Association of WIC Participation and Growth and Developmental Outcomes in High-Risk Infants

Lakshmanan, Ashwini; Song, Ashley; Flores-Fenlon, Nicole; Parti, Urvashi; Vanderbilt, Douglas; Friedlich, Philippe; Williams, Roberta G.; Kipke, Michele D.

doi:10.1177/0009922819884583

Cited by 5 publications

(3 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A 150-item questionnaire with components validated in English and Spanish was administered to participants about life after discharge from the NICU.. Patient recruitment, survey administration and population characteristics are detailed in previous work [ 19 , 20 ]. The Institutional Review Board at Children’s Hospital Los Angeles approved the study protocol.…”

Section: Methodsmentioning

confidence: 99%

Maternal post-traumatic stress and depression symptoms and outcomes after NICU discharge in a low-income sample: a cross-sectional study

Gateau

Song

Vanderbilt

et al. 2021

BMC Pregnancy Childbirth

Self Cite

View full text Add to dashboard Cite

Background Having a preterm newborn and the experience of staying in the neonatal intensive care unit (NICU) has the potential to impact a mother’s mental health and overall quality of life. However, currently there are few studies that have examined the association of acute post-traumatic stress (PTS) and depression symptoms and infant and maternal outcomes in low-income populations. Design/ methods In a cross-sectional study, we examined adjusted associations between positive screens for PTS and depression using the Perinatal Post-traumatic stress Questionnaire (PPQ) and the Patient Health-Questionnaire 2 (PHQ-2) with outcomes using unconditional logistic and linear regression models. Results One hundred sixty-nine parents answered the questionnaire with 150 complete responses. The majority of our sample was Hispanic (68%), non-English speaking (67%) and reported an annual income of <$20,000 (58%). 33% of the participants had a positive PPQ screen and 34% a positive PHQ-2 screen. After adjusting for confounders, we identified that a positive PHQ-2 depression score was associated with a negative unit (95% CI) change on the infant’s Vineland Adaptive Behavior Scales, second edition of − 9.08 (− 15.6, − 2.6) (p < 0.01). There were no significant associations between maternal stress and depression scores and infant Bayley Scales of Infant Development III scores or re-hospitalizations or emergency room visits. However, positive PPQ and screening score were associated with a negative unit (95% CI) unit change on the maternal Multicultural Quality of Life Index score of − 8.1 (− 12, − 3.9)(p < 0.01) and − 7.7 (− 12, − 3) (p = 0.01) respectively. Conclusions More than one-third of the mothers in this sample screened positively for PTS and depression symptoms. Screening scores positive for stress and depression symptoms were associated with a negative change in some infant development scores and maternal quality of life scores. Thoughtful screening programs for maternal stress and depression symptoms should be instituted.

show abstract

Section: Methodsmentioning

confidence: 99%

Maternal post-traumatic stress and depression symptoms and outcomes after NICU discharge in a low-income sample: a cross-sectional study

Gateau

Song

Vanderbilt

et al. 2021

BMC Pregnancy Childbirth

Self Cite

View full text Add to dashboard Cite

show abstract

“…A 150-item questionnaire with components validated in English and Spanish was administered to participants about life after discharge from the NICU. Patient recruitment, survey administration and population characteristics are detailed in previous work [13][14][15]. The Boston Children's Hospital and Children's Hospital Los Angeles human subjects committees approved the study protocol.…”

Section: Patients and Methods Study Design And Participantsmentioning

confidence: 99%

The financial burden experienced by families of preterm infants after NICU discharge

et al. 2021

Self Cite

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVES: Describe the financial burden and worry that families of preterm infants experience after discharge from the neonatal intensive care unit (NICU). METHODS: We surveyed 365 parents of preterm infants in a cross-sectional study regarding socio-demographics, supplemental security income (SSI), and financial worry. We completed a multivariable logistic regression model to examine the adjusted association of financial worry with modifiable factors. RESULTS: We found that 53% of participants worried about healthcare costs after NICU discharge. After adjusting for sociodemographic and infant characteristics, we identified that, aOR (95% CI), out-of-pocket costs from the NICU index hospitalization, 3.51 (1.7, 7.26) and durable medical equipment use, 2.41 (1.11, 5.23) was associated with increased financial worry while enrollment in SSI, 0.38 (0.19, 0.76) was associated with decreased financial worry. CONCLUSIONS: We identified factors that could contribute to financial burden after NICU discharge that may advise future work to target financial support systems.

show abstract

“…A 150-item questionnaire developed for this study was administered to participants about life after discharge from the NICU ( Supplemental Material ). Patient recruitment, survey administration and population characteristics are detailed in previous work [ 15 , 16 ]. The Institutional Review Board at the center approved the study protocol.…”

Section: Methodsmentioning

confidence: 99%

The association of care transitions measure-15 score and outcomes after discharge from the NICU

et al. 2021

Self Cite

View full text Add to dashboard Cite

Background Our objectives were (1) to describe Care Transitions Measure (CTM) scores among caregivers of preterm infants after discharge from the neonatal intensive care unit (NICU) and (2) to describe the association of CTM scores with readmissions, enrollment in public assistance programs, and caregiver quality of life scores. Methods The study design was a cross-sectional study. We estimated adjusted associations between CTM scores (validated measure of transition) with outcomes using unconditional logistic and linear regression models and completed an E-value analysis on readmissions to quantify the minimum amount of unmeasured confounding. Results One hundred sixty-nine parents answered the questionnaire (85% response rate). The majority of our sample was Hispanic (72.5%), non-English speaking (67.1%) and reported an annual income of <$20,000 (58%). Nearly 28% of the infants discharged from the NICU were readmitted within a year from discharge. After adjusting for confounders, we identified that a positive 10-point change of CTM score was associated with an odds ratio (95% CI) of 0.74 (0.58, 0.98) for readmission (p = 0.01), 1.02 (1, 1.05) for enrollment in early intervention, 1.03 (1, 1.05) for enrollment in food assistance programs, and a unit change (95% CI) 0.41 (0.27, 0.56) in the Multicultural Quality of Life Index score (p < 0.0001). The associated E-value for readmissions was 1.6 (CI 1.1) suggesting moderate confounding. Conclusion The CTM may be a useful screening tool to predict certain outcomes for infants and their families after NICU discharge. However, further work must be done to identify unobserved confounding factors such as parenting confidence, problem-solving and patient activation.

show abstract

Association of WIC Participation and Growth and Developmental Outcomes in High-Risk Infants

Cited by 5 publications

References 43 publications

Maternal post-traumatic stress and depression symptoms and outcomes after NICU discharge in a low-income sample: a cross-sectional study

Maternal post-traumatic stress and depression symptoms and outcomes after NICU discharge in a low-income sample: a cross-sectional study

The financial burden experienced by families of preterm infants after NICU discharge

The association of care transitions measure-15 score and outcomes after discharge from the NICU

Contact Info

Product

Resources

About