Assessing Concerns and Care Needs of Expectant Parents: Development and Feasibility of a Structured Interview

Anne van Driessche, Henk F. van Stel, Remy M. Vink and Ingrid I. E. Staal
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Anne van Driessche: Municipal Health Service Zeeland, 4460 AS Goes, The Netherlands
Henk F. van Stel: Julius Centre for Health Sciences and Primary Care, Department of Healthcare Innovation and Evaluation, University Medical Centre Utrecht, 3584 CG Utrecht, The Netherlands
Remy M. Vink: TNO Innovation for Life, 2316 ZL Leiden, The Netherlands
Ingrid I. E. Staal: Municipal Health Service Zeeland, 4460 AS Goes, The Netherlands

IJERPH, 2021, vol. 18, issue 18, 1-15

Abstract: Many adverse situations for parenting and healthy child development can be detected before a child’s birth. The aim of this project was to develop and test an instrument to use in prenatal home visits, to improve the identification of adverse situations and care needs during pregnancy. The preSPARK is based on a valid and reliable broad-scope structured interview called SPARK (Structured Problem Analysis of Raising Kids). The preSPARK focuses on 12 topics ranging from aspects of the period before pregnancy to future parents’ expectations. The preSPARK was tested in daily practice for feasibility and discriminative capacity. User experience was assessed from the perspective of the professional. In total, 64 home visits using the preSPARK were carried out by 21 nurses. About 24% of the expectant parents needed intensive help or immediate action on one or more topics. The risk assessment showed 29% of the participants were at high risk, 40% at increased risk, and 31% at low risk for future parenting and child developmental problems. The nurses indicated that the preSPARK provides a good structure for home visits and gives insight in interrelated factors. The preSPARK is feasible in daily practice and clarifies risks and care needs of expectant parents.

Keywords: preventive child health care; expectant parents; risk factors; development; parenting; risk assessment; prevention; prenatal home visit (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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