovative technology, with great potential and relevance for promoting adolescent care and child development.

Cited by 18 publications

References 16 publications

Maternal Parenting Electronic Diary in the Context of a Home Visit Intervention for Adolescent Mothers in an Urban Deprived Area of São Paulo, Brazil: Randomized Controlled Trial

Maternal Parenting Electronic Diary in the Context of a Home Visit Intervention for Adolescent Mothers in an Urban Deprived Area of São Paulo, Brazil: Randomized Controlled Trial

Nurse Home Visit Program to Promote Parenting In Brazil: Premises And Planning

Vivências de interação entre mãe adolescente e enfermeira visitadora: um estudo fenomenológico

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