A RCT of peer-mentoring for first-time mothers in socially disadvantaged areas (the moments study)


Autoria(s): Cupples, Margaret; Stewart, Moira; Percy, Andrew; Hepper, Peter; Murphy, C.; Halliday, Henry
Data(s)

01/03/2011

Resumo

Objective: Interventions to reduce health inequalities for young children and their mothers are important: involving peers is recommended, but evidence of value for this approach is limited. The authors aimed to examine the effect of an innovative tailored peer-mentoring programme, based on perceived needs, for first-time mothers in socio-economically deprived communities. Design: Randomised controlled trial; parallel qualitative study with purposive samples using semistructured interviews. Setting: Socio-economically disadvantaged areas, Belfast. Participants: Primigravidae, aged 16-30 years, without significant co-morbidity. Intervention: Peer-mentoring by a lay-worker fortnightly during pregnancy and monthly for the following year, tailored to participants' wishes (home visits/telephone contacts), additional to usual care. Main outcome measures: Infant psychomotor and mental development (Bayley Scales of Infant Development (BSID-II)) at 1 year, assessed by an observer blinded to group allocation. Mothers' health at 1 year postnatal (SF-36). Results: Of 534 women invited, 343(64%) participated; 85%, with their children, completed outcome assessments (140 of 172 intervention; 152 of 171 controls). Intervention and control groups did not differ in BSID-II psychomotor (mean difference 1.64, 95% CI -0.94 to 4.21) or mental (-0.81, -2.78 to 1.16) scores, nor SF-36 physical functioning (-5.4, -11.6 to 0.7) or mental health (-1.8, -6.1 to 2.6). Women valued advice given in context of personal experience of child-rearing. Mentors gained health-related knowledge, personal skills and new employment opportunities. Conclusions: Despite possible longer-term social advantage, this peer-mentoring programme showed no benefit for infant development or maternal health at 1 year. Further rigorous evaluation of important outcomes of complex interventions promoting health for children in socially disadvantaged communities is warranted. Trial registration no: ISRCTN 55055030.

Identificador

http://pure.qub.ac.uk/portal/en/publications/a-rct-of-peermentoring-for-firsttime-mothers-in-socially-disadvantaged-areas-the-moments-study(94a97d06-e0d2-4d1d-8737-6b42ecc64584).html

http://dx.doi.org/10.1136/adc.2009.167387

http://www.scopus.com/inward/record.url?scp=79951626883&partnerID=8YFLogxK

Idioma(s)

eng

Direitos

info:eu-repo/semantics/restrictedAccess

Fonte

Cupples , M , Stewart , M , Percy , A , Hepper , P , Murphy , C & Halliday , H 2011 , ' A RCT of peer-mentoring for first-time mothers in socially disadvantaged areas (the moments study) ' Archives of Disease in Childhood , vol 96 , no. 3 , pp. 252-258 . DOI: 10.1136/adc.2009.167387

Palavras-Chave #/dk/atira/pure/subjectarea/asjc/2700/2735 #Pediatrics, Perinatology, and Child Health
Tipo

article