Fitzpatrick P, Molloy B, Johnson Z
Health Information Unit, Dr Steeven's Hospital, Dublin, Ireland.
J Epidemiol Community Health. 1997 Jun;51(3):299-303. doi: 10.1136/jech.51.3.299.
To see whether the community mothers' programme, using lay volunteer mothers to deliver a childhood development programme, could be extended successfully to the travelling community in Ireland.
This was a prospective study of the travelling community; comparisons were made with results of a previous randomised trial of settled mothers.
A regional health authority in Ireland.
These comprised 39 traveller and 127 settled intervention mother/ infant pairs (randomised controlled trial (RCT) intervention); settled community mothers; 105 settled control pairs (RCT control). All mothers received standard support; traveller and RCT intervention groups also received the services of a community mother.
The travellers' sociodemographic profile differed significantly from the other groups. At the end of the study, traveller and intervention children were exposed to more cognitive games and nursery rhymes. There were significant differences in the proportions who received all three shots of their primary immunisation schedule before 12 months of age and who received "three in one" vaccination, with traveller children doing least well. The diet of traveller children surpassed that of RCT controls in all food groups except fruit; they were less likely to begin cows' milk before 26 weeks of age. Traveller mothers' diet was superior to that of RCT control and similar to RCT intervention mothers. Traveller and RCT intervention mothers were less likely to feel tired, feel miserable, and want to stay indoors than RCT control mothers.
The results of the community mothers' programme in the travelling community are encouraging; poor immunisation uptake remains a challenge.
探讨利用非专业志愿母亲实施儿童发展计划的社区母亲项目能否成功推广至爱尔兰的流动社区。
这是一项针对流动社区的前瞻性研究；与之前针对定居母亲的随机试验结果进行了比较。
爱尔兰的一个地区卫生当局。
包括39对流动母婴和127对定居干预母婴（随机对照试验（RCT）干预组）；定居社区母亲；105对定居对照母婴（RCT对照组）。所有母亲均获得标准支持；流动组和RCT干预组还获得了社区母亲的服务。
流动人群的社会人口学特征与其他组有显著差异。在研究结束时，流动组和干预组的儿童接触到了更多的认知游戏和儿歌。在12个月龄前完成全部三针基础免疫接种以及接种“三合一”疫苗的比例存在显著差异，流动儿童的情况最差。除水果外，流动儿童在所有食物组的饮食都超过了RCT对照组；他们在26周龄前开始喝牛奶的可能性较小。流动母亲的饮食优于RCT对照组，与RCT干预组母亲相似。与RCT对照组母亲相比，流动组和RCT干预组母亲感到疲倦、痛苦和想待在室内的可能性较小。
社区母亲项目在流动社区的结果令人鼓舞；免疫接种率低仍然是一个挑战。
