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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Feasibility of Implementing Group Well Baby/Well Woman Dyad Care at Federally Qualified Health Centers

TitleFeasibility of Implementing Group Well Baby/Well Woman Dyad Care at Federally Qualified Health Centers
Publication TypeJournal Article
Year of Publication2017
AuthorsDuran, G, Faiz-Nassar, M, Mmari, K, Minkovitz, CS, Connor, KA
JournalAcad Pediatr
Date PublishedSep 14
ISBN Number1876-2859
Accession Number28919481
KeywordsCentering Parenting(TM), Federally Qualified Health Center, Group Well Child Care
Abstract

OBJECTIVE: Group care has been shown to be effective for delivery of infant well child care. Centering Parenting (CP) is a model of group dyad care for mothers and infants. CP may improve quality and efficiency of preventive care, particularly for low income families. Federally Qualified Health Centers (FQHC) may be optimal sites for implementation, however facilitators and barriers may be unique. The aim of this qualitative study was to assess stakeholder perspectives on the feasibility of implementing Centering ParentingTM in FQHCs in Baltimore. METHODS: Semi-structured interviews were conducted with mothers, clinicians, staff, and administrators recruited from two FQHCs using purposive sampling. Interviews were recorded, transcribed verbatim, and uploaded to Atlas.ti for analysis. Using an inductive thematic analysis approach, two investigators coded the transcripts. Matrices of key codes were developed to identify themes and patterns across stakeholder groups. RESULTS: Interviews were completed with 26 mothers and 16 clinicians, staff, and administrators. Most participants considered CP desirable. Facilitators included: peer support and education, emphasis on maternal wellness, and increased patient and clinician satisfaction. Barriers included: exposure to "others", scheduling and coordination of care, productivity, training requirements, and cost. Parenting experience did not appear to impact perspectives on CP. CONCLUSIONS: Perceptions regarding facilitators and barriers to CP implementation in FQHCs are similar to existing group well child care literature . The benefit of emphasis on maternal wellness is a unique finding. Maternal wellness integration may make CP a particularly desirable model for implementation at FQHCs, but potential systems barriers must be addressed.