The New Families (NF) program will improve quality of existing services, secure personalised service and early intervention in Child Health Service (CHS) in Oslo. The study will measure the effects of a primary prevention family-centered healthcare intervention in Norwegian CHS.
The New Families (NF) program will improve quality of existing services, secure personalised service and early intervention in Child Health Service (CHS) in Oslo. The study will: 1) Measure the effects of a primary prevention family-centered healthcare intervention in Norwegian CHS, 2) Create case studies from CHS praxis advancing Public Health Nurse (PHN) training and education in Oslo and Norway, 3) Establish a model for how to include users in service development in CHS, 4) Enhance the knowledge base of the PHN practice in CHS Anticipated results: The project will bolster the knowledge base for education and professional practices within the service by strengthen the existing research within the field. The anticipated results of the project are that the intervention will increase maternal and parental self-efficacy, reduce the risk of postpartum depression among first-time mothers, reduce parental stress, increase social support, improve maternal attachment, improve generic health status, improve partner relationship and improve child development compared with usual care. The intervention research in this project can be a future model for service improvement in the CHS.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
428
The new families are offered home visits by a public health nurse from 28 weeks in pregnancy until the child is two years old. The number of home visits depends on the families needs and wishes. They also get the usual follow up from the Child health center.
Follow up at the Child health center according to national regulations
VID Specialized University
Oslo, Norway
Depression in mothers in pregnancy
Edinburgh postnatal depression scale (EPDS). 10 items. Score 0-30. Score 12 or above indicate postpartum depression.
Time frame: 28 weeks pregnancy
Depression in fathers when partner is pregnant
Edinburgh postnatal depression scale (EPDS). 10 items. Score 0-30. Score 12 or above indicate postpartum depression.
Time frame: 28 weeks pregnancy
Depression in mothers three months postpartum
Edinburgh postnatal depression scale (EPDS). 10 items. Score 0-30. Score 12 or above indicate postpartum depression.
Time frame: 3 months postpartum
Depression in fathers three months postpartum
Edinburgh postnatal depression scale (EPDS). 10 items. Score 0-30. Score 12 or above indicate postpartum depression.
Time frame: 3 months postpartum
Sense of Coherence in mothers in pregnancy
Sense of Coherence Scale (SOC 13). 26 items. Score 13-90. Higher score is positive, score under 66 is low.
Time frame: 28 weeks pregnancy
Sense of Coherence in fathers in pregnancy
Sense of Coherence Scale (SOC 13). 26 items. Score 13-90. Higher score is positive, score under 66 is low.
Time frame: 28 weeks pregnancy
Sense of Coherence in mothers three months postpartum
Sense of Coherence Scale (SOC 13). 26 items. Score 13-90. Higher score is positive, score under 66 is low.
Time frame: 3 months postpartum
Sense of Coherence in fathers three months postpartum
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Sense of Coherence Scale (SOC 13). 26 items. Score 13-90. Higher score is positive, score under 66 is low.
Time frame: 3 months postpartum
Self-Efficacy in mothers 6 weeks postpartum
Perceived Maternal Parenting Self-Efficacy (PMP S-E) 20 items. score 22-88. A higher score indicates a higher level of maternal self-efficacy
Time frame: 6 weeks postpartum
Self-Efficacy in fathers 6 weeks postpartum
Perceived Maternal Parenting Self-Efficacy (PMP S-E) 20 items. score 22-88. A higher score indicates a higher level of maternal self-efficacy
Time frame: 6 weeks postpartum
Self-Efficacy in mothers 3 months postpartum
Perceived Maternal Parenting Self-Efficacy (PMP S-E) 20 items. score 22-88. A higher score indicates a higher level of maternal self-efficacy
Time frame: 3 months postpartum
Self-Efficacy in fathers 3 months postpartum
Perceived Maternal Parenting Self-Efficacy (PMP S-E) 20 items. score 22-88. A higher score indicates a higher level of maternal self-efficacy
Time frame: 3 months postpartum
Parental Stress in fathers 3 months postpartum
Parental Stress Scale (PSS) is formatted in the form of an 18-item self-report scale. Items represent positive (e.g. emotional benefits, personal development) and negative (demands on resources, restrictions) themes of parenthood. A higher score indicates a higher level of parental stress.
Time frame: 3 months postpartum
Parental Stress in mothers 3 months postpartum
Parental Stress Scale (PSS) is formatted in the form of an 18-item self-report scale. Items represent positive (e.g. emotional benefits, personal development) and negative (demands on resources, restrictions) themes of parenthood. A higher score indicates a higher level of parental stress.
Time frame: 3 months postpartum
Quality of Life in women and men during pregnancy and postpartum
To explore first-time parents' QoL during pregnancy and first-time mothers QoL postpartum, and to evaluate the difference in QoL between mothers in the intervention and control districts. Instrument: WHOQOL-BREF, 26-item. Score 4-20, higher scores indicate higher QoL.
Time frame: Pregnancy week 28, 3 months postpartum, 12 months postpartum.
What are the barriers and facilitators to implementation of the PHN intervention?
This research question will be explored by addressing the process of implementation. Data will be collected through a short survey and semi-structured interviews with PHNs and users (first-time mothers/fathers). An interview guide will be developed
Time frame: The interviews will take place about 12 months postpartum