problems (RR 0.46, 95% CI 0.21 to 1.01), infants not in care of biological mother (two studies, 254 infants; RR 0.83, 95% CI 0.50 to 1.39), non-accidental injury and non-voluntary foster care (two studies, 254 infants; RR 0.16, 95% CI 0.02 to 1.23) or infant death (three studies, 288 infants; RR 0.70, 95% CI 0.12 to 4.16). Individual studies reported a significant reduction in involvement with child protective services (RR 0.38, 95% CI 0.20 to 0.74) and failure to use postpartum contraception (RR 0.41, 95% CI 0.20 to 0.82). Preventative Miscellaneous Fahs et al (2012). 1. NR. 4. 274 Rural Women age 8. SMN+CI group had higher 10. 2 day workshop to 13. More work needs to be 35-65 years (n=117). fruit intake by meal (P = .005) train nurses. done to reduce CVD risks to USA. 2. Transtheoretical model and showed greater pre-post promote heart health included assessment of 5. Framingham score change in total fruit and 11. NR. among rural women. Multisite RCT stage of change (SOC) at 5 ≤20 points with no history vegetable intake (P = .03). levels. The Moos model of coronary heart disease There was no significant 12. 21% attrition usual 14. Nursing interventions “To compare 2 strategies, addressed environmental (CHD) or diabetes. difference on Framingham by for such studies. focused on lowering stage-matched nursing and system limitations group after the intervention (t cholesterol through community intervention associated with rural 6. 2 rural counties in US to (115) = 1.07, P = .28), yet, behaviour modification (SMN+CI) and community lifestyle. enable ethnic mix. Framingham scores decreased should receive intervention (CI) alone in significantly for the entire consideration. A design changing cardiovascular sample (t (116) = 6.01, P = focusing on intervention
problems (RR 0.46, 95% CI 0.21 to 1.01), infants not in care of biological mother (two studies, 254 infants; RR 0.83, 95% CI 0.50 to 1.39), non-accidental injury and non-voluntary foster care (two studies, 254 infants; RR 0.16, 95% CI 0.02 to 1.23) or infant death (three studies, 288 infants; RR 0.70, 95% CI 0.12 to 4.16). Individual studies reported a significant reduction in involvement with child protective services (RR 0.38, 95% CI 0.20 to 0.74) and failure to use postpartum contraception (RR 0.41, 95% CI 0.20 to 0.82). Preventative Miscellaneous Fahs et al (2012). USA. Multisite RCT “To compare 2 strategies, stage-matched nursing and community intervention (SMN+CI) and community intervention (CI) alone in changing cardiovascular 1. NR. 2. Transtheoretical model included assessment of stage of change (SOC) at 5 levels. The Moos model addressed environmental system limitations associated with rural lifestyle. 4. 274 Rural Women age 35-65 years (n=117). 5. Framingham score ≤20 points with no history of coronary heart disease (CHD) or diabetes. 6. 2 rural counties in US to enable ethnic mix. 8. SMN+CI group had higher fruit intake by meal (P = .005) and showed greater pre-post change in total fruit and vegetable intake (P = .03). There was no significant difference on Framingham by group after the intervention (t (115) = 1.07, P = .28), yet, Framingham scores decreased significantly for the entire sample (t (116) = 6.01, P = 10. 2 day workshop to train nurses. 11. NR. 12. 21% attrition usual for such studies. 13. More work needs to be done to reduce CVD risks to promote heart health among rural women. 14. Nursing interventions focused on lowering cholesterol through behaviour modification should receive consideration. A design focusing on intervention
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