title: Low-Income First-Time Mothers: Effects of APN Follow-up Using Mobile Technology on Maternal and Infant Outcomes.
abstract: Background. Low-income mothers have greater challenges in accessing health care services due changes in the health care system and budget cuts. The purpose of this randomized clinical trial was to test a nurse practitioner (NP) intervention using cell phone and texting on maternal/infant outcomes. Methods. The sample included 129 mother-infant pairs. Intervention group mothers received NP 2-way cell phone follow-up intervention post-hospital discharge for 6 months. Results. Intervention mothers' perceived social support was significantly higher. Intervention infants received their first newborn follow-up visit significantly earlier (6 vs 9 days); significantly more infants were immunized at recommended times (2, 4, and 6 months of age); and there were fewer infant morbidities compared to controls. The intervention saved between $51 030 and $104 277 in health care costs averted. Conclusion. This easy-to-use, safe intervention is an effective way to reach a wide range of populations and demonstrated improved maternal/infant outcomes and decreased cost.
authors: Florida International University, Nicole Wertheim College of Nursing and Health Sciences Miami, FL, USA.
authors: Jean
authors: J
authors: Hannan
authors: Florida International University, Nicole Wertheim College of Nursing and Health Sciences Miami, FL, USA.
authors: Dorothy
authors: D
authors: Brooten
authors: Florida International University, Nicole Wertheim College of Nursing and Health Sciences Miami, FL, USA.
authors: Timothy
authors: T
authors: Page
authors: Florida International University, Nicole Wertheim College of Nursing and Health Sciences Miami, FL, USA.
authors: Ali
authors: A
authors: Galindo
authors: University of Miami, Miami, FL, USA.
authors: Maritza
authors: M
authors: Torres
keywords: follow-up care; general pediatrics; low-income mothers; mobile health; nurse practitioner