Improving child healthcare provided by mothers with intellectual disabilities: A random clinical trial comparing two approaches

Author: Tymchuk, A. J.;Sewards, S.
Year: 2000
Reference Type: Journal Article
Journal/Book Title: Journal of Intellectual Disability Research
Volume: 44
Pages: 496-496
Abstract: Effective injury and illness prevention and health promotion remain elusive goals for mothers with intellectual disabilities and their children. The available evidence from clinical practice and research shows that effective approaches to healthcare delivery for this population must match the learning styles and circumstances of the families. Based upon . decades of research, pilot testing occurred in Sacramento and Los Angeles Counties, California, USA. Subsequently, young or expectant mothers with intellectual disabilities were randomly assigned to an in-home safety and healthcare instruction condition (n = ...) or a materials-only condition (n = ..) over a .-year period from .... to .....The primary dependent outcomes were: maternal health and safety knowledge and skills; the number of residential hazardous conditions; and the number of safety devices utilized. The secondary outcomes were reports of child maltreatment and injuries. Maternal satisfaction with participation was used for validation. Significant instructional main effects were obtained, with mothers receiving interventions in their homes scoring higher. Post hoc analyses indicate that residential change at some time during the trial, quality of residence, maternal disability status at entry, maternal communication abilities at entry, and child health and disability status at entry are primary factors which are related to outcome. The results demonstrate that processes can be applied more broadly.

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