{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T10:51:22Z","timestamp":1740135082070,"version":"3.37.3"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,9,11]],"date-time":"2019-09-11T00:00:00Z","timestamp":1568160000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,9,11]],"date-time":"2019-09-11T00:00:00Z","timestamp":1568160000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec>\n<jats:title>Backgrounds<\/jats:title>\n<jats:p>In 2009, the prevention service \u201cFamilieambulatoriet\u201d (FA) was established in three pilot hospital areas offering psychosocial support and health monitoring to parents in high risk regarding mental health and substance use, for the purpose of preventing child mental health and developmental problems through preschool years. This study selected new-born health as a preliminary endpoint for evaluation of population effects in three pilot areas, utilizing national statistics for birth cohorts from 2005 to 2013. <jats:italic>The aim<\/jats:italic> of the study is to evaluate changes in population new born health incidences associated with the establishment of new supportive and preventive FA-services at three pilot sites from 2009 in contrast to previous years and the remaining country. This quasi-experimental design evaluated changes in populations with new services available not those receiving the services, and controlled for national historical changes, variation between hospital districts, and random variation across the years before or years after the pilot services were introduced. Our hypothesis was to expect reduced frequencies of preterm births, SGA births, low APGAR scores, pediatric transfer, and new born abstinence symptoms in the pilot areas.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>The baseline was established through 4 years preceding 2009, contrasting changes at pilot sites the following 4 years 2009\u20132013 using the remaining hospital area populations in Norway 2005\u20132008 and 2009\u20132013 as contrasts.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>Related to the introduction of FA services, we found three significant improvements in new born health using mixed effects logistic regression. 1) In the population rate of babies born prematurely with small for gestational age (SGA), using the 10th percentile criteria as the definition; odds ratio (OR)\u2009=\u20090.73 (95% Cl: 0.60 to 0.88). 2) A similar reduction using the 2.5th percentile criteria, although with wider confidence limits; OR\u2009=\u20090.73 (95% Cl: 0.54 to 0.99). 3) A decrease in the frequency of low APGAR scores (0\u20136) 5\u2009min. after birth; OR\u2009=\u20090.80 (95% Cl: 0.68 to 0.95). Thus, the FA-areas remained significantly lowered on SGA rates or Low APGAR rates across the years after FA establishment, despite considerable variation, in contrast to the baseline years and to the remaining country. No significant effect was found for the outcomes frequency of premature births (unrelated to SGA), SGA among full-term babies, child abstinence symptoms or pediatric transfer of the baby. False negative findings may result from low-rate outcomes or studying the population rather than users.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Population rates suggest that introducing FA services offering support and monitoring in high-risk families may contribute to improving aspects of new born infant health. Intervention components and strategies should be studied more closely using individual data.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s12913-019-4392-7","type":"journal-article","created":{"date-parts":[[2019,9,11]],"date-time":"2019-09-11T08:02:58Z","timestamp":1568188978000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["\u201cFive-year changes in population newborn health associated with new preventive services in targeted risk-group pregnancies\u201d"],"prefix":"10.1186","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4915-9410","authenticated-orcid":false,"given":"Tormod","family":"Rimehaug","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karianne Framstad","family":"Holden","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stian","family":"Lydersen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3860-5075","authenticated-orcid":false,"given":"Marit S\u00e6b\u00f8","family":"Indredavik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2019,9,11]]},"reference":[{"key":"4392_CR1","doi-asserted-by":"crossref","unstructured":"Holden KF, Ingul JM, Steinsli K, Wold JE, Rimehaug T. Familieambulatoriet \u2013 en vellykket modell for identifisering av sped- og sm\u00e5barn i risiko? Tidsskrift for psykisk helsearbeid. 2018;(04):323\u201334.","DOI":"10.18261\/issn.1504-3010-2018-04-06"},{"issue":"1","key":"4392_CR2","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1016\/S1474-4422(08)70294-1","volume":"8","author":"JJ Volpe","year":"2009","unstructured":"Volpe JJ. Brain injury in premature infants: a complex amalgam of destructive and developmental disturbances. Lancet Neurol. 2009;8(1):110\u201324.","journal-title":"Lancet Neurol"},{"issue":"5","key":"4392_CR3","doi-asserted-by":"publisher","first-page":"921","DOI":"10.1016\/j.jpeds.2014.07.045","volume":"165","author":"HF \u00d8stg\u00e5rd","year":"2014","unstructured":"\u00d8stg\u00e5rd HF, L\u00f8haugen GCC, Bjuland KJ, Rimol LM, Brubakk A-M, Martinussen M, Vik T, H\u00e5berg AK, Skranes J. Brain morphometry and cognition in young adults born small for gestational age at term. J Pediatr. 2014;165(5):921\u20137 e921.","journal-title":"J Pediatr"},{"issue":"1","key":"4392_CR4","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1017\/S0012162200000049","volume":"42","author":"SR Zubrick","year":"2000","unstructured":"Zubrick SR, Kurinczuk JJ, McDermott BMC, McKelvey RS, Silburn SR, Davies LC. Fetal growth and subsequent mental health problems in children aged 4 to 13 years. Dev Med Child Neurol. 2000;42(1):14\u201320.","journal-title":"Dev Med Child Neurol"},{"issue":"5","key":"4392_CR5","doi-asserted-by":"publisher","first-page":"F445","DOI":"10.1136\/adc.2003.038943","volume":"89","author":"MS Indredavik","year":"2004","unstructured":"Indredavik MS, Vik T, Heyerdahl S, Kulseng S, Fayers P, Brubakk AM. Psychiatric symptoms and disorders in adolescents with low birth weight. Arch Dis Child. 2004;89(5):F445\u201350.","journal-title":"Arch Dis Child"},{"issue":"2","key":"4392_CR6","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1111\/j.1651-2227.2006.tb02211.x","volume":"95","author":"S Kulseng","year":"2006","unstructured":"Kulseng S, Jennekens-Schinkel A, Naess P, Romundstad P, Indredavik M, Vik T, Brubakk AM. Very-low-birthweight and term small-for-gestational-age adolescents: attention revisited. Acta Paediatr. 2006;95(2):224\u201330.","journal-title":"Acta Paediatr"},{"issue":"4","key":"4392_CR7","doi-asserted-by":"publisher","first-page":"226","DOI":"10.1007\/s00787-005-0459-6","volume":"14","author":"MS Indredavik","year":"2005","unstructured":"Indredavik MS, Vik T, Heyerdahl S, Kulseng S, Brubakk AM. Psychiatric symptoms in low birth weight adolescents, assessed by screening questionnaires. Eur Child Adolesc Psychiatry. 2005;14(4):226\u201336.","journal-title":"Eur Child Adolesc Psychiatry"},{"issue":"5","key":"4392_CR8","doi-asserted-by":"publisher","first-page":"F451","DOI":"10.1136\/adc.2003.037788","volume":"89","author":"KAI Evensen","year":"2004","unstructured":"Evensen KAI, Vik T, Helbostad J, Indredavik MS, Kulseng S, Brubakk A-M. Motor skills in adolescents with low birth weight. Arch Dis Child Fetal Neonatal Ed. 2004;89(5):F451\u20135.","journal-title":"Arch Dis Child Fetal Neonatal Ed"},{"issue":"1","key":"4392_CR9","doi-asserted-by":"publisher","first-page":"126","DOI":"10.1542\/peds.2014-1143","volume":"135","author":"TA Levine","year":"2015","unstructured":"Levine TA, Grunau RE, McAuliffe FM, Pinnamaneni R, Foran A, Alderdice FA. Early childhood neurodevelopment after intrauterine growth restriction: a systematic review. Pediatrics. 2015;135(1):126\u201341.","journal-title":"Pediatrics"},{"issue":"5","key":"4392_CR10","doi-asserted-by":"publisher","first-page":"11r","DOI":"10.1203\/PDR.0b013e318212faa0","volume":"69","author":"S Johnson","year":"2011","unstructured":"Johnson S, Marlow N. Preterm birth and childhood psychiatric disorders. Pediatr Res. 2011;69(5):11r\u20138r.","journal-title":"Pediatr Res"},{"issue":"2","key":"4392_CR11","doi-asserted-by":"publisher","first-page":"447","DOI":"10.1016\/j.jpeds.2013.01.060","volume":"163","author":"GCC Lohaugen","year":"2013","unstructured":"Lohaugen GCC, Ostgard HF, Andreassen S, Jacobsen GW, Vik T, Brubakk AM, Skranes J, Martinussen M. Small for gestational age and intrauterine growth restriction decreases cognitive function in young adults. J Pediatr-Us. 2013;163(2):447.","journal-title":"J Pediatr-Us"},{"issue":"4","key":"4392_CR12","doi-asserted-by":"publisher","first-page":"598","DOI":"10.1111\/j.1651-2227.2010.02111.x","volume":"100","author":"LK Lund","year":"2011","unstructured":"Lund LK, Vik T, Skranes J, Brubakk AM, Indredavik MS. Psychiatric morbidity in two low birth weight groups assessed by diagnostic interview in young adulthood. Acta Paediatr. 2011;100(4):598\u2013604.","journal-title":"Acta Paediatr"},{"key":"4392_CR13","doi-asserted-by":"crossref","unstructured":"L\u00e6rum AMW, Reitan SK, Evensen KAI, Lydersen S, Brubakk A-M, Skranes J, Indredavik MS. Psychiatric disorders and general functioning in low birth weight adults: a longitudinal study. Pediatrics. 2017.","DOI":"10.1542\/peds.2016-2135"},{"issue":"7","key":"4392_CR14","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1056\/NEJM200102153440701","volume":"344","author":"BM Casey","year":"2001","unstructured":"Casey BM, McIntire DD, Leveno KJ. The continuing value of the Apgar score for the assessment of newborn infants. N Engl J Med. 2001;344(7):467\u201371.","journal-title":"N Engl J Med"},{"issue":"1","key":"4392_CR15","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1016\/j.earlhumdev.2007.01.013","volume":"84","author":"RW Hunt","year":"2008","unstructured":"Hunt RW, Tzioumi D, Collins E, Jeffery HE. Adverse neurodevelopmental outcome of infants exposed to opiate in-utero. Early Hum Dev. 2008;84(1):29\u201335.","journal-title":"Early Hum Dev"},{"issue":"4","key":"4392_CR16","doi-asserted-by":"publisher","first-page":"F249","DOI":"10.1136\/adc.2008.152769","volume":"94","author":"MJ O\u2019Grady","year":"2009","unstructured":"O\u2019Grady MJ, Hopewell J, White MJ. Management of neonatal abstinence syndrome: a national survey and review of practice. Arch Dis Child Fetal Neonatal Ed. 2009;94(4):F249\u201352.","journal-title":"Arch Dis Child Fetal Neonatal Ed"},{"issue":"6","key":"4392_CR17","doi-asserted-by":"publisher","first-page":"F474","DOI":"10.1136\/archdischild-2015-308768","volume":"100","author":"A Mathur","year":"2015","unstructured":"Mathur A. Understanding moderate prematurity. Arch Dis Child-Fetal. 2015;100(6):F474\u20135.","journal-title":"Arch Dis Child-Fetal"},{"key":"4392_CR18","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1111\/j.1469-8749.2011.04057.x","volume":"53","author":"BRH Van den Bergh","year":"2011","unstructured":"Van den Bergh BRH. Developmental programming of early brain and behaviour development and mental health: a conceptual framework. Dev Med Child Neurol. 2011;53:19\u201323.","journal-title":"Dev Med Child Neurol"},{"issue":"4","key":"4392_CR19","doi-asserted-by":"publisher","first-page":"419","DOI":"10.1097\/PSY.0b013e3181d2f0b0","volume":"72","author":"M Tegethoff","year":"2010","unstructured":"Tegethoff M, Greene N, Olsen J, Meyer A, Meinlschmidt G. Maternal psychosocial adversity during pregnancy is associated with length of gestation and offspring size at birth: evidence from a population-based cohort study. Psychosom Med. 2010;72(4):419\u201326.","journal-title":"Psychosom Med"},{"issue":"1","key":"4392_CR20","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s10567-010-0080-1","volume":"14","author":"SH Goodman","year":"2011","unstructured":"Goodman SH, Rouse MH, Connell AM, Broth MR, Hall CM, Heyward D. Maternal depression and child psychopathology: a meta-analytic review. Clin Child Fam Psychol Rev. 2011;14(1):1\u201327.","journal-title":"Clin Child Fam Psychol Rev"},{"key":"4392_CR21","volume-title":"Omsorg for gravide og sm\u00e5b\u00f8rnsfamilier med rusmiddelproblemer: familieambulatoriets interventionsmodel. Kbh.: Sundhedsstyrelsen","author":"M Olofsson","year":"2005","unstructured":"Olofsson M. Omsorg for gravide og sm\u00e5b\u00f8rnsfamilier med rusmiddelproblemer: familieambulatoriets interventionsmodel. Kbh.: Sundhedsstyrelsen; 2005."},{"key":"4392_CR22","unstructured":"Karlsson B: Forebyggende familieteam 2008\u20132011 - fors\u00f8k med familieambulatoriet i Vestre Viken HF : en forskningsbasert evaluering. In.; 2012."},{"issue":"5","key":"4392_CR23","doi-asserted-by":"publisher","first-page":"1056","DOI":"10.1213\/ANE.0b013e31829bdc5c","volume":"120","author":"V Apgar","year":"2015","unstructured":"Apgar V. A proposal for a new method of evaluation of the newborn infant. Anesth Analg. 2015;120(5):1056\u20139.","journal-title":"Anesth Analg"},{"issue":"6","key":"4392_CR24","doi-asserted-by":"publisher","first-page":"765","DOI":"10.1007\/s11121-015-0572-9","volume":"16","author":"T Miller","year":"2015","unstructured":"Miller T. Projected outcomes of nurse-family partnership home visitation during 1996\u20132013, USA. Prev Sci. 2015;16(6):765\u201377.","journal-title":"Prev Sci"},{"key":"4392_CR25","doi-asserted-by":"crossref","unstructured":"Irgens LM. The Medical Birth Registry of Norway. Epidemiological research and surveillance throughout 30 years, vol. 79. Copenhagen; 2000. p. 435-9.","DOI":"10.1034\/j.1600-0412.2000.079006435.x"}],"container-title":["BMC Health Services Research"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-019-4392-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12913-019-4392-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-019-4392-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,9,10]],"date-time":"2020-09-10T17:08:14Z","timestamp":1599757694000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmchealthservres.biomedcentral.com\/articles\/10.1186\/s12913-019-4392-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9,11]]},"references-count":25,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["4392"],"URL":"https:\/\/doi.org\/10.1186\/s12913-019-4392-7","relation":{},"ISSN":["1472-6963"],"issn-type":[{"type":"electronic","value":"1472-6963"}],"subject":[],"published":{"date-parts":[[2019,9,11]]},"assertion":[{"value":"26 May 2018","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 August 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 September 2019","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable. Data collection to the Medical Birth Registry of Norway is mandated by law rather than informed consent for the purposes of research and service evaluation [].","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The second author KFH has been professionally involved in the establishment of Familieambulatoriet pilots in Norway. No other conflicts of interest are reported.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"658"}}