Fecha de la modificación significativa más reciente: 23 de febrero de 2007. Las revisiones Cochrane se revisan regularmente y se actualizan si es necesario.
RESUMEN EN TÉRMINOS SENCILLOSHome-based support for disadvantaged teenage mothers Whilst it is clear that not all teenage pregnancies are unwanted, and that parenting as a teenager can be experienced positively, teenage parenthood is more likely to be linked to adverse social and health outcomes than parenthood in older mothers; both for mothers and their children. Home visiting refers to a wide variety of interventions delivered in a variety of ways, within different policy contexts and targeted at different populations. Programmes may be provided by professionals (usually nurses) or para-professionals. This review aimed to assess the effectiveness of home-visiting programmes for improving outcomes for teenage mothers and their infants. Five studies were identified that met the inclusion criteria for the review. A total of 1838 teenage mothers were enrolled in these studies. The evidence suggests there is only limited support for the effectiveness of home visiting as a means of improving maternal life course, parenting or psychosocial outcomes of teenage mothers or for improving a range of developmental and social outcomes for their children. |
RESUMENAntecedentes: Babies born to socio-economically disadvantaged mothers are at higher risk of injury, abuse or neglect and health problems than babies born to more affluent mothers; disadvantaged teenage mothers are at particular risk of adverse outcomes. Home-visiting programs are thought to improve outcomes for both 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: The following electronic databases were searched: CENTRAL (2006, Issue 3); MEDLINE (1966 to March 2006); EMBASE (1980 to week 12 2006); 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). Grey literature was also be searched using ZETOC (1993 to March 2006); Dissertation Abstracts International (late 1960s to 2006); and SIGLE (1980 to March 2006). Communication with published authors about ongoing or unpublished research was also undertaken.
Criterios de selección: Included studies were randomised controlled trials investigating the efficacy of home visiting directed at teenage mothers.
Recopilación y análisis de datos: Titles and abstracts identified in the search were independently assessed for eligibility by two review authors (EC and JP or CB). 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 did not report on all outcomes reported in included studies.
Resultados principales: Five studies with 1838 participants were included in this review. Data from single studies provided support for the effectiveness of home visiting on some outcomes, but the evidence overall provided only limited support for the effectiveness of home visiting as a means of improving the range of maternal and child outcomes considered in this review.
Conclusiones de los revisores: This review suggests there is only limited evidence that home-visiting programmes of the kind described in this review can impact positively on the quality of parenting of teenage mothers or on child development outcomes for their offspring. 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 about improvements in the conduct and reporting of outcome studies in this area.
Esta revisión debería citarse como: Macdonald G, Bennett C, 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.