Using Baby Books to Promote Maternal and Child Health

Condition 1 - Educational Condition (Educational Book Group) Clinical Trial

Official title:

Using Baby Books to Promote Maternal and Child Health

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02203617
• Other study ID #: R01HD447749
• Status: Completed
• Phase: N/A
• First received: July 18, 2014
• Last updated: April 13, 2017
• Start date: April 2005
• Est. completion date: July 2010

Study information

• Verified date: April 2017
• Source: Vanderbilt University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The Baby Books Project tests whether embedding educational information into baby books can improve the health and wellbeing of first-time mothers and their young children.

Description:

This study tests the efficacy of embedding educational information (i.e., pediatric anticipatory guidance) into baby books that first-time mothers read to their infants. This 3-group longitudinal study recruited first-time mothers in their third trimester of pregnancy, randomly assigned them to conditions, and followed them until the child was 18 months of age. One group received educational baby books, another group was given the same illustrated books with non-educational text, and the third group was not given any books. Thus, the effects of educational reading could be parsed from the effects of reading alone. The study aimed to test whether embedding pediatric anticipatory guidance in picture books is an effective method for increasing maternal knowledge of child development, parenting strategies, and safety practices, improving parenting beliefs and attitudes (e.g., parenting efficacy, importance of reading, use of corporal punishment), supporting optimal parenting practices (e.g., breastfeeding and nutrition, responsiveness, safety practices), improving maternal health (stress, depression), and supporting children's healthier development (injuries, illness, immunizations, and linguistic, social, and cognitive development).

Survey and observational data collection occurred in participants' homes during their third trimester of pregnancy and when their child was 2, 4, 6, 9, 12, and 18 months of age. Twelve phone call interviews were conducted between these home visits. When children were 18 months, a retrospective medical chart audit was conducted.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 198
• Est. completion date: July 2010
• Est. primary completion date: June 2009
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 18 Years to 50 Years

Eligibility

Inclusion Criteria:

• Women who are pregnant with first child and able to read in English at a first grade reading level

Exclusion Criteria:

• Women with other children, men, those not able to read in English at a first grade level

Related Conditions & MeSH terms

• Condition 1 - Educational Condition (Educational Book Group)
• Condition 2 - Non-educational Condition (Non-educational Book Group)
• Condition 3 - Control Condition (No-book Group)
• Disease

Intervention

Behavioral:
• Educational Content/Pediatric Anticipatory Guidance
educational information from Bright Futures Guidelines for Health Supervision for birth to 18 months
• Book provision
Given free books prenatally and at 2, 4, 6, 9, 12, and 18 months postpartum

Locations

Country	Name	City	State
United States	University of California, Irvine	Irvine	California
United States	Vanderbilt University	Nashville	Tennessee

Sponsors (2)

Lead Sponsor	Collaborator
Vanderbilt University	University of California, Irvine

Country where clinical trial is conducted

United States, 

References & Publications (4)

Khalessi A, Reich SM. A Month of Breastfeeding Associated with Greater Adherence to Pediatric Nutrition Guidelines. J Reprod Infant Psychol. 2013 Jul 1;31(3):299-308. — View Citation

Reich SM, Bickman L, Saville BR, Alvarez J. The effectiveness of baby books for providing pediatric anticipatory guidance to new mothers. Pediatrics. 2010 May;125(5):997-1002. doi: 10.1542/peds.2009-2728. Epub 2010 Apr 12. — View Citation

Reich SM, Penner EK, Duncan GJ, Auger A. Using baby books to change new mothers' attitudes about corporal punishment. Child Abuse Negl. 2012 Feb;36(2):108-17. doi: 10.1016/j.chiabu.2011.09.017. Epub 2012 Mar 3. — View Citation

Reich SM, Penner EK, Duncan GJ. Using baby books to increase new mothers' safety practices. Acad Pediatr. 2011 Jan-Feb;11(1):34-43. doi: 10.1016/j.acap.2010.12.006. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Community Conditions	measured with the observational Community Conditions Checklist and self-report Community Conditions Interview	4 months postpartum and following a move to a new residence
Primary	Change in knowledge of child development and parenting	Measured with Opinions about Babies questionnaire	Change from Baseline (pregnancy) to 18 months postpartum
Primary	Change in Reading Practices	Self-reported joint reading practices	Change from 2 to 18 months postpartum
Primary	Parenting Stress	Measured with the Parenting Stress Index	Change from 2 to 18 months post-partum
Primary	Costs	Maternal costs due to their own and their child's illness/injury, use of substances, and purchase of food was measured with the Incurred Cost Questionnaire.	Cumulative costs over study duration
Secondary	Safety Practices	Measured with the Home Safety Assessment, an observational and self-report measure of safety practices in the home, car, and outside	2, 4, 6, 9, 12, and 18 months postpartum
Secondary	Attitudes about Corporal punishment	Adolescent-Adult Parenting Inventory	2, 6, 12 and 18 months postpartum
Secondary	Maternal Depressive Symptoms	Depressive symptoms were measured with the Center for Epidemiologic Studies Depression Scale.	Change from baseline (pregnancy) to 18 months postpartum
Secondary	Beliefs about the Importance of Reading to Children	Maternal beliefs about the importance of reading was measured with the Modified Parent Reading Belief Inventory	Change from baseline (prenatal) to 18 months postpartum
Secondary	Injuries and illnesses	Child illnesses injuries were measured with the Incurred Cost Questionnaire and through a retrospective medical chart audit.	16 months (from 2 to 18 months postpartum)
Secondary	Quality of Parent-Child Interaction	Video recording and in-vivo coding of mother-child dyads during play and reading.	Change from 2 to 18 months postpartum
Secondary	Home environment and parenting	measured with the Home Observation for Measurement of Environment (HOME).	Change from 2 to 18 months postpartum
Secondary	Receptive and Expressive language	Measured with the Preschool Language Scale - Fourth Edition (PLS4).	Change from 6 to 18 months postpartum
Secondary	Cognitive and neurological development screening	Measured with the Bayley Infant Neurodevelopmental Screener (BINS)	4, 6, 9 months postpartum
Secondary	Infant nutrition	Infant Nutrition Interview measured the introduction of news foods, types of foods, and serving portions at each time point.	2, 4, 6, 9, 12, and 18 months postpartum
Secondary	Breastfeeding intentions and practices	measured with the Breastfeeding Intentions and Practices Scale	prenatal and postnatal every visit until no longer breastfeeding
Secondary	Pregnancy uplifts and Hassles	measured with the Pregnancy Experience Scale	Baselines (pregnancy)
Secondary	Parenting Satisfaction	measured with the Parenting Satisfaction Scale	Change from 2 to 18 months postpartum
Secondary	Parenting Self-Efficacy	Measured with the Maternal Self-Efficacy Scale	Change from 2 to 18 months postpartum
Secondary	Reading self-efficacy	measured with the Reading Self-Efficacy Scale	Change from 2 to 18 months postpartum
Secondary	Cognitive Development	measured with Exploratory Play Task	12 and 18 months postpartum
Secondary	Immunizations, medical visits, and growth status	measured through a retrospective medical chart audit.	18 months postpartum