Military HealthySteps Pilot Program Outcome Study
Open Access
- 25 November 2022
- journal article
- research article
- Published by Oxford University Press (OUP) in Military Medicine
- Vol. 188 (9-10), e2880-e2884
- https://doi.org/10.1093/milmed/usac372
Abstract
Military families face many unique challenges, including frequent separations, demanding work hours, and relocations. The HealthySteps (HS) program may offset these challenges utilizing the expertise of a nonclinical child development specialist called a HS specialist who offers enhanced well-child visits (WCVs), support between visits, and connections to community resources. Our study sought to identify the impact of the military HS pilot program on the timeliness of WCVs, immunizations, routine behavioral and developmental screenings, and referrals to community resources within the first 15 months of life (MOL). We retrospectively reviewed charts of 26 HS-enrolled and 26 randomly selected age-matched non-HS–enrolled children from age 2 to 15 MOL. Demographic variables obtained include child’s gender, child’s birth order, mother’s age, active duty parent’s rank classification, and active duty parent’s gender. We examined five outcomes measures aligning with the American Academy of Pediatrics health supervision, immunization, and screening recommendations and National Committee for Quality Assurance Healthcare Effectiveness Data and Information Set measures: (1) completed six or more WCVs in the first 15 MOL, (2) completed developmental screening at the 9-month WCV, (3) up to date on vaccinations at 15 MOL, (4) completed three or more postpartum depression (PPD) screens in the first 6 MOL, and (5) the total number of documented referrals to community resources within the first 15 MOL. Chi-square analysis and independent t-tests were used to compare the groups. There was no statistical significance (P > .05) between the HS-enrolled and control groups for all five demographic variables. A significantly higher percentage of children in the HS-enrolled group received PPD screening compared to the control group (96% vs. 73.1%, P = .021). The HS-enrolled group had a higher mean number of community resource referrals at 15 MOL of 2.46 (SD = 1.14) vs. the control group with a mean of 0.19 (SD = 0.49). None of the other outcomes showed a statistically significant difference between groups. The results of this study indicate the positive impacts of the military HS program on referrals to community resources and PPD screening, reflecting the HS specialist focus on the family unit. Limitations of this study include the small population size and limited demographic information resulting from the retrospective nature of the study and pilot status of the HS program. Larger prospective studies are needed to clarify the true impact of the HS program in the military health system.This publication has 10 references indexed in Scilit:
- Children of Military FamiliesChild and Adolescent Psychiatric Clinics of North America, 2019
- Identifying Policy Implications and Future Research Directions Regarding Military Community Support and Child Psychosocial AdjustmentMilitary Medicine, 2017
- Incorporating Recognition and Management of Perinatal and Postpartum Depression Into Pediatric PracticePEDIATRICS, 2010
- Healthy Steps: A Systematic Review of a Preventive Practice-Based Model of Pediatric CareJournal of Developmental & Behavioral Pediatrics, 2009
- Healthy Steps for Young Children: Sustained Results at 5.5 YearsPEDIATRICS, 2007
- Healthy Steps in an Integrated Delivery SystemArchives of Pediatrics & Adolescent Medicine, 2006
- Identifying Infants and Young Children With Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and ScreeningPEDIATRICS, 2006
- Maternal Depressive Symptoms and Children's Receipt of Health Care in the First 3 Years of LifePEDIATRICS, 2005
- A Practice-Based Intervention to Enhance Quality of Care in the First 3 Years of LifeJAMA, 2003
- What We Know About Army FamiliesPublished by Defense Technical Information Center (DTIC) ,1993