Replicating Evidence-Based Practices with Flexibility for Perinatal Home Visiting by Paraprofessionals.

ABSTRACT: Introduction Strategies are needed to improve the efficacy of paraprofessional home visitors for pregnant women in the United States. This study evaluates the maternal and child outcomes when evidence-based practices (EBP) are replicated with flexibility, rather than fidelity to a manualized intervention. Methods Pregnant mothers (N = 203) in five clinics were recruited in the waiting rooms and randomized to standard clinic care as the control condition (n = 104) or standard care plus home visiting (n = 99). Home visitors (n = 9) were selected, trained in foundational skills common to EBP and four problem domains (weight control, breastfeeding, daily habits, and depression). Independent interviewers assessed targeted outcomes at birth (82%) and 6 months later (83%).

Results

Home vis

SUBMITTER: Rotheram-Fuller EJ 

PROVIDER: S-EPMC5671538 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature