The Study
To evaluate racial/ethnic differences in prenatal and postnatal counseling of teen mothers
What was the reasoning for the study to be done?
(Part of question one of discussion)
Multiple are older than 5 years
What are the concerns with the references?
(Question 3 of discussion)
Discussion Question 14: We want to hear your personal opinion.
When you had completed reading the article, did you feel like the researchers accomplished what they set out to accomplish as they described it in the introduction?
Race/ethnicity of mother
What is the independent variable of the study? (Part of question 2 of the discussion)
Potential that people may choose not to answer the population surveys or lie
What are the weaknesses of this study? (Part of question 9 of discussion)
Why are we seeing disparities pre/post-natal care in teen mothers, specifically mothers of different races and ethnicities?
What is the research question [that the investigator is trying to answer]?
(Part of question one of discussion)
What is the method of sample recruiting? (Question 7 of discussion)
Discussion Question 15: We want to hear your personal opinion.
Was the article easy to read? What could have been changed to provide more clarity for novice nurses like you?
Access/seeking pre and post natal care
What is the dependent variable of the study? (Part of question 2 of the discussion)
Disparities do exist- minority teens are more likely to receive counseling about substance use, HIV testing, and flu vaccination.
What were the main findings of the study? (Question 10)
Cross-sectional study
What is the research design?
Motivational interviewing, school-based programs, questionnaires, and home visits by a nurse (Nurse-Family partnership program)
What are the strategies used for data collection? (Question 8 of discussion)
Discussion Question 16: We want to hear your personal opinion.
Based on what you have seen in clinical, how could you apply the findings from this article to your practice? (Question 16 from discussion)
Disparities in perinatal counseling among all pregnant women, but more data is needed for teen-specific mothers.
What is the theoretical framework? (Part of question 5 in discussion)
The reliance on mother's self-reporting, and the potential incidence of recall bias.
What were the implications of the study? (Question 11 of discussion)
Yes, because this design allows researchers to compare many different variables at the same time, which is useful when comparing age, ethnicity, and race with pre/post natal care
What is the research design's appropriateness to answer the question? Why or why not? (Part of discussion question 4)
Population survey, stratum-specific X test, attendance at prenatal and postnatal visits
All analyses were conducted using SAS 9.4 and SUDAAN 11.03.
Our question: We want to hear your personal opinion
What is the (potential reason) for racial disparities in health care?
Mothers aged 19 and younger who completed the PRAMS survey, 100-250 mothers [a month]
What are the characteristics of the sample? (Question 6 of discussion)
Use of the PRAMS database from CDC, because of the extensive coverage it provides of all births in the U.S.A.
What is a major strength of the study? (Question 12 of discussion)
Teen moms/young moms/adolescent moms, pregnancy care/prenatal care/postpartum care, and race/ethnicity
What are the central concepts? (Part of question 2 of discussion)
Feedback from a population survey yields direct results from those who were involved with the study
What is the strength of the data analysis? (Part of question 9 of discussion)
Our question: We want to hear your personal opinion
What do you think the data would look like if they included moms 20 and older?
Included: Mothers aged 19 and young
Mothers who took the PRAMS survey
Excluded: Mothers 20 and older
Mothers 19 and younger with unreported race/ethinicity
Mothers in 7 states that did not receive all core counseling questions in survey
What is the exclusion/inclusion criteria? (Part of question 6 of discussion)
Studies done in the future should evaluate the reason why there are counseling differences between races/ethnicities to improve care and ensure care is the same across the board
What are the implications for practice? (Question 12 of discussion)