Fecha de la modificación significativa más reciente: 27 de febrero de 2007. Las revisiones Cochrane se revisan regularmente y se actualizan si es necesario.
RESUMEN EN TÉRMINOS SENCILLOSBabies born to socio-economically disadvantaged mothers are at higher risk of a range of problems in infancy. Home visiting refers to a wide variety of interventions, delivered in a variety of ways, within different policy contexts and targeted at different populations, with advice and support usually included. Programmes may be provided by professionals (usually nurses) or para-professionals. This review aimed to assess the effectiveness of home visiting programmes as a means of improving outcomes for socio-economically disadvantaged adult mothers and their infants. Eleven studies were identified that met the inclusion criteria for the review, in which a total of 4751 mothers were enrolled. This review suggests that, for disadvantaged adult women and their children, there is currently no evidence to support the adoption of home visiting as a means of improving maternal psychosocial health, parenting or outcomes for children. For reasons discussed in the review, this does not amount to a conclusion that home visiting programmes are ineffective, but indicates a need to think carefully about the problems that home visiting might influence and improvements in the conduct of outcome studies in this area. |
RESUMENAntecedentes: Babies born to socio-economically disadvantaged mothers are at higher risk of a range of problems in infancy. Home visiting programs are thought to improve outcomes, both for mothers and children, largely through advice and support.
Objectivos: To assess the effectiveness of home visiting programmes for women who have recently given birth and who are socially or economically disadvantaged.
Estrategia de búsqueda: We searched the following electronic databases: The Cochrane Central Register of Controlled Trials (CENTRAL) (Issue 3, 2006); MEDLINE (1966 to March 2006); EMBASE (1980 to 2006 week 12); CINAHL (1982 to March week 4 2006); PsycINFO (1872 to March week 4 2006); ASSIA (1987 to March 2006); LILACS (1982 to March 2006); and Sociological Abstracts(1963 to March 2006). We searched grey literature using ZETOC (1993 to March 2006); Dissertation Abstracts International (late 1960s to 2006); and SIGLE (1980 to March 2006). We also undertook communication with published authors about ongoing or unpublished research.
Criterios de selección: Included studies were randomised controlled trials investigating the efficacy of home visiting directed at disadvantaged adult mothers.
Recopilación y análisis de datos: Two reviewers (EC and JP or CB) independently assessed titles and abstracts identified in the search for eligibility. Data were extracted and entered into RevMan (EC, JP and CB), synthesised and presented in both written and graphical form (forest plots). Outcomes included in this review were established at the protocol stage by an international steering group. The review does not report on all outcomes reported in included studies.
Resultados principales: We included 11 studies with 4751 participants in this review. Data show no statistically significant differences for those receiving home visiting, either for maternal outcomes (maternal depression, anxiety, the stress associated with parenting, parenting skills, child abuse risk or potential or breastfeeding) or child outcomes (preventive health care visits, psychosocial health, language development, behaviour problems or accidental injuries. Evidence about uptake of immunisations is mixed, and the data on child maltreatment difficult to interpret.
Conclusiones de los revisores: This review suggests that for disadvantaged adult women and their children, there is currently no evidence to support the adoption of home visiting as a means of improving maternal psychosocial health, parenting or outcomes for children. For reasons discussed in the review, this does not amount to a conclusion that home visiting programmes are ineffective, but indicates a need to think carefully about the problems that home visiting might influence, and improvements in the conduct of outcome studies in this area.
Esta revisión debería citarse como: Bennett C, Macdonald GM, Dennis J, Coren E, Patterson J, Astin M, Abbott J. Apoyo domiciliario para madres en posición social desfavorable (Revisión Cochrane traducida). En: La Biblioteca Cochrane Plus, número 3, 2008. Oxford, Update Software Ltd. Disponible en: http://www.update-software.com. (Traducida de The Cochrane Library, Issue . Chichester, UK: John Wiley & Sons, Ltd.).
Éste es el resumen de una revisión Cochrane traducida. La Colaboración Cochrane prepara y actualiza estas revisiones sistemáticas. El texto completo de la revisión traducida se publica en La Biblioteca Cochrane Plus (ISSN 1745-9990).
El Centro Cochrane Iberoamericano traducen, Infoglobal Suport edita, y Update Software Ltd publica La Biblioteca Cochrane Plus.