How Should Home-Based Maternal and Child Health Records Be Implemented? A Global Framework Analysis

Mahadevan, Sruthi; Broaddus-Shea, Elena T.

doi:10.9745/ghsp-d-19-00340

Cited by 10 publications

(12 citation statements)

References 37 publications

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“…The CARE booklet, and other screening tools administered by parents, might act like home-based records (HBRs). Such records do not replace clinical or scientific intervention, but can run in parallel with other existing or subsequent screening tools for optimal health and educational system interventions ( Mahadevan and Broaddus-Shea, 2020 ). The CARE booklet shows similar conditions for delivery as HBRs, with rigorous reliability and agreement results.…”

Section: Discussionmentioning

confidence: 99%

Agreement and Reliability of Parental Reports and Direct Screening of Developmental Outcomes in Toddlers at Risk

Giraldo-Huertas

Schafer

2021

Front. Psychol.

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Developmental screening is a practice that directly benefits vulnerable and low-income families and children when it is regular and frequently applied. A developmental screening tool administered by parents called CARE is tested. CARE contains a compilation of activities to report and enhance development at home. Hundred and fifty-seven families in Bogotá (Colombia) initially responded to a call to participate in developmental screening tools’ validation and reliability study. All children (Average: 42.7 months old; SD: 9.4; Min: 24, Max: 58) were screened directly by trained applicants using a Spanish version of the Denver Developmental Screening test [i.e., the Haizea-Llevant (HLL) screening table]. After a first screening, 61 dyads were positive for follow-up and received a second HLL screening. Fifty-two out of 61 dyads use and returned CARE booklet after 1-month screening at home. The comparative analysis for parent reports using CARE and direct screening observation included (a) the effects of demographic variables on overall and agreement, (b) agreement and congruence between the CARE report classification and direct screening classification (“At risk” or “Not at risk”), (c) receiver operating characteristic analysis, (d) item-Level agreement for specific developmental domains, and (e) acceptability and feasibility analysis. Results and conclusions show the parental report using the CARE booklet as a reliable screening tool that has the potential to activate alerts for an early cognitive delay that reassure clinicians and families to further specialized and controlled developmental evaluations and act as a screen for the presence of such delay in four developmental dimensions.

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Section: Discussionmentioning

confidence: 99%

Agreement and Reliability of Parental Reports and Direct Screening of Developmental Outcomes in Toddlers at Risk

Giraldo-Huertas

Schafer

2021

Front. Psychol.

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“…Internationally, positive parent use of child home‐based record has been reported in countries such as the United Kingdom (Campbell & Halleran, 1993; Hampshire et al, 2004) and South Africa (Harrison et al, 1998). As noted in a framework for successful implementation of home‐based records (Mahadevan & Broaddus‐Shea, 2020), positive attitude towards use of the record book may be associated with how the importance of the record was reinforced to end users at the time of issue (Mahadevan & Broaddus‐Shea, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Internationally, positive parent use of child home-based record has been reported in countries such as the United Kingdom (Campbell & Halleran, 1993;Hampshire et al, 2004) and South Africa (Harrison et al, 1998). As noted in a framework for successful implementation of home-based records (Mahadevan & Broaddus-Shea, 2020), positive attitude towards use of the record book may be associated with how the importance of the record was reinforced to end users at the time of issue (Mahadevan & Broaddus-Shea, 2020). evidence is limited about influence of first-born status on parent use of home-based records, there are reported associations between firstborn status and parent effective use of child health services, notably immunization uptake (Weiner et al, 2015) and positive parent attitude such as adequate breastfeeding (Buckles & Kolka, 2014).…”

Section: Discussionmentioning

confidence: 99%

Parent engagement with the New South Wales child health home‐based record: A cross‐sectional survey and a retrospective chart review

Chutiyami

Wyver

Amin

2021

Child

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Background In 2018, World Health Organization endorsed universal use of home‐based records to improve care for mothers, pregnant women, newborns and children. New South Wales (NSW), Australia has had universal use of a child health home‐based record since 1988, with the first major update in 2013. Since the update, limitedbelief is sufficient for constituting evidence has been collected about factors influencing parent use of the record. This study aims to examine parent engagement with the record and whether it is influenced by child's first‐born status and Parent Evaluation of Development Status (PEDS) outcome. Method A survey of 202 parent–child pairs and a review of 20 record books were conducted in NSW, Australia. Odds ratio (OR) at 95% confidence interval (CI) and .05 level of significance, bivariate and multivariate logistic regressions were conducted to examine the influence of first‐born status, child's PEDS outcome and other parent–child characteristics on parent engagement with the record. Results Parents engaged with the home‐based record by taking it for routine checks (80.7%), writing (74.8%) or reading (75.8%) information. Parents of first‐born children were more than three times likely to take the record book for routine checks compared with parent of later‐born children (adjusted OR [AOR] = 3.70, 95% CI 1.12–12.20). Similarly, parents of children with low PEDS level of risk were significantly less likely to read information in the record book compared with parents of children with high risk (AOR = 0.28, 95% CI 0.08–0.98). Parent record input through direct observation significantly decreased from 85% at 1‐month to 60% at 12‐month postnatal. Data about at least one vaccination event were recorded in all the record books examined, while 85% had all recommended vaccinations recorded. Conclusion Parents valued/engaged regularly with a child health home‐based record, and the record may be a useful tool for early detection and monitoring of child developmental concerns. Therefore, continued promotion of the use of child health home‐based record appears to play an important role in improving child health and development.

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“…Single-focus records contain information relevant to one health topic or population group (eg, antenatal care notes, vaccination-only cards, growth charts), while multi-focus records consist of chronologically ordered information pertaining to more than one health topic and can be used for an extended period. 2 The difference in focus as per health topic or population group resorted to policy debates on whether home-based records should be developed and distributed per mother or child. 3 Due to problems encountered in full integration (eg, poor coordination across stakeholders), most countries prefer to implement program-specific, stand-alone home-based records for MCH services.…”

Section: Introductionmentioning

confidence: 99%

“…The records are available in paper or electronic format, complement facility-based records, and can be either single focus or multifocus. Single-focus records contain information relevant to one health topic or population group (eg, antenatal care notes, vaccination-only cards, growth charts), while multi-focus records consist of chronologically ordered information pertaining to more than one health topic and can be used for an extended period 2. The difference in focus as per health topic or population group resorted to policy debates on whether home-based records should be developed and distributed per mother or child 3.…”

Section: Introductionmentioning

confidence: 99%

Effects of the maternal and child health handbook and other home-based records on mothers’ non-health outcomes: a systematic review

et al. 2022

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ObjectiveThis review aimed to investigate the effects of the maternal and child health (MCH) handbook and other home-based records on mothers’ non-health outcomes.DesignSystematic review.Data sourcesPubMed, Web of Science, CINAHL, Academic Search Complete, PsycArticles, PsycINFO, SocINDEX, CENTRAL, NHS EED, HTA, DARE, Ichuushi and J-STAGE through 26 March 2022.Eligibility criteria for selecting studiesOriginal research articles examining home-based records and mothers’ non-health outcomes published in English or Japanese across various study designs.Data extraction and synthesisTwo independent reviewers extracted relevant data and assessed the risk of bias. We assessed the certainty of evidence for each study using the Grading of Recommendations Assessment, Development, and Evaluation approach. Due to the heterogeneity of the included studies, we conducted a narrative synthesis of their findings.ResultsOf the 4199 articles identified, we included 47 articles (20 in Japanese) in the review. Among the different types of home-based records, only the MCH handbook provided essential information about the mother–child relationship, and its use facilitated the mother–child bonding process. Mothers reported generally feeling satisfied with the use of home-based records; although their satisfaction with health services was influenced by healthcare providers’ level of commitment to using these records. While home-based records positively affected communication within the household, we observed mixed effects on communication between mothers/caregivers and healthcare providers. Barriers to effective communication included a lack of satisfactory explanations regarding the use of home-based records and personalised guidance from healthcare providers. These records were also inconsistently used across different health facilities and professionals.ConclusionsThe MCH handbook fostered the mother–child bond. Mothers were generally satisfied with the use of home-based records, but their engagement depended on how these records were communicated and used by healthcare providers. Additional measures are necessary to ensure the implementation and effective use of home-based records.PROSPERO registration numberCRD42020166545.

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How Should Home-Based Maternal and Child Health Records Be Implemented? A Global Framework Analysis

Cited by 10 publications

References 37 publications

Agreement and Reliability of Parental Reports and Direct Screening of Developmental Outcomes in Toddlers at Risk

Agreement and Reliability of Parental Reports and Direct Screening of Developmental Outcomes in Toddlers at Risk

Parent engagement with the New South Wales child health home‐based record: A cross‐sectional survey and a retrospective chart review

Effects of the maternal and child health handbook and other home-based records on mothers’ non-health outcomes: a systematic review

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