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Assessing Effective Interventions in Pregnant and Postpartum American Indian and Alaska Native Women
| Content Provider | Semantic Scholar |
|---|---|
| Author | Thompson, Hope K. |
| Copyright Year | 2017 |
| Abstract | Assessing Effective Interventions in Pregnant and Postpartum American Indian and Alaska Native Women by Hope Lauren Thompson MPH, Walden University, 2011 BS, Clayton State University, 2007 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Public Health Epidemiology Walden University January 2018 Abstract Through the creation of the Indian Health Service in 1955, the health status of American Indian and Alaska Native (AI/AN) has improved; however, AI/AN women of reproductive age still have some of the poorest health outcomes of all populations. This study aimed to examine effective interventions that seek to improve the health of AI/AN women during pregnancy, and immediately postpartum (up to 12 months post delivery). This study addressed the research question: What effect does parental competence have on early parenting and/or infant/toddler outcomes? The life course conceptual framework was used to demonstrate how life experiences impact current health. The methodologyThrough the creation of the Indian Health Service in 1955, the health status of American Indian and Alaska Native (AI/AN) has improved; however, AI/AN women of reproductive age still have some of the poorest health outcomes of all populations. This study aimed to examine effective interventions that seek to improve the health of AI/AN women during pregnancy, and immediately postpartum (up to 12 months post delivery). This study addressed the research question: What effect does parental competence have on early parenting and/or infant/toddler outcomes? The life course conceptual framework was used to demonstrate how life experiences impact current health. The methodology followed the preferred reporting items for systematic reviews and meta-analyses statement. A literature review from 1993-2015 using derivatives for race and pregnancy was conducted. Inclusion and eligibility were determined using a priori criteria and application of the population, intervention, comparator, outcome, and study design(s) approach. Study quality was assessed using the Cochrane risk of bias tool and an expert review panel. A meta-analysis was conducted to determine the impact of parental competence through parenting knowledge and self-efficacy. The findings of this study suggest that evidence based interventions focused on: reducing multiple risky maternal health behaviors, through education and treatment options (creating positive social change at the individual, family, and societal levels); increasing access to prenatal care early in pregnancy, through community based participatory research (creating change at the societal level); and supporting parental competence, through training (creating change at the organizational level), will promote positive birth outcomes in AI/AN women. Assessing Effective Interventions in Pregnant and Postpartum American Indian and Alaska Native Women by Hope Lauren Thompson MPH, Walden University, 2011 BS, Clayton State University, 2007 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Public Health Epidemiology Walden University January 2018 Dedication I dedicate this dissertation to the loving memory of my mama, Wanda E. Thompson. Look, Mama! I made it! Thank you for always being my biggest fan. I am so grateful for the wonderful life you gave me and the precious moments we shared. Every day I strive to live a life that makes you proud. I also dedicate this dissertation to my grandma, Clara E. Johnson. Although, I know you don’t fully understand the significance of this accomplishment, I thank you for always providing a helping hand, never saying no, and showing me that I am loved. I love you both, always and forever! Acknowledgments First, I give all praise and thanks to God, for with Him ALL things are possible and it is because of Him that I am where I am today. Proverbs 3:5-6. Romans 8:28. Next, I acknowledge my dissertation committee and Walden University: Dr. Patrick Tschida, Dr. Jeanne Connors, and Dr. Michael Brunet, thank you for all your guidance and help. I would also like to recognize the Centers for Disease Control and Prevention (CDC) and the Maternal and Child Health Epidemiology Program (MCHEP) for their continuous support throughout this process. I would especially like to recognize my PIEs (partners in epidemiology): Danielle E. Arellano (thank you; I could not have done this without you) and David A. Goodman (thank you for the support of the never-ending rainbow bridge and unicorns...lol) for their expertise and time. Additionally, I would like to thank Janel A. Blancett and Jeani Chang, who were always willing to help me with formatting issues (no matter how frustrating). Lastly, but never least, I acknowledge my mentor and friend, Charlan D. Kroelinger. There aren’t enough words to describe all you’ve meant and mean to me; rather, I hope that my growth and development, both academically and professionally, are some indication. Thank you for EVERYTHING! It has been my honor to share this journey with someone I so greatly admire and respect. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=5671&context=dissertations&httpsredir=1&referer= |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
