Maternal & Child Health Newsletter 4.29.05

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Maternal & Child Health Newsletter 4.29.05

Postby denise » Sat Apr 30, 2005 08:18 pm

MCH Alert
Tomorrow's Policy Today

Maternal and Child Health Library

This and past issues of the MCH Alert are available at

April 29, 2005

1. New Knowledge Path Released to Help Service Providers and Families
Locate Community-Based Services
2. Report Examines Operation and Content of State Toll-Free MCH Hotlines
3. Injury Prevention Policy Fact Sheet Focuses on Child Maltreatment
4. Health Policy Fact Sheet Highlights Overweight Among Latino Adolescents
in California
5. Review Assesses Evidence for Interventions to Improve Cultural
Competence Among Health Professionals



Knowledge Path: Locating Community-Based Services to Support Children and
Families is an electronic guide for service providers and families to help
them find resources within their communities to address child and family
needs. The knowledge path was produced by the MCH Library, in
collaboration with the National Technical Assistance Center for Children's
Mental Health at Georgetown University. It contains information on (and
links to) Web sites and electronic publications; toll-free telephone
lines; and databases. Topics include education and special needs, mental
health and well-being, family support, parent education, child care and
early education, health and wellness, and financial support. The knowledge
path is available at

MCH Library knowledge paths on other maternal and child health topics are
available at The MCH
Library welcomes feedback on the usefulness and value of these knowledge
paths. A feedback form is available at



Connecting Families: Maternal & Child Health Toll-Free Hotlines contains
survey findings and state profiles to provide a national overview of
maternal and child health (MCH) toll-free telephone lines. The report,
produced by the Association of Maternal and Child Health Programs, is
based on a survey of 59 state and territorial MCH contacts about the
information provided by MCH hotlines and the potential for coordinating
early childhood systems through this mechanism. The report also draws from
interviews of selected state teams to identify promising models and parent
calls. Information on the survey background, methodology, limitations, and
results are presented. Quality improvement efforts, state recommendations
to national partners, and conclusions are also discussed. The report is
intended for use by MCH programs in analyzing existing toll-free hotlines
and adapting strategies for providing resources to families. The report,
along with the state profiles, hotline index, project advisory committee
roster, and parent call script, are available at



Child Maltreatment, Abuse, and Neglect presents information for
policymakers on child maltreatment in the United States, including the
economic costs of child maltreatment and opportunities for prevention. The
fact sheet, one in a series on injury prevention policy produced by the
Association of State and Territorial Health Officials, is based on
information from the Centers for Disease Control and Prevention, the
Administration on Children and Families, and the Health Resources and
Services Administration. The fact sheet defines child maltreatment and
presents data on child deaths resulting from injuries sustained as a
result of neglect and shaken baby syndrome. Information on who is at risk
for child maltreatment, long-term results of child maltreatment, and
current funding and research initiatives are also included. The fact sheet
is intended for use by policymakers and others in advancing injury
prevention policy. It is available at

Readers: More information is available from Child Maltreatment 2003, the
14th annual publication of national statistics on child abuse and neglect
(published March 2005), at, and from
the MCH Library's organizations resource list, Child Abuse, at



One Out of Three Latino Adolescents Overweight or at Risk presents
information on the prevalence of overweight and the risk factors for
overweight among Latino adolescents in California. The health policy fact
sheet, a joint publication of the UCLA Center for Health Policy Research
and the Latino Coalition for a Healthy California, is based on data from
the 2003 California Health Interview Survey. The fact sheet contains
graphs that depict the data by race, ethnicity, gender, and nativity. The
fact sheet also includes a discussion of the survey findings and
recommendations for policymakers. It is available at or

Readers: More information is available from the MCH Library's knowledge
path, Overweight in Children and Adolescents at, and Racial and
Ethnic Disparities in Health at, and from the
annotated bibliography at



"Cultural competence training shows promise as a strategy for improving
health care professionals' knowledge, attitudes, and skills and patients'
ratings of care," state the authors of an article published in the April
2005 issue of Medical Care. It has been suggested that cultural competence
training may reduce racial and ethnic disparities in health care; however,
there has been little systematic evaluation of the potential impact of
such training. The article presents findings from a systematic review of
the literature of interventions designed to improve the cultural
competence of health professionals.

The authors searched electronic databases, journal tables of contents, and
reference lists of key review articles appearing in the literature between
1980 and 2003 to identify studies on the effectiveness and costs of
cultural competence training for health professionals. From each eligible
article, they abstracted data pertinent to the study design (randomized
controlled trial, controlled, pre/post), setting (U.S., non-U.S.),
targeted learners (physicians, nurses), learner level (preprofessional,
practicing professional), curricular content, teaching methods, targeted
cultures, contact time, evaluation methods, health professional outcomes
(knowledge, attitudes, skills), and patient outcomes (satisfaction,
adherence, health status). The authors then summarized the evidence from
the studies and examined the relationship between various intervention
characteristics and outcomes across studies. The strength of the evidence
supporting each outcome was graded into four categories (grades A through
D) based on the quality, quantity, and consistency of the evidence.

The authors found that

* Thirty-four of 4,388 articles addressing cultural competence training of
health professionals met the study's eligibility criteria.

* There is excellent or good evidence that cultural competence training
impacts intermediate outcomes such as the knowledge, attitudes, and skills
of health professionals.

* Good evidence exists that cultural competence training impacts patient

* There is insufficient evidence that training impacts patient adherence.

* No studies have evaluated patient outcomes.

* There is poor evidence to determine the costs of cultural competence

"Interventions that focus on the avoidance of bias, general concepts of
culture, and patient-centeredness are promising strategies that should be
prioritized for further study," the authors conclude. They suggest that
future studies evaluating the impact of cultural competence training
should (1) compare different methods of teaching cultural competence, (2)
use objective and standardized evaluation methods, and (3) measure patient
outcomes (patient adherence, health status, and equity of services across
racial and ethnic groups).

Beach MC, Price EG, Gary TL, et al. 2005. Cultural competence: A
systematic review of health care provider educational interventions.
Medical Care 43(4):356-373. Abstract available at;jsessionid=CtfLICIdoYC2bBoJHbAhCMp83AwH1AtzmWxda0ryVz6M9mMvhbQR!802112076!-949856031!9001!-1.

Readers: More information is available from the MCH Library's annotated
bibliography, Culturally Competent Services, at
and organizations resource list at


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MCH Alert © 1998-2005 by National Center for Education in Maternal and
Child Health and Georgetown University. MCH Alert is produced by Maternal
and Child Health Library at the National Center for Education in Maternal
and Child Health under its cooperative agreement (U02MC00001) with the
Maternal and Child Health Bureau, Health Resources and Services
Administration, U.S. Department of Health and Human Services. The Maternal
and Child Health Bureau reserves a royalty-free, nonexclusive, and
irrevocable right to use the work for federal purposes and to authorize
others to use the work for federal purposes.

Permission is given to forward MCH Alert to individual colleagues. For all
other uses, requests for permission to duplicate and use all or part of
the information contained in this publication should be sent to

The editors welcome your submissions, suggestions, and questions. Please
contact us at the address below.

MANAGING EDITOR: Jolene Bertness
CO-EDITOR: Tracy Lopez

MCH Alert
Maternal and Child Health Library
Georgetown University
Box 571272
Washington, DC 20057-1272
Phone: (202) 784-9770
Fax: (202) 784-9777
Web site:


Denise (29) Co-coordinator for WI
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Ariana (23 months)5/3/03-just shy of 35 weeks: Class 1 HELLP
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