142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

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Enhancements and Adaptations to the Nurse Family Partnership Home Visitation Model in an Alaska Native Tribal Health Organization

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Vanessa Hiratsuka, PhD MPH , Research Department, Soutncentral Foundation, Anchorage, AK
Corrie Whitmore, PhD , Data Services, Southcentral Foundation, Anchorage, AK
Marisa Wang, MPA , Southcentral Foundation, Anchorage, AK
Background: In south-central Alaska, Southcentral Foundation (SCF) works closely with the Nurse Family Partnership (NFP) National Service Office to adapt and enhance NFP materials for delivery to primiparous (first time) and multiparous Alaska Native (AN) and American Indian (AI) mothers through home visitation. Nurses employed by SCF, an AN owned and operated health care system, have delivered home visiting services to families with newborns for 17 years.

Purpose: In June 2012, they shifted to provide services using the NFP model. Prior to this shift, the Administration for Children and Families  Maternal, Infant, and Early Childhood Home Visiting program (MIECHV), grant funded a Community Needs Assessment to identify needs present in SCF’s Anchorage Service Area. NFP, which generally enrolls only primiparous mothers, was otherwise a good fit for addressing the needs described and SCF’s mission of “working together with the Native Community to achieve wellness through health and related services.”

Methods: In collaboration with the Prevention Research Center at the University of Colorado Denver, SCF modified enrollment criteria to include multiparous mothers, adapted facilitator (hand-out) content and images to better reflect our tribal community, and required all home visitors undergo a New Hire Orientation, which includes cultural teaching.

Results:  These adaptations and enhancements provide nurses with tools to provide culturally appropriate services to families meeting eligibility criteria (low income and primiparous OR multiparous and meeting “social risk” criteria).

Conclusion:  This poster describes the process SCF clinical and research staff undertook to adapting and enhancing NFP materials for use in our community and clinical setting.

Learning Areas:

Administer health education strategies, interventions and programs
Diversity and culture
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Public health or related research

Learning Objectives:
Discuss the adaptations and enhancements to the Nurse Family Partnership (NFP) model by Southcentral Foundation (SCF)to serve both primiparous and multiparous Alaska Native and American Indian mothers through home visitation. Explain the process of adapting and enhancing NFP materials for use in the SCF community. Identify the eligibility criteria used by the SCF NFP program for participant enrollment.

Keyword(s): Maternal and Child Health, Minority Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am both a co-Principal Investigator and evaluation lead for the project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.