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Implementation and randomized controlled trial evaluation of universal postnatal nurse home visiting

Author

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  • Dodge, K.A.
  • Goodman, W.B.
  • Murphy, R.A.
  • O'Donnell, K.
  • Sato, J.
  • Guptill, S.

Abstract

Objectives. We evaluated whether a brief, universal, postnatal nurse home-visiting intervention can be implemented with high penetration and fidelity, prevent emergency health care services, and promote positive parenting by infant age 6 months. Methods. Durham Connects is a manualized 4- to 7-session program to assess family needs and connect parents with community resources to improve infant health and well-being. All 4777 resident births in Durham, North Carolina, between July 1, 2009, and December 31, 2010, were randomly assigned to intervention and control conditions. A random, representative subset of 549 families received blinded interviews for impact evaluation. Results. Of all families, 80% initiated participation; adherence was 84%. Hospital records indicated that Durham Connects infants had 59% fewer infant emergency medical care episodes than did control infants. Durham Connects mothers reported fewer infant emergency care episodes and more community connections, more positive parenting behaviors, participation in higher quality out-of-home child care, and lower rates of anxiety than control mothers. Blinded observers reported higher quality home environments for Durham Connects than for control families. Conclusions. A brief universal home-visiting program implemented with high penetration and fidelity can lower costly emergency medical care and improve family outcomes.

Suggested Citation

  • Dodge, K.A. & Goodman, W.B. & Murphy, R.A. & O'Donnell, K. & Sato, J. & Guptill, S., 2014. "Implementation and randomized controlled trial evaluation of universal postnatal nurse home visiting," American Journal of Public Health, American Public Health Association, vol. 104(S1), pages 136-143.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301361_2
    DOI: 10.2105/AJPH.2013.301361
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    Cited by:

    1. Schreier, Alayna & McCoy, Kelsey & Flood, Mary Fran & Wilcox, Brian L. & Hansen, David J., 2020. "Early Head Start service use by families with court-substantiated maltreatment," Children and Youth Services Review, Elsevier, vol. 108(C).
    2. Kotake, Chie & Fauth, Rebecca C. & Stetler, Katie & Goldberg, Jessica L. & Silva, Christine F. & Manning, Susan E., 2023. "Improving connections to early childhood systems of care via a universal home visiting program in Massachusetts," Children and Youth Services Review, Elsevier, vol. 150(C).
    3. Chiang, Chien-Jen & Jonson-Reid, Melissa & Kim, Hyunil & Drake, Brett & Pons, Laura & Kohl, Patricia & Constantino, John N. & Auslander, Wendy, 2018. "Service engagement and retention: Lessons from the Early Childhood Connections Program," Children and Youth Services Review, Elsevier, vol. 88(C), pages 114-127.
    4. Waid, Jeffrey & Cho, Minhae & Marsalis, Scott, 2022. "Mental health targets in child maltreatment prevention programs: A systematic review of randomized trials," Children and Youth Services Review, Elsevier, vol. 136(C).
    5. Green, Beth L. & Sanders, Mary Beth & Tarte, Jerod, 2017. "Using administrative data to evaluate the effectiveness of the Healthy Families Oregon home visiting program: 2-year impacts on child maltreatment & service utilization," Children and Youth Services Review, Elsevier, vol. 75(C), pages 77-86.
    6. Biggs, Jacklyn & Sprague-Jones, Jessica & Garstka, Teri & Richardson, Deborah, 2018. "Brief motivational interviewing training for home visitors: Results for caregiver retention and referral engagement," Children and Youth Services Review, Elsevier, vol. 94(C), pages 56-64.
    7. Daphna Gross Manos & Noha Gaber Bader & Ayala Cohen, 2023. "Post-Natal Short-Term Home Visiting Programs: An Overview and a Volunteers-Based Program Pilot," IJERPH, MDPI, vol. 20(17), pages 1-16, August.
    8. Guerra, Nancy & Modecki, Kathryn & Cunningham, Wendy, 2014. "Developing social-emotional skills for the labor market : the PRACTICE model," Policy Research Working Paper Series 7123, The World Bank.

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