Maternal Parenting Electronic Diary in the Context of a Home Visit Intervention for Adolescent Mothers in an Urban Deprived Area of São Paulo, Brazil: Randomized Controlled Trial
| العنوان: | Maternal Parenting Electronic Diary in the Context of a Home Visit Intervention for Adolescent Mothers in an Urban Deprived Area of São Paulo, Brazil: Randomized Controlled Trial |
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| المؤلفون: | Euripedes Constantino Miguel, Lislaine Aparecida Fracolli, Guilherme V. Polanczyk, Anna Maria Chiesa, Daniel Fatori, Alicia Matijasevich, Helena Brentani, Adriana Cristina Argeu |
| المصدر: | JMIR mHealth and uHealth, Vol 8, Iss 7, p e13686 (2020) JMIR mHealth and uHealth |
| بيانات النشر: | JMIR Publications, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Adolescent, Urban Population, Psychological intervention, Mothers, Health Informatics, Context (language use), Information technology, law.invention, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, law, Pregnancy, Intervention (counseling), Poverty Areas, medicine, Humans, 0501 psychology and cognitive sciences, 030212 general & internal medicine, daily diary, Original Paper, Parenting, business.industry, ambulatory assessment, Data Collection, 05 social sciences, Infant, Odds ratio, medicine.disease, randomized clinical trial, T58.5-58.64, early childhood development, House Calls, mHealth, Family medicine, Ambulatory, Electronic data, Female, maternal care, Smartphone, Public aspects of medicine, RA1-1270, business, Brazil, 050104 developmental & child psychology, Program Evaluation |
| الوصف: | Background Pregnancy during adolescence is prevalent in low- and middle-income countries (LMICs), which is associated with various adverse outcomes that can be prevented with home visiting programs. However, testing these interventions in LMICs can be challenging due to limited resources. The use of electronic data collection via smartphones can be an alternative and ideal low-cost method to measure outcomes in an environment with adverse conditions. Objective Our study had two objectives: to test the efficacy of a nurse home visiting intervention on maternal parenting and well-being measured by an electronic daily diary (eDiary), and to investigate the compliance rate of the eDiary measurement method. Methods We conducted a randomized controlled trial to test the efficacy of Primeiros Laços, a nurse home visiting program, for adolescent mothers living in an urban deprived area of São Paulo, Brazil. A total of 169 pregnant adolescents were assessed for eligibility criteria, 80 of whom were included and randomized to the intervention (n=40) and control group (care as usual, n=40). Primeiros Laços is a home visiting intervention delivered by trained nurses tailored to first-time pregnant adolescents and their children, starting during the first 16 weeks of pregnancy until the child reaches 24 months of age. Participants were assessed by blind interviewers at 8-16 weeks of pregnancy (baseline), 30 weeks of pregnancy, and when the child was 3, 6, and 12 months of age. At 18 months, participants were assessed regarding maternal parenting and parental well-being using a 7-consecutive-day eDiary. The smartphone app was programmed to notify participants every day at 9:00 PM over a period of seven days. Results We were able to contact 57/80 (71%) participants (29 from the intervention group and 28 from the control group) when the child was 18 months of age. Forty-eight of the 57 participants (84%) completed at least one day of the eDiary protocol. The daily compliance rate ranged from 49% to 70%. Our analyses showed a significant effect of the intervention on parental well-being (B=0.32, 95% CI [0.06, 0.58], P=.02) and the maternal parenting behavior of the mother telling a story or singing to the child (odds ratio=2.33, 95% CI [1.20, 4.50], P=.01).Our analyses showed a significant effect of the intervention on parental well-being (B=0.32, P=.02) and the maternal parenting behavior of the mother telling a story or singing to the child (odds ratio=2.33, P=.01). Conclusions The Primeiros Laços intervention improved maternal parenting and parental well-being, demonstrating its promise for low-income adolescent mothers. The compliance rate of the eDiary assessment showed that it was generally accepted by adolescent mothers with limited resources. Future studies can implement ambulatory assessment in LMICs via smartphones to measure mother and child behaviors. Trial Registration ClinicalTrials.gov NCT02807818; https://clinicaltrials.gov/ct2/show/NCT02807818Test |
| اللغة: | English |
| تدمد: | 2291-5222 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::688c3aad08248dc498ea45342f788a06Test https://mhealth.jmir.org/2020/7/e13686Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....688c3aad08248dc498ea45342f788a06 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22915222 |
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