Table 2.
Measures | Rationale | Collection Schedule | Instrument | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Postnatal Month | ||||||||||||
A | 1 | 6 | 12 | 18 | 24 | 36 | 48 | |||||
Primary Outcomes | Breastfeeding | Important for health/development, poor in Aboriginal children [33]. | ● | ● | ● | Parental questionnaire (CHS items 37,39) collated at 12 months [34]. | ||||||
Body mass index | Childhood obesity is increasing. Home visiting interventions have had impact, although not sustained over time [35]. | ● | ● | Child weight and height; BMI = kg/m2. | ||||||||
Child development | Studies reporting significantly lower levels of performance for Indigenous children compared to their non-Indigenous counterparts on cognitive and language tasks at school entry [36, 37]. | ● | ● | Griffiths child developmental assessment [14]. | ||||||||
Child vocabulary development | ● | Peabody Picture Vocabulary Test – 4th Edition [38]. | ||||||||||
Secondary Outcomes | Child | Child birthweight | Low birth weight more prevalent in Aboriginal children [33]. | ● | Birth weight recorded in perinatal statistics. | |||||||
Child health | Child health is associated with health in later life [39]. | ● | ● | ● | ● | ● | ● | ● | General health (CHS item 97) [34]; Paediatric assessment (18 months). | |||
Child dental health | Dental disease is an important cause of potentially preventable hospitalisations particularly for young Aboriginal children age 0–4 [40]. | ● | Dental assessment (dmft: decayed, missing and filled primary teeth); Significant Caries Index (SiC). | |||||||||
Illnesses and injury | Aboriginal children have increased hospital admissions for respiratory illness, ear disease, gastroenteritis [41, 42]. | ● | ● | ● | ● | ● | ● | ● | Parental questionnaire; Paediatric assessment (18 months); Hospital data collections. Collated at 24 and 48 months. |
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Age at first solids | Disadvantaged mothers more likely to introduce solids too early [43]. | ● | ● | Parental questionnaire (CHS items 48–49), collated at 12 months) [34]. | ||||||||
Age appropriate immunisation | Contact with health professionals is influential in immunisation [44]. | ● | ● | ● | ● | Parental questionnaire validated by Child Personal Health Record (Blue Book) [45]. | ||||||
Mother | Maternal enablement | Enabling mother is a key principle of SNHV [10, 46, 47]. | ● | Modified Patient Enablement Instrument (Groups A and B only) [48]. | ||||||||
Parental child developmental enablement | Parental enablement of their child’s development is a key purpose of the intervention. | ● | ● | ● | ● | Modified Patient Enablement Instrument (Groups A and B only) [48]. | ||||||
Knowledge of SIDS risk factors | Disadvantaged families less likely to act to reduce risk of SIDS [49]. | ● | ● | Parental questionnaire [50]. | ||||||||
Maternal health | Associated with child health. | ● | ● | 12-Item Short Form Health Survey (SF-12) [51]. | ||||||||
Maternal smoking | Risk factor for adverse perinatal outcomes [33]. | ● | ● | ● | ● | ● | ● | ● | ● | Fagerstrom test for nicotine dependence [52]. | ||
Family | Maternal social support | Positively influences families, parents, children [53]. | ● | ● | ● | ● | ● | ● | ● | ● | Parental questionnaire (CHS items 191–196) [34]. | |
Family functioning | Affects health and wellbeing of children [53]. | ● | ● | ● | ● | ● | ● | ● | ● | McMaster Family Assessment Device [54]. | ||
Home | Home environment | Stimulating environment associated with infant development [55]. | ● | ● | ● | HOME Inventory [56]. | ||||||
Household smoking | Increases risk of child respiratory problems [57]. | ● | ● | ● | ● | ● | ● | ● | ● | Parental questionnaire (CHS items 291–294) [34]. | ||
Service use | Use of and satisfaction with services | Parenting programs are effective in improving child behaviour [58]. | ● | ● | ● | ● | ● | ● | ● | ● | Parental questionnaire (CHS items 15, 18, 178–189, 285, 290) [34]. | |
Mother satisfaction with home visiting service | Mothers are more likely to make use of services that are accessible and acceptable [59]. | ● | ● | ● | ● | ● | Parental questionnaire (Modified PSQ-18 Groups A and B only) [50]; Program retention. |