Hdl Handle:
http://hdl.handle.net/10675.2/313691
Title:
Maternal Health Literacy Progression Among Rural Perinatal Women
Authors:
Mobley, Sandra C.; Thomas, Suzanne Dixson; Sutherland, Donald E.; Hudgins, Jodi; Ange, Brittany L.; Johnson, Maribeth H.
Abstract:
This research examined changes in maternal health literacy progression among 106 low income, high risk, rural perinatal African American and White women who received home visits by Registered Nurse Case Managers through the Enterprise Community Healthy Start Program. Maternal health literacy progression would enable women to better address intermediate factors in their lives that impacted birth outcomes, and ultimately infant mortality (Lu and Halfon in Mater Child Health J 7(1):13-30, 2003; Sharma et al. in J Natl Med Assoc 86(11):857-860, 1994). The Life Skills Progression Instrument (LSP) (Wollesen and Peifer, in Life skills progression. An outcome and intervention planning instrument for use with families at risk. Paul H. Brookes Publishing Co., Baltimore, 2006) measured changes in behaviors that represented intermediate factors in birth outcomes. Maternal Health Care Literacy (LSP/M-HCL) was a woman's use of information, critical thinking and health care services; Maternal Self Care Literacy (LSP/M-SCL) was a woman's management of personal and child health at home (Smith and Moore in Health literacy and depression in the context of home visitation. Mater Child Health J, 2011). Adequacy was set at a score of (≥4). Among 106 women in the study initial scores were inadequate (<4) on LSP/M-HCL (83 %), and on LSP/M-SCL (30 %). Significant positive changes were noted in maternal health literacy progression from the initial prenatal assessment to the first (p < .01) postpartum assessment and to the final (p < .01) postpartum assessment using McNemar's test of gain scores. Numeric comparison of first and last gain scores indicated women's scores progressed (LSP/M-HCL; p < .0001) and (LSP/M-SCL; p < .0001). Elevated depression scores were most frequent among women with <4 LSP/M-HCL and/or <4 LSP/M-SCL. Visit notes indicated lack or loss of relationship with the father of the baby and intimate partner discord contributed to higher depression scores.
Affiliation:
Department of Obstetrics and Gynecology
Citation:
Mobley, S. C., Thomas, S. D., Sutherland, D. E., Hudgins, J., & Johnson, M. H. (2014) Maternal Health Literacy Progression Among Rural Perinatal Women. Matern Child Health J, 18(2). Retrieved from Springerlink.com
Publisher:
Springer
Journal:
Matern Child Health J
Issue Date:
28-Jan-2014
URI:
http://hdl.handle.net/10675.2/313691
DOI:
10.1007/s10995-014-1432-0
Additional Links:
Springerlink.com
Type:
Article
Language:
en_US
ISSN:
1092-7875
Appears in Collections:
Department of Obstetrics and Gynecology: Faculty Research and Presentations; Department of Biostatistics and Epidemiology: Faculty Research and Publications

Full metadata record

DC FieldValue Language
dc.contributor.authorMobley, Sandra C.en_US
dc.contributor.authorThomas, Suzanne Dixsonen_US
dc.contributor.authorSutherland, Donald E.en_US
dc.contributor.authorHudgins, Jodien_US
dc.contributor.authorAnge, Brittany L.en_US
dc.contributor.authorJohnson, Maribeth H.en_US
dc.date.accessioned2014-03-06T04:26:07Z-
dc.date.available2014-03-06T04:26:07Z-
dc.date.issued2014-01-28-
dc.identifier.citationMobley, S. C., Thomas, S. D., Sutherland, D. E., Hudgins, J., & Johnson, M. H. (2014) Maternal Health Literacy Progression Among Rural Perinatal Women. Matern Child Health J, 18(2). Retrieved from Springerlink.comen_US
dc.identifier.issn1092-7875-
dc.identifier.doi10.1007/s10995-014-1432-0-
dc.identifier.urihttp://hdl.handle.net/10675.2/313691-
dc.description.abstractThis research examined changes in maternal health literacy progression among 106 low income, high risk, rural perinatal African American and White women who received home visits by Registered Nurse Case Managers through the Enterprise Community Healthy Start Program. Maternal health literacy progression would enable women to better address intermediate factors in their lives that impacted birth outcomes, and ultimately infant mortality (Lu and Halfon in Mater Child Health J 7(1):13-30, 2003; Sharma et al. in J Natl Med Assoc 86(11):857-860, 1994). The Life Skills Progression Instrument (LSP) (Wollesen and Peifer, in Life skills progression. An outcome and intervention planning instrument for use with families at risk. Paul H. Brookes Publishing Co., Baltimore, 2006) measured changes in behaviors that represented intermediate factors in birth outcomes. Maternal Health Care Literacy (LSP/M-HCL) was a woman's use of information, critical thinking and health care services; Maternal Self Care Literacy (LSP/M-SCL) was a woman's management of personal and child health at home (Smith and Moore in Health literacy and depression in the context of home visitation. Mater Child Health J, 2011). Adequacy was set at a score of (≥4). Among 106 women in the study initial scores were inadequate (<4) on LSP/M-HCL (83 %), and on LSP/M-SCL (30 %). Significant positive changes were noted in maternal health literacy progression from the initial prenatal assessment to the first (p < .01) postpartum assessment and to the final (p < .01) postpartum assessment using McNemar's test of gain scores. Numeric comparison of first and last gain scores indicated women's scores progressed (LSP/M-HCL; p < .0001) and (LSP/M-SCL; p < .0001). Elevated depression scores were most frequent among women with <4 LSP/M-HCL and/or <4 LSP/M-SCL. Visit notes indicated lack or loss of relationship with the father of the baby and intimate partner discord contributed to higher depression scores.en_US
dc.language.isoen_USen
dc.publisherSpringeren_US
dc.relation.urlSpringerlink.comen_US
dc.subjectHealth Literacyen_US
dc.subjectHealthy Starten_US
dc.subjectHome visitationen_US
dc.subjectInfant Mortalityen_US
dc.subjectIntermediate factorsen_US
dc.subjectLife Skills Progression Instrumenten_US
dc.subjectMaternal health literacyen_US
dc.subjectPerinatal case managementen_US
dc.titleMaternal Health Literacy Progression Among Rural Perinatal Womenen_US
dc.typeArticleen
dc.contributor.departmentDepartment of Obstetrics and Gynecologyen_US
dc.identifier.journalMatern Child Health Jen_US
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