Changing the home visiting research paradigm: models’ perspectives on behavioral pathways and intervention techniques to promote good birth outcomes

Table 1 Scope of survey 1: potential pathways to promote good birth outcomes^a

	Health Care Risk	Psychological Risks			Behavioral Health Risks			Biologic Risks
Target Maternal Behaviors	Inadequate PNC^b	High Stress	Depression	IPV^c	Tobacco Use	Alcohol Use	Illicit SU^d	Infection^e	Diabetes	High Blood Pressure
Basic Health Promotion
Engage in physical activity		X	X						X	X
Adhere to a healthy diet									X	X
Engage in stress reduction activities		X	X	X	X	X	X
Use social supports		X	X	X	X	X	X
Health Care Use
Adhere to PNC visit schedule	X		X						X	X
Engage in SU treatment							X
Behavioral Health
Stop or reduce tobacco use					X					X
Stop or reduce alcohol use						X				X
Stop or reduce illicit SU							X
Specific Risk Reduction Behaviors
Use condoms								X
Develop a safety plan				X
Alert PNC provider to warning signs			X						X	X
Adhere to medication regimen			X		X		X	X	X	X
Self-monitor physiologic indicators									X	X

^aEach X represents a unique pathway to good birth outcomes by promoting a specific target behavior to reduce a specific risk contributing to poor birth outcomes. There are 41 pathways
^bInadequate prenatal care is defined as late entry or inadequate number of visits post enrollment in HV
^cIntimate partner violence
^dSubstance use (heroin or cocaine)
^eSexually transmitted, vaginal, or urinary tract

ISSN: 1471-2458