Home Visiting and Outcomes of Preterm Infants: A Systematic Review

Goyal, Neera K.; Teeters, Angelique R.; Ammerman, Robert T.

doi:10.1542/peds.2013-0077

Cited by 67 publications

(56 citation statements)

References 52 publications

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“…It can also strengthen the bond between parents and baby. (20) Our study results highlighted that nurse actions to support, guide, and assist families at home reduced the insecurity and fear that are common within the first months after discharge. As a result, the nurses strengthened the families to provide the specific care that these babies need.…”

Section: Discussionmentioning

confidence: 68%

Nursing actions in homecare to extremely low birth weight infant

Sassá¹,

Gaíva

Higarashi

et al. 2014

Acta paul. enferm.

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Objective: To describe nursing actions implemented in a home context for the needs presented by the families of extremely low birth weight newborns. Methods: This convergent care research was carried out with nine families who were visited in their home. For data collection we used semi-structured informal interviews and observation of participants during the first six months after hospital discharge. Data were analyzed using the thematic modality. Results: Care needs of families during daily home care were related mainly to doubts and insecurities specific to extremely low birth weight premature babies and the care and guidance required for follow-up of newborns in general. Conclusion: Nursing actions in a home context involve child evaluation, guidance, demonstrations, clarifications, referrals, and stimulation for puericulture follow-up with specialists. These actions also include facilitating family empowerment and gradual autonomy of care. ResumoObjetivo: Descrever as ações de Enfermagem implementadas no contexto domiciliar, a partir das necessidades apresentadas pelas famílias de bebês nascidos muito baixo peso. Métodos: Pesquisa convergente-assistencial realizada com nove famílias, por meio de visitas domiciliares, entrevistas informais, semiestruturadas e observação participante, durante os 6 primeiros meses após a alta hospitalar. Os dados foram submetidos à análise de conteúdo, modalidade temática. Resultados: As necessidades assistenciais das famílias durante o cuidado cotidiano no domicílio estiveram relacionadas principalmente a dúvidas e inseguranças advindas da prematuridade e do muito baixo peso, aos cuidados específicos e à orientação quanto ao seguimento dos bebês. Conclusão: As ações de Enfermagem no contexto domiciliar envolveram avaliação da criança, orientações, demonstrações, esclarecimentos, encaminhamentos e estímulo para o acompanhamento de puericultura e com especialistas, além de uma abordagem que facilitou o empoderamento familiar e a autonomia gradativa para o cuidar.

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Section: Discussionmentioning

confidence: 68%

Nursing actions in homecare to extremely low birth weight infant

Sassá¹,

Gaíva

Higarashi

et al. 2014

Acta paul. enferm.

View full text Add to dashboard Cite

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“…And second, that the actual behavior of the parent could be transmitted to the offspring (e.g., nurturance). It stands to reason that this response is not limited to cross-fostering and to rodents only and that other early life interventions in humans such as parent training [20,21] could have a similar impact (see Fig. 2).…”

Section: Essaymentioning

confidence: 98%

The dynamic epigenome and its implications for behavioral interventions: a role for epigenetics to inform disorder prevention and health promotion

Szyf

Tang

Hill

et al. 2016

Behav. Med. Pract. Policy Res.

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The emerging field of behavioral epigenetics is producing a growing body of evidence that early life experience and social exposure can alter the way by which genes are marked with DNA methylation. We hypothesize that changes in DNA methylation as well as other epigenetic markers could generate stable phenotypes. Early life adversity appears to result in altered DNA methylation of genes in the brain and peripheral tissues, and these changes are associated with adverse phenotypic changes. Although the data are still sparse, early epigenetic studies have provided a proof of principle that experiences and the environment leave marks on genes, and thus suggest molecular and physical mechanisms for the epidemiological concept of gene-environment interaction. The main attraction of DNA methylation for type I (TI) translational prevention science is the fact that, different from genetic changes that are inherited from our ancestors, DNA methylation is potentially preventable and reversible and, therefore, there is a prospect of epigenetically targeted interventions. In addition, DNA methylation markers might provide an objective tool for assessing effects of early adverse experience on individual risks as well as providing objective measures of progress of an intervention. In spite of this great potential promise of the emerging field of social and translational epigenetics, many practical challenges remain that must be addressed before behavioral epigenetics could become translational epigenetics.

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“…7,8 Birth outcomes, service use and infant mortality have been assessed among home visiting programs. 5,[9][10][11][12][13] Perspectives on home visiting were gained through qualitative data and perceptions on home visiting were collected from multiple studies. 14,15 Cultural adaptation and influence have also been studied.…”

Section: Current Themes In Literaturementioning

confidence: 99%

“…4 Additionally, it has also been documented that parental behavior, preterm births and low birth weight infants are positively associated with home visiting. 5 Home visiting programs are part of a larger group of interventions aimed at healthy family and healthy child outcomes. The Department of Health and Human Services supports grant blocks to state programs for service delivery.…”

Section: Introductionmentioning

confidence: 99%

Design matters in home visiting improvement

Babyar¹

2017

Int J Community Med Public Health

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Maternal and child health home visiting services play a critical role in healthcare within the United States. Programs are widely varied and services offered depend on local and regional adopted designs. Observational and experimental research provides mixed conclusive results. Some literature reports statistically significant positive outcomes for home visitation services while other research fails to duplicate or provide secondary matched findings. Future research design opportunities include national, inclusive, cross collaborative home visiting research that seeks to minimize limitations. Future home visiting programs should utilize research opportunities in public and private program redesign, continuous quality improvement as well as in accreditation for optimal effect on target populations. Only with strong, supportive research can maternal and child home visiting services be tailored, replicated and consistent across the United States.

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Home Visiting and Outcomes of Preterm Infants: A Systematic Review

Cited by 67 publications

References 52 publications

Nursing actions in homecare to extremely low birth weight infant

Nursing actions in homecare to extremely low birth weight infant

The dynamic epigenome and its implications for behavioral interventions: a role for epigenetics to inform disorder prevention and health promotion

Design matters in home visiting improvement

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