Prevention Through Parenting (part 1) Flashcards
What is Nurse Family Partnership [NFP]?
Home visiting during pregnancy and through Childs second year
What are the benefits of an NFP?
- Improve parental health
- reduce child neglect and abuse
- reduce developmental/ behavioral dysregulation
- Enhance family functioning and parents’ self sufficiency
- decrease likelihood of violence behavior, criminality, and conduct disorder
What is the ecological theory guiding NFP?
-Ecological model: Parenting influenced by social networks,
neighborhoods, culture; Nurses attempt to enhance social environment
What is the Self-efficacy theory guiding NFP?
- Self-efficacy : Parents play a role in selecting and shaping environments and experiences; Nurses help with parents build capacities and confidence to set and achieve goals
What is the Attachment theory guiding NFP?
- Attachment theory: Attachment is key developmental milestone and is dependent on quality of early care; Nurses help enhance
parental sensitivity
Who is NFP for and why?
- For Low-income, first time-mothers often single, young mothers
- Higher rates of problems that NFP is designed to address
(poor birth outcomes, child maltreatment, risk for later
child anti-social behavior) - Receptive to services
- Likely to apply skills to subsequent children
Who are the visitors and what is the frequency of visits in an NFP design?
- Visitors- Nurses with training in women’s and children’s health
- Visitation Enrolled at end of second trimester
Frequency of visits:
- 6-10 visits during last trimester (up to 18)
- 24-30 visits in infancy until age 2 (up to 70)
- 75 to 90-minute visits
What are the goals of NFP?
- Improve outcomes of pregnancy by improving prenatal health
- Improve children’s subsequent health and development by helping parents provide mode competent care
- Improve parents’ life-course by helping them develop goals and make smart choices
What are the content of each NFP session?
- Detailed visit-by-visit guidelines targeting challenges of specific stages of pregnancy and first two years of life
- Assessment tools help guide activities
- Flexible and tailored to needs of family
What are some Sample topics/activities during pregnancy?
- Track diet and weight gains
-Behavior change strategies for risky health behaviors
(e.g., smoking)
-Education about signs of pregnancy complications
-Coordination of care with physicians
- Planning for delivery
What are some Sample topics/activities during infancy
- Observe and access help for child health
- Facilitate sensitive parent-child interactions
- Education about young children’s signals
- Activities to support parents ’engagement with children
What were some randomized clinical trials regarding NFP?
- Elmira, NY beginning in1977
- Memphis, TN beginning in 1990
- Denver, CO beginning in 1994
What were some of the findings of the NFP research?
- Reduced rates of child abuse and neglect
- Maintained differences in perpetrator abuse rates between 4- to 15-year follow-up
- Seen 32% fewer times in emergency rooms
- 56% reduction in injuries and ingestions
What does the NFP research say regarding Prenatal health behaviors?
- Reduction in smoking
- Greater social support, better use of community services
What does the NFP research say regarding Pregnancy and birth outcomes?
- Fewer pre-term deliveries
- Heavier babies
