Randomized controlled trial of a paraprofessional-delivered in-home intervention for young reservation-based American Indian mothers.

Objective: To evaluate the efficacy of a paraprofessional-delivered, home-visiting intervention among young, reservation-based American Indian (AI) mothers on parenting knowledge, involvement, and maternal and infant outcomes.

Method: From 2002 to 2004, expectant AI women aged 12 to 22 years (n = 167) were randomized (1:1) to one of two paraprofessional-delivered, home-visiting interventions: the 25-visit "Family Spirit" intervention addressing prenatal and newborn care and maternal life skills (treatment) or a 23-visit breast-feeding/nutrition education intervention (active control). The interventions began during pregnancy and continued to 6 months postpartum.

Home-visiting intervention to improve child care among American Indian adolescent mothers: a randomized trial.

Objective: To assess the impact of a paraprofessional-delivered home-visiting intervention to promote child care knowledge, skills, and involvement among pregnant American Indian adolescents.

Design: Randomized controlled trial comparing a family-strengthening intervention with a breastfeeding education program.

Setting: One Apache and 3 Navajo communities.