Pilot Randomized Controlled Trial of an Interconception Intervention Provided by Public Health Nurses.
Adult
Female
Health Education
Health Promotion
/ methods
Humans
Nurses, Public Health
Ontario
Outcome and Process Assessment, Health Care
Patient Acceptance of Health Care
Pilot Projects
Preconception Care
/ methods
Pregnancy
Reproductive Health
Rural Health Services
Urban Health Services
Women's Health
Postpartum period
Preconception care
Reproductive health
Women’s health
Journal
Maternal and child health journal
ISSN: 1573-6628
Titre abrégé: Matern Child Health J
Pays: United States
ID NLM: 9715672
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
pubmed:
14
7
2020
medline:
8
9
2020
entrez:
14
7
2020
Statut:
ppublish
Résumé
Preconception health impacts perinatal outcomes, but the difficulty in engaging reproductive-aged individuals in health promotion activities is a barrier to effective implementation of preconception interventions. Since most women have more than one pregnancy and many risk factors repeat across pregnancies, the time between pregnancies-the interconception period-may be an opportune time to improve health. Our objective was to examine the feasibility and acceptability of an interconception intervention delivered by public health nurses. We conducted a pilot randomized controlled trial in three small urban and rural public health units in Ontario, Canada, in 2017-2018 among women who were ≥ 18 years of age and between 2 and 12 months postpartum after a first birth. Women randomly allocated to the intervention group received a preconception risk assessment, tailored health education, and referral for clinical follow-up as needed, while those in the control group received standard care. Primary outcomes were intervention feasibility, adherence, and acceptability. Of 66 eligible women, 61% agreed to participate and were randomized to the intervention (n = 16) or control (n = 24) groups. The follow-up rate was 78% at 1 month and 71% at 3 months. Most women (83%) were satisfied with the intervention, including the number and length of sessions and content of recommendations. Results demonstrate the potential feasibility and acceptability of an interconception intervention delivered in a public health setting. The short- and long-term impacts of the intervention on knowledge, behavior, and health should be tested in a larger sample.
Identifiants
pubmed: 32656692
doi: 10.1007/s10995-020-02980-w
pii: 10.1007/s10995-020-02980-w
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
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