Sandra C. Mobley|Suzanne D. Thomas|Donald E. Sutherland|Jodi Hudgins|Brittany Ange|Maribeth H. Johnson
Maternal Health Literacy Progression Among Rural Perinatal Women
Georgia Regents Medical Center|Augusta University|Healthy Start|Augusta University|Healthy Start|Augusta University|Augusta University|Augusta University
research examined changes maternal health literacy progression among 106 low income high risk rural perinatal african american white women received home visits registered nurse case managers enterprise community healthy start program maternal health literacy progression would enable women better address intermediate factors lives impacted birth outcomes ultimately infant mortality lu halfon mater child health j 711330 2003 sharma et al j natl med assoc 8611857860 1994 life skills progression instrument lsp wollesen peifer life skills progression outcome intervention planning instrument use families risk paul h brookes publishing co baltimore 2006 measured changes behaviors represented intermediate factors birth outcomes maternal health care literacy lspmhcl womans use information critical thinking health care services maternal self care literacy lspmscl womans management personal child health home smith moore health literacy depression context home visitation mater child health j 2011 adequacy set score 4 among 106 women study initial scores inadequate 4 lspmhcl 83 lspmscl 30 significant positive changes noted maternal health literacy progression initial prenatal assessment first p 01 postpartum assessment final p 01 postpartum assessment using mcnemars test gain scores numeric comparison first last gain scores indicated womens scores progressed lspmhcl p 0001 lspmscl p 0001 elevated depression scores frequent among women 4 lspmhcl andor 4 lspmscl visit notes indicated lack loss relationship father baby intimate partner discord contributed higher depression scores