Healthy Babies Are Worth The Wait: A Partnership to Reduce Preterm Births in Kentucky through Community-based Interventions 2007 - 2009

By Edward R.B. McCabe

Healthy Babies Are Worth the Wait®: A Collaborative Partnership to Reduce Preterm Births in Kentucky through Community-based Interventions 2007 – 2009 provides readers with an overview of the problem of preterm birth in the US, also describing in detail the design, implementation, evaluation, and outcomes of the Healthy Babies Are Worth the Wait initiative conducted in Kentucky between 2007 and 2009.

The reader will learn about a unique research approach employing a mixed ecologic design that compared outcomes between intervention sites and comparison sites and the use of qualitative surveys and quantitative methods using state vital records data to evaluate outcomes.

Consumer messaging and educational materials are discussed, along with the challenges of implementation and key lessons learned.

• Provides readers with an overview of the problem of preterm birth in the US
• Describes in detail the design, implementation, evaluation, and outcomes of the Healthy Babies Are Worth the Wait® initiative conducted in Kentucky between 2007-2009
• Includes a unique research approach employing a mixed ecological design to evaluate outcomes

• Language: English
• Publisher: Academic Press
• Release date: Jun 23, 2015
• ISBN: 9780128034866

Book preview

Healthy Babies are Worth the Wait

Editor

EDWARD R.B. McCABE

Table of Contents

Cover image

Title page

Copyright

Authors

Foreword

Acknowledgments

Chapter 1. Introduction

Chapter 2. Background

Chapter 3. Healthy Babies are Worth the Wait® Design and Methods

Initiative Design

Evaluation Design

Chapter 4. Healthy Babies are Worth the Wait® Planning and Implementation Activities

Chapter 5. Evaluation Results

Consumer and Provider Surveys

Annual Perinatal Systems Survey and Environmental and Policy Interviews Cross-Site Summary of Findings

Perinatal Outcomes Analysis

Chapter 6. Discussion

Appendix A. HBWW Logic Model

Appendix B. HBWW Organizational Structure

Appendix C. Community Education and Marketing Materials

Appendix D. HBWW Process Data Report

Appendix E. Consumer and Provider Surveys (Follow-up Versions)

Appendix F. Annual Perinatal Systems Survey

Appendix G. Environment and Policy Interview

Appendix H. HBWW Newsletter

References

Index

Copyright

Academic Press is an imprint of Elsevier

125 London Wall, London EC2Y 5AS, UK

525 B Street, Suite 1800, San Diego, CA 92101-4495, USA

225 Wyman Street, Waltham, MA 02451, USA

The Boulevard, Langford Lane, Kidlington, Oxford OX5 1GB, UK

Copyright © 2015 Elsevier Inc. All rights reserved.

This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.

Notices

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.

Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.

To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.

Library of Congress Cataloging-in-Publication Data

A catalog record for this book is available from the Library of Congress

British Library Cataloguing-in-Publication Data

A catalogue record for this book is available from the British Library

ISBN: 978-0-12-803482-8

For information on all Academic Press publications visit our website at http://store.elsevier.com/

Typeset by TNQ Books and Journals

www.tnq.co.in

Printed and bound in the United States of America

Authors

PRIMARY AUTHORS

Diane M. Ashton,     March of Dimes Foundation, National Office, White Plains, NY, USA and Department of Obstetrics & Gynecology, SUNY Downstate Medical Center, Brooklyn, NY, USA

Karla Damus

March of Dimes Foundation, National Office, White Plains, NY, USA (at commencement of study)

Department of Family Medicine, Boston University School of Medicine/Boston Medical Center, Boston, MA, USA (current)

CONTRIBUTING AUTHORS

Vani R. Bettegowda,     Perinatal Data Center, March of Dimes Foundation, National Office, White Plains, NY, USA (at time of study)

Gerard E. Carrino,     Program Research Development and Evaluation, March of Dimes Foundation, National Office, White Plains, NY, USA

Todd Dias,     Perinatal Data Center, Program Research Development and Evaluation, March of Dimes Foundation, National Office, White Plains, NY, USA

Tracey Jewell,     Division of Maternal & Child Health, Kentucky Department for Public Health, Frankfort, KY, USA

Joy Marini,     Maternal, Newborn and Child Health, Johnson & Johnson Corporate Contributions, New Brunswick, NJ, USA

Rebecca Russell,     Perinatal Data Center, Program Research Development and Evaluation, March of Dimes Foundation, National Office, White Plains, NY, USA

Ruth Ann Shepherd,     Maternal and Child Health, Kentucky Department for Public Health, Cabinet for Health and Family Services, Frankfort, KY, USA

Julie Solomon,     J. Solomon Consulting, LLC, Mountain View, CA, USA

CONTRIBUTORS FOR DATA ANALYSIS OF THE HEALTHY BABIES ARE WORTH THE WAIT® CONSUMER AND PROVIDER SURVEYS

Lorena Ortiz,     J. Solomon Consulting, LLC, Mountain View, CA, USA

Monika Sawhney,     J. Solomon Consulting, LLC, Mountain View, CA, USA

EDITOR

Edward R.B. McCabe,     March of Dimes Foundation, National Office, White Plains, NY, USA

Foreword

Healthy Babies are Worth the Wait®: Reducing Preterm Birth through the Integration of Primary Care and Public Health

The Challenge

In a report of births occurring in the US during the year 2006, it was stated, Preterm and low birthweight rates continued to rise [1]. This pessimistic statement, suggesting a rise that could not be altered, was justified by more than two decades of steadily increasing rates of preterm birth or births less than 37  weeks of gestation. The preterm birth rate had risen by more than 20% from 1990 and 36% from the early 1980s. This increase in preterm birth was influenced not as much by births before 34  weeks, which rose modestly from 3.32% in 1990 to 3.66% in 2006, and more by late preterm birth (34–36  weeks) which increased by 25% from 7.3% in 1990 to 9.15% in 2006. This same report noted that efforts to effectively prevent preterm birth were limited, even though over one-third of infant deaths were thought to be related to late preterm birth, and infants born late preterm had increased risks of long-term consequences.

Fortunately, not everyone considered the prevention of preterm birth an intractable problem, including the March of Dimes Foundation, which, supported by its Board of Trustees, declared preterm birth prevention to be a priority for the Foundation in 2003, ultimately revising the March of Dimes mission in 2005 to include the problem of premature birth in the US as a major focus and expanding this to a global campaign in 2008. Through the hard work of many organizations and individuals the preterm birth rate dropped