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Table 1 Scope of survey 1: potential pathways to promote good birth outcomesa

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

 

Health Care Risk

Psychological Risks

Behavioral Health Risks

Biologic Risks

Target Maternal Behaviors

Inadequate PNCb

High Stress

Depression

IPVc

Tobacco Use

Alcohol Use

Illicit SUd

Infectione

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

  1. 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
  2. bInadequate prenatal care is defined as late entry or inadequate number of visits post enrollment in HV
  3. cIntimate partner violence
  4. dSubstance use (heroin or cocaine)
  5. eSexually transmitted, vaginal, or urinary tract