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A process evaluation of Promotional Guides used by health visitors to support men’s transition to fatherhood : a qualitative study
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Baldwin, S., Malone, M., Sandall, J. and Bick, Debra (2022) A process evaluation of Promotional Guides used by health visitors to support men’s transition to fatherhood : a qualitative study. Perspectives in Public Health . 175791392211182. doi:10.1177/17579139221118243 ISSN 1757-9147. (In Press)
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Official URL: https://doi.org/10.1177/17579139221118243
Abstract
Background: Health visitors play an important role in supporting new parents in their transition to parenthood. A programme known as the Promotional Guide system is used by many health visitors in England with mothers and fathers to support this transition, but there is little known about health visitors’ views of the Promotional Guides, how they are used in practice or barriers to effective implementation with fathers. Aims: The aim of this study was to explore the following: (1) health visitors’ use of Promotional Guides with fathers, (2) health visitors’ assessment of father’s mental health and wellbeing and (3) facilitators and barriers to using Promotional Guides in practice. Methods: A prospective observational cohort study and a process evaluation informed by the Medical Research Council guidance were conducted. A purposive sample of 11 health visitors was interviewed, and an additional seven were observed using the Promotional Guides in practice. Data were analysed using framework analysis. Results: Five main themes were identified from interview and observational data as follows: (1) Enquiry into fathers’ mental health, (2) Promotional Guides in practice, (3) health visitors’ perceptions of the Promotional Guides system, (4) barriers to using Promotional Guides with fathers and (5) facilitators and recommendations for using Promotional Guides with fathers. This study identified a number of barriers and facilitators to the use of Promotional Guides with fathers. Recommendations were made for improving services for first-time fathers, implementing the Promotional Guide system with fathers and highlighting areas for future research. Conclusion: This study considered the acceptability, feasibility and fidelity of using the Promotional Guide programme with fathers from the health visitor’s perspective. The findings provided an insight into health visitors’ experiences of working with fathers, inquiring about men’s mental health needs and their use of the Promotional Guides with men during the perinatal period.
| Item Type: | Journal Article | |||||||||
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| Subjects: | H Social Sciences > HQ The family. Marriage. Woman H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RA Public aspects of medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | |||||||||
| SWORD Depositor: | Library Publications Router | |||||||||
| Library of Congress Subject Headings (LCSH): | Healthy Child Programme (Great Britain), Fatherhood -- Great Britain, Visiting nurses -- Great Britain, Health promotion -- Great Britain, Parenthood, Public health -- Great Britain | |||||||||
| Journal or Publication Title: | Perspectives in Public Health | |||||||||
| Publisher: | SAGE Publications | |||||||||
| ISSN: | 1757-9147 | |||||||||
| Official Date: | 8 September 2022 | |||||||||
| Dates: |
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| Article Number: | 175791392211182 | |||||||||
| DOI: | 10.1177/17579139221118243 | |||||||||
| Status: | Peer Reviewed | |||||||||
| Publication Status: | In Press | |||||||||
| Access rights to Published version: | Restricted or Subscription Access | |||||||||
| Date of first compliant deposit: | 27 October 2022 | |||||||||
| Date of first compliant Open Access: | 27 October 2022 | |||||||||
| RIOXX Funder/Project Grant: |
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