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Mum patrol : estudo sobre a implementação de visitas domiciliárias num programa de intervenção com grávidas e mães
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O presente estudo-piloto insere-se no projeto Mum Patrol, um programa que integra visitas domiciliárias dirigidas a grávidas e mães, com o objetivo de promover a saúde materno-infantil e apoiar a transição para a parentalidade, assente no Modelo Touchpoints. Foi desenvolvido um estudo de metodologia mista, envolvendo 32 grávidas acompanhadas pela Associação Vida Norte e quatro profissionais de saúde. Foram utilizados questionários de caracterização sociodemográfica, a Escala Multidimensional de Suporte Social Percebido (MSPSS), a Escala de Atitudes sobre a Gravidez e a Maternidade (EAGM), um questionário de satisfação após a visita e entrevistas semiestruturadas às profissionais. Os resultados evidenciaram que as participantes apresentavam níveis de suporte social percebido inferiores aos da população de referência, confirmando a existência de fatores de vulnerabilidade psicossocial. Apesar disso, revelaram elevados níveis de satisfação com as visitas, valorizando particularmente a relação de confiança estabelecida com as profissionais, a disponibilidade para o esclarecimento de dúvidas, o apoio emocional e a utilidade da intervenção. As profissionais destacaram igualmente o potencial das visitas para promover a parentalidade positiva, fortalecer a vinculação e facilitar a identificação precoce de necessidades das famílias, embora tenham referido desafios relacionados com a implementação e sustentabilidade do programa. Conclui-se que as visitas constituem uma estratégia promissora, promovendo o bem-estar materno, o fortalecimento das competências parentais e a ligação aos recursos comunitários. Estes resultados reforçam a relevância deste tipo de intervenção para a prática clínica e comunitária, sustentando a continuidade e futura avaliação da eficácia do programa em amostras de maior dimensão.
This pilot study is part of the Mum Patrol project, a programme that includes home visits for pregnant women and mothers, aiming to promote maternal and child health and support the transition to parenthood, based on the Touchpoints Model. A mixed-methods design was employed, involving 32 pregnant women supported by Associação Vida Norte and four healthcare professionals. Data were collected using a sociodemographic questionnaire, the Multidimensional Scale of Perceived Social Support (MSPSS), the Attitudes towards Pregnancy and Motherhood Scale (EAGM), a post-home visit satisfaction questionnaire, and semi-structured interviews with the professionals. The results showed that participants reported lower levels of perceived social support than the reference population, confirming the presence of psychosocial vulnerability factors. Nevertheless, they reported high levels of satisfaction with the home visits, particularly valuing the trusting relationship established with the professionals, their availability to clarify doubts, the emotional support provided, and the overall usefulness of the intervention. The professionals also highlighted the potential of home visits to promote positive parenting, strengthen parent–infant bonding, and facilitate the early identification of families' needs, although they also identified challenges related to the implementation and sustainability of the programme. It is concluded that home visits constitute a promising strategy for promoting maternal well-being, strengthening parenting competencies, and enhancing families' connection with community resources. These findings reinforce the relevance of this type of intervention for clinical and community practice and support the continuation and future evaluation of the programme's effectiveness in larger samples.
This pilot study is part of the Mum Patrol project, a programme that includes home visits for pregnant women and mothers, aiming to promote maternal and child health and support the transition to parenthood, based on the Touchpoints Model. A mixed-methods design was employed, involving 32 pregnant women supported by Associação Vida Norte and four healthcare professionals. Data were collected using a sociodemographic questionnaire, the Multidimensional Scale of Perceived Social Support (MSPSS), the Attitudes towards Pregnancy and Motherhood Scale (EAGM), a post-home visit satisfaction questionnaire, and semi-structured interviews with the professionals. The results showed that participants reported lower levels of perceived social support than the reference population, confirming the presence of psychosocial vulnerability factors. Nevertheless, they reported high levels of satisfaction with the home visits, particularly valuing the trusting relationship established with the professionals, their availability to clarify doubts, the emotional support provided, and the overall usefulness of the intervention. The professionals also highlighted the potential of home visits to promote positive parenting, strengthen parent–infant bonding, and facilitate the early identification of families' needs, although they also identified challenges related to the implementation and sustainability of the programme. It is concluded that home visits constitute a promising strategy for promoting maternal well-being, strengthening parenting competencies, and enhancing families' connection with community resources. These findings reinforce the relevance of this type of intervention for clinical and community practice and support the continuation and future evaluation of the programme's effectiveness in larger samples.
Descrição
Palavras-chave
Saúde materno-infantil Gravidez Visitas domiciliárias Modelo touchpoints Parentalidade Maternal and child health Pregnancy Home visiting Touchpoints model Parenthood
Contexto Educativo
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Licença CC
Sem licença CC