Recruitment and Retention in a Clinical Trial for Low Birth Weight, Premature Infants

Constantine, Wendy L.; Haynes, Christine W.; Spiker, Donna; Kendall–Tackett, Kathleen; Constantine, Norman A.

doi:10.1097/00004703-199302010-00001

Cited by 4 publications

(6 citation statements)

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“…The predominant barrier was a complex interplay between mothers' characteristics and context, limited resources and perception of need. HCPs described many mothers as being disadvantaged and facing socioeconomic challenges consistent with previous studies that reported single parents (Campbell et al 1993;Catlett et al 1993;Callanan et al 2001;Ballantyne et al 2014), lower education levels (Constantine et al 1993;Wolke et al 1995;Callanan et al 2001;Turner & Le Souef 2003) and socioeconomic status (Aylward et al 1985) as predictive of non-attendance. Reliance on mothers' sociodemographic characteristics to interpret attendance provides a simplistic view of how mothers prioritized and processed the decision to attend.…”

Section: Discussionsupporting

confidence: 78%

“…To date, research has focused primarily on the predictors of attendance using retrospective or prospective quantitative methods. Single parenting (Campbell et al 1993;Catlett et al 1993;Callanan et al 2001;Ballantyne et al 2014), lower maternal education (Constantine et al 1993;Wolke et al 1995;Callanan et al 2001;Turner & Le Souef 2003), and higher stress levels (Ballantyne et al 2014) have been found to be predictive of non-attendance at NFU. Non-attending mothers reported higher levels of depression (Slater et al 1987;Moser et al 2000) and maternal alcohol or drug use (Nehra et al 2009;Harmon et al 2013;Ballantyne et al 2014), less social support (Aylward et al 1985;Slater et al 1987), and greater travel distances (Harmon et al 2013;Ballantyne et al 2014).…”

Section: Introductionmentioning

confidence: 99%

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Mothers' and health care providers' perspectives of the barriers and facilitators to attendance at Canadian neonatal follow‐up programs

Ballantyne

Benzies

Rosenbaum

et al. 2014

Child

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Section: Discussionsupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Mothers' and health care providers' perspectives of the barriers and facilitators to attendance at Canadian neonatal follow‐up programs

Ballantyne

Benzies

Rosenbaum

et al. 2014

Child

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“…Infants who weighed 2,500 g or less at birth and were 37 weeks or less gestational age were screened for eligibility if they were 40 weeks postconceptional age during a 9 month period in 1985, and if they were born in one of eight participating medical institutions (Arkansas, Einstein, Harvard, Miami, Pennsylvania, Texas at Dallas, Washington, and Yale). The primary analysis group consisted of 985 families who consented to participate and joined the study (21% of the families who met the enrollment criteria refused consent; see Constantine, Haynes, Spiker, Kendall-Tackett, & Constantine, 1993). Infants were randomized into two groups-only children who were not in the intervention group were included in these analyses (the intervention group had sigruficantly higher cognitive test scores at 2 and 3 years of age than did the group not receiving the early childhood educational program; Brooks-Gunn, Klebanov, Liaw, & Spiker, 1993).…”

Section: Designmentioning

confidence: 99%

The Contribution of Neighborhood and Family Income to Developmental Test Scores over the First Three Years of Life

Klebanov¹,

et al. 1998

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The effects of neighborhood and family income and family risk factors on developmental test scores at ages 1 through 3 are examined using a subsample ( N = 347) from the Infant Health and Development Program. Beneficial effects of low numbers of risks were found for scores at ages 1 through 3. Family poverty was associated with lower scores at ages 2 and 3. Neighborhood affluence was associated with higher scores at age 3. The family risks-test score association at ages 1 through 3 and family income-test score association at ages 2 and 3 were mediated by home environment. Mediated effects were stronger for family income-test score associations at age 3 than for neighborhood income. Moderating effects of family risk on family and neighborhood income effects revealed an interaction between family poverty and risks for scores at age 3. Explanations for the early links between family risks and test scores and the later links between income and test scores are discussed.

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“…Black and Hispanic mothers were more likely to enroll in the study than white mothers. The intervention of including comprehensive EI with the standard three-year pediatric care was not found to have an effect on retention (Constantine et al, 1993).…”

Section: Comprehensive Care Program Outcomesmentioning

confidence: 79%

“…Another study identified risk factors for dropout from a comprehensive care NICU followup study, including young maternal age and a lower education status (Constantine et al, 1993). A significant interaction was found between infant birth weight and maternal age that predicted retention in the intervention group.…”

Section: Comprehensive Care Program Outcomesmentioning

confidence: 99%

Facilitators and barriers to neonatal intensive care unit follow-up program attendance: A critically appraised topic

Clark

Maher

Rudy

et al. 2018

Journal of Occupational Therapy, Schools, & Early Intervent

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Kari Tanta, PhD, OTR/L, FAOTA is the rehabilitation manager of the neonatal intensive care unit (NICU) and the NICU follow-up (NFU) program at Valley Medical Center (VMC). To address the problem of decreased NFU attendance, the following clinical question was asked:"For families with an infant who has been discharged from a NICU, which factors promote or discourage utilization of follow-up services?" Numerous facilitators and barriers affecting attendance were identified relating to severity of infant illness, parent socioeconomic status and education levels, and pragmatic factors including timing of scheduling.Knowledge translation activities undertaken included collaboration with University of Washington (UW) students, collaboration with grant writer Leanna Birge, PhD, and submission of findings for publication. Due to conflicting schedules, collaboration with the UW students was limited to a brief telephone dialogue. The collaboration with Dr. Birge will directly support the acquisition of grants for informal quality improvement (QI) studies. The submitted article will potentially reach many readers specializing in pediatrics, though it is difficult to assess the true reach of the article. Further research should investigate effective methods for increasing NFU program service utilization. Campbell et al., 1993;Harmon et al., 2013;Tien, Peterson, & Shelley, 2002). A few studies implemented specific methods for increasing attendance and identified the following methods as successful: calling before appointments, eliminating morning appointments, reducing paperwork, scheduling appointments before discharge, and providing transportation to appointments (Catlett, Thompson, Jondrow, & Boshkoff, 1993;Patra, Greene, Perez, Silvestri, 2014). This knowledge has implications primarily for the providers of NFU services. NICU Follow-UpIdentifying the factors associated with under-utilization of follow-up services is the first step in implementing program changes that would increase service utilization. Providers must contemplate how they can compensate for the common barriers that prevent their clients from accessing and/or using services. For any NFU program facing the issue of decreased NICU Follow-Up 5 attendance, there is benefit in using the literature to determine which factors could be influencing their access to the NFU services for their specific population. To further improve results, providers can survey their clients directly to determine barriers and then share their findings to contribute to the current literature base on this topic.With these findings, we undertook the following knowledge translation activities: collaborating with University of Washington (UW) occupational therapy students, collaborating with grant writer Leanna Birge, PhD, and submitting findings for publication. Collaboration with the UW students and Dr. Birge did not result in a tangible outcome, but rather consisted of a dialogue aimed at sharing knowledge to further projects related to increasing attendance at the VMC NFU pro...

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Recruitment and Retention in a Clinical Trial for Low Birth Weight, Premature Infants

Cited by 4 publications

References 0 publications

Mothers' and health care providers' perspectives of the barriers and facilitators to attendance at Canadian neonatal follow‐up programs

Mothers' and health care providers' perspectives of the barriers and facilitators to attendance at Canadian neonatal follow‐up programs

The Contribution of Neighborhood and Family Income to Developmental Test Scores over the First Three Years of Life

Facilitators and barriers to neonatal intensive care unit follow-up program attendance: A critically appraised topic

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