Identification of families in need of support: Correlates of adverse childhood experiences in the right@home sustained nurse home visiting program.
<h4>Background</h4>Little is known about the efficacy of pregnancy screening tools using non-sensitive sociodemographic questions to identify the possible presence of as yet undiagnosed disease in individuals and later adverse childhood events disclosure.<h4>Objectives</h4>Th...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0275423 |
| _version_ | 1828143027443466240 |
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| author | Lynn Kemp Tracey Bruce Emma L Elcombe Fiona Byrne Sheryl A Scharkie Susan M Perlen Sharon R Goldfeld |
| author_facet | Lynn Kemp Tracey Bruce Emma L Elcombe Fiona Byrne Sheryl A Scharkie Susan M Perlen Sharon R Goldfeld |
| author_sort | Lynn Kemp |
| collection | DOAJ |
| description | <h4>Background</h4>Little is known about the efficacy of pregnancy screening tools using non-sensitive sociodemographic questions to identify the possible presence of as yet undiagnosed disease in individuals and later adverse childhood events disclosure.<h4>Objectives</h4>The study aims were to: 1) record the prevalence of risk disclosed by families during receipt of a sustained nurse home visiting program; and 2) explore patterns of relationships between the disclosed risks for their child having adverse experiences and the antenatal screening tool, which used non-sensitive demographic questions.<h4>Design</h4>Retrospective, observational study.<h4>Participants and methods</h4>Data about the participants in the intervention arm of the Australian right@home trial, which is scaffolded on the Maternal Early Childhood Sustained Home-visiting model, collected between 2013 and 2017 were used. Screening data from the 10-item antenatal survey of non-sensitive demographic risk factors and disclosed risks recorded by the nurse in audited case files during the subsequent 2 year intervention were examined (n = 348). Prevalence of disclosed risks for their child having adverse experiences were analysed in 2019 using multiple response frequencies. Phi correlations were conducted to test associations between screening factors and disclosed risks.<h4>Results</h4>Among the 348 intervention participants whose files were audited, 300 were noted by nurses to have disclosed risks during the intervention, with an average of four disclosures. The most prevalent maternal disclosures were depression or anxiety (57.8%). Mental health issues were the most prevalent partner and family disclosures. Screening tool questions on maternal smoking in pregnancy, not living with another adult, poverty and self-reporting anxious mood were significantly associated with a number of disclosed risks for their child having adverse experiences.<h4>Conclusions</h4>These findings suggest that a non-sensitive sociodemographic screening tool may help to identify families at higher risk for adverse childhood experiences for whom support from a sustained nurse home visiting program may be beneficial. |
| first_indexed | 2024-04-11T19:51:20Z |
| format | Article |
| id | doaj.art-6be5be731fd14523a07b1b9de8a5968f |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-11T19:51:20Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-6be5be731fd14523a07b1b9de8a5968f2022-12-22T04:06:17ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-011710e027542310.1371/journal.pone.0275423Identification of families in need of support: Correlates of adverse childhood experiences in the right@home sustained nurse home visiting program.Lynn KempTracey BruceEmma L ElcombeFiona ByrneSheryl A ScharkieSusan M PerlenSharon R Goldfeld<h4>Background</h4>Little is known about the efficacy of pregnancy screening tools using non-sensitive sociodemographic questions to identify the possible presence of as yet undiagnosed disease in individuals and later adverse childhood events disclosure.<h4>Objectives</h4>The study aims were to: 1) record the prevalence of risk disclosed by families during receipt of a sustained nurse home visiting program; and 2) explore patterns of relationships between the disclosed risks for their child having adverse experiences and the antenatal screening tool, which used non-sensitive demographic questions.<h4>Design</h4>Retrospective, observational study.<h4>Participants and methods</h4>Data about the participants in the intervention arm of the Australian right@home trial, which is scaffolded on the Maternal Early Childhood Sustained Home-visiting model, collected between 2013 and 2017 were used. Screening data from the 10-item antenatal survey of non-sensitive demographic risk factors and disclosed risks recorded by the nurse in audited case files during the subsequent 2 year intervention were examined (n = 348). Prevalence of disclosed risks for their child having adverse experiences were analysed in 2019 using multiple response frequencies. Phi correlations were conducted to test associations between screening factors and disclosed risks.<h4>Results</h4>Among the 348 intervention participants whose files were audited, 300 were noted by nurses to have disclosed risks during the intervention, with an average of four disclosures. The most prevalent maternal disclosures were depression or anxiety (57.8%). Mental health issues were the most prevalent partner and family disclosures. Screening tool questions on maternal smoking in pregnancy, not living with another adult, poverty and self-reporting anxious mood were significantly associated with a number of disclosed risks for their child having adverse experiences.<h4>Conclusions</h4>These findings suggest that a non-sensitive sociodemographic screening tool may help to identify families at higher risk for adverse childhood experiences for whom support from a sustained nurse home visiting program may be beneficial.https://doi.org/10.1371/journal.pone.0275423 |
| spellingShingle | Lynn Kemp Tracey Bruce Emma L Elcombe Fiona Byrne Sheryl A Scharkie Susan M Perlen Sharon R Goldfeld Identification of families in need of support: Correlates of adverse childhood experiences in the right@home sustained nurse home visiting program. PLoS ONE |
| title | Identification of families in need of support: Correlates of adverse childhood experiences in the right@home sustained nurse home visiting program. |
| title_full | Identification of families in need of support: Correlates of adverse childhood experiences in the right@home sustained nurse home visiting program. |
| title_fullStr | Identification of families in need of support: Correlates of adverse childhood experiences in the right@home sustained nurse home visiting program. |
| title_full_unstemmed | Identification of families in need of support: Correlates of adverse childhood experiences in the right@home sustained nurse home visiting program. |
| title_short | Identification of families in need of support: Correlates of adverse childhood experiences in the right@home sustained nurse home visiting program. |
| title_sort | identification of families in need of support correlates of adverse childhood experiences in the right home sustained nurse home visiting program |
| url | https://doi.org/10.1371/journal.pone.0275423 |
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