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Child health services in transition: I. Theories, methods and launching
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Pediatrics. (Övrig pediatrisk forskning/Nordvall)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Pediatrics. (Övrig pediatrisk forskning/Nordvall)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Pediatrics. (Övrig pediatrisk forskning/Nordvall)
2005 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 94, no 3, 329-336 p.Article in journal (Refereed) Published
Abstract [en]

AIM:

To describe an evidence-based model for preventive child health care and present some findings from baseline measurements.

METHODS:

The model includes: parent education; methods for interaction and language training; follow-up of low birthweight children; identification and treatment of postnatal depression, interaction difficulties, motor problems, parenthood stress, and psychosocial problems. After baseline measurements at 18 mo (cohort I), the intervention was tested on children from 0 to 18 mo at 18 child health centres in Uppsala County (cohort II). Eighteen centres in other counties served as controls. Two centres from a privileged area were included in the baseline measurements as a "contrasting" sample. Data are derived from health records and questionnaires to nurses and mothers.

RESULTS:

Baseline experiment (n = 457) and control mothers (n = 510) were largely comparable in a number of respects. Experiment parents were of higher educational and occupational status, and were more frequently of non-Nordic ethnicity. Mothers in the privileged area (n = 72) differed from other mothers in several respects. Experiment nurses devoted considerably fewer hours per week to child health services and to child patients than did control nurses.

CONCLUSIONS:

Despite certain differences, experiment and control samples appeared comparable enough to permit, in a second step, conclusions about the effectiveness of the intervention.

Place, publisher, year, edition, pages
2005. Vol. 94, no 3, 329-336 p.
Keyword [en]
Child Health Services/*organization & administration, Cohort Studies, Emigration and Immigration, Evidence-Based Medicine, Health Education, Humans, Infant; Newborn, Models; Psychological, Mothers, Nurses, Parent-Child Relations, Preventive Health Services/*organization & administration, Public Health, Research Support; Non-U.S. Gov't, Social Class, Sweden, Treatment Outcome
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-76053DOI: 10.1111/j.1651-2227.2005.tb03076.xPubMedID: 16028652OAI: oai:DiVA.org:uu-76053DiVA: diva2:103964
Available from: 2006-05-09 Created: 2006-05-09 Last updated: 2012-03-15Bibliographically approved

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Sundelin, ClaesMagnusson, MargarethaLagerberg, Dagmar

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