We hypothesize that relative to families who receive standard individual postpartum and pediatric care, families that receive group care will be more likely to have: * Improved maternal and child health behaviors: i.e increased breastfeeding, exercise, child safety measures in the home and decreased smoking. * Better health care use for babies: i.e. attend more care visits, on-time and complete immunizations and decreased emergency services use. * Better psychosocial outcomes for the families: i.e. decreased stress and depression, and increased social support. * Improved parenting skills: i.e. improved knowledge of child development, involvement in developmentally appropriate activities, and parental sense of competence.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
170
Intervention families will receive well child care in a group format for the first 12 month of the child's life.
Improved maternal and child health behaviors will be measured using a computer assisted interview.
Time frame: Interviews will be given at 2 weeks, 6 and 12 months of age.
Better health care utilization for babies will be measured using Medical records review.
Time frame: 1 year
Better psychosocial outcomes for mothers, fathers and babies will be measured using a computer assisted interview.
Time frame: 2 weeks, 6 months and 12 months of age
Improved parenting skills will be assessed using a computer assisted inteview.
Time frame: 2 weeks, 6 months ad 12 months
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