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Retention of Low Income Mothers in a Parenting Intervention Study

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Abstract

Women with inadequate prenatal care were recruited to a multi-component parenting intervention study. Because it was anticipated that this high-risk population might present challenges to retention, a variety of strategies were employed to maintain their participation in the study. This report reviews the results of these retention efforts and compares the population that completed the study versus those that terminated prior to study completion. Two hundred and eighty-six women were randomized to an intervention or control group. Careful tracking of the mothers, offering incentives for completing various study activities and providing a culturally competent staff were among the strategies employed to maintain participation. Comparison was made of those mothers terminating before study completion versus those retained, and of those terminating early in the study period versus later. Despite retention efforts, attrition at a level of 41% occurred. A few characteristics of mothers terminating early from the study were significant including older maternal age, a larger number of children, and incidence of no prenatal care. Despite comprehensive tracking procedures, some mothers were lost to follow up after change of residence. Other reasons for attrition included child outplacement and refusal of services or data collection procedures.

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REFERENCES

  1. Shavers-Hornaday V, Lynch C, Burmeister L, Torner J. Why are African Americans underrepresented in medicalresearch studies? Impediments to participation. Ethnic Health 1997; 2: 31-45.

    Google Scholar 

  2. McWilliam C, Desai K, Grieg B. Bridging town and gown: Building research partnerships between community-based professional providers and academia. J Prof Nurs 1997; 13:307-15.

    Google Scholar 

  3. MacDorman M, Atkinson J. Infant mortality statistics from the linked birth/infant death data sets-1995 period data. Mon Vital Stat Rep (US) 1998; 46 (6 Suppl2): 1-22.

    Google Scholar 

  4. Guyer B, Martin J, MacDorman M, Anderson R, Strobino D. Annual Summary of Vital Statistics-1996. Pediatrics 1997; 100: 905-18.

    Google Scholar 

  5. Murrell N, Smith R, Gill G, Oxley G. Racism and health care access: A dialogue with childbearing women. Health Care Women Int 1996; 17:149-59.

    Google Scholar 

  6. Scott C, Iyasu S, Rowley D, Atrash H. Post Neonatal Mortality Surveillance-United States 1980-1994. MMWR Morb Mortal Weekly Rep(US) July 3, 1998. 47 (55-2) p. 15-30.

    Google Scholar 

  7. Children's Defense Fund. The State of America's Children Yearbook. Washington, DC, 1998.

  8. DC Center for Health Statistics. District of Columbia Dept. of Health. 1996.

  9. Jarrett M, Katz K, Sharps P, Schneider S, Diamond L. Pride in parenting training program: A curriculum for training lay home visitors. Inf and Young Children 1998; 11(1): 61-72.

    Google Scholar 

  10. Jarrett M, Diamond L. Group intervention as one facet of a multi-component intervention with high risk mothers. Unpublished manuscript. 1998.

  11. Howard J, Beckwith L. Issues in subject recruitment and retention with pregnant and parenting substance abusing women. NIDA Res Monogr 1996; 166:68-86.

    Google Scholar 

  12. Ribisi K, Walton M, Mowbray C, Luke D, Davidson W, Bootsmiller B. Minimizing participant attrition in panel studies through the use of effective retention and tracking strategies: Review and recommendations. Evaluation and Program Planning 1996; 1-25.

  13. Bates A, Fitzgerald J, Wolinsky F. Reliability and validity of an instrument to measure maternal health beliefs. Indianapolis: Indiana University School of Medicine, 1993.

    Google Scholar 

  14. Bavolek S. Handbook for the Adult-Adolescent Parenting Inventory (AAPI). Schaumberg, IL: Family Development Associates, 1984.

    Google Scholar 

  15. MacPhee D. Knowledge of Infant Development Inventory. Fort Collins: Colorado State University, 1995.

    Google Scholar 

  16. Bristol M. Carolina Parent Support Scale. Chapel Hill: University of North Carolina, 1983.

    Google Scholar 

  17. Coons C, Gay E, Fandal A, Ker C, Frankenburg W. The Home Screening Questionnaire Reference Manual. Denver: Denver Developmental Materials, 1981.

    Google Scholar 

  18. Crnic K, Greenberg M. Minor parenting stresses with young children. Child Development 1990; 61:1628-37.

    Google Scholar 

  19. Mehta C, Patel N. StatXact 4 for Windows: Statistical Software for Exact nonparametric inference. Cambridge, CYTEI Software Corp., 1998.

    Google Scholar 

  20. SAS. SAS/Stat User's guide, Version 6, Fourth Edition. Cary, NC: SAS Institute Inc, 1990.

    Google Scholar 

  21. Senturia Y, Mortimer K, Baker D, Gergen P, Mitchell H, Joseph C, Wedner H. Successful techniques for retention of study participants in an inner-city population. Controlled Clinical Trials 1998; 19:544-554.

    Google Scholar 

  22. Boyce W, Jensen EL, James S, Peacock J. The Family Routines Inventory: Theoretical Origins. Soc. Sci Med 1983; 17:193-200.

    Google Scholar 

  23. Wilson WJ. The Truly Disadvantaged: The Innercity, The Underclass, and Public Policy. Chicago: University of Chicago Press, 1987.

    Google Scholar 

  24. Elliot DS, Delbert S, Wilson WJ, Huizinga, D, et al. The effects of neighborhood disadvantage on adolescent development. J of Research in Crime & Delinquincy 1996:33:389-426.

    Google Scholar 

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Katz, K.S., El-Mohandes, A., Johnson, D.M. et al. Retention of Low Income Mothers in a Parenting Intervention Study. Journal of Community Health 26, 203–218 (2001). https://doi.org/10.1023/A:1010373113060

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