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

dc.contributor.author Dodge, Kenneth A
dc.contributor.author Goodman, Ben
dc.contributor.author Guptill, S
dc.contributor.author Murphy, Robert A
dc.contributor.author O'Donnell, Karen Jones
dc.contributor.author Sato, Jeannine
dc.coverage.spatial United States
dc.date.accessioned 2016-06-03T17:32:35Z
dc.date.accessioned 2017-12-13T18:22:13Z
dc.date.available 2017-12-13T18:22:13Z
dc.date.issued 2014-02
dc.identifier https://www.ncbi.nlm.nih.gov/pubmed/24354833
dc.identifier.uri https://hdl.handle.net/10161/15881
dc.description.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.
dc.language eng
dc.relation.ispartof Am J Public Health
dc.relation.isversionof 10.2105/AJPH.2013.301361
dc.relation.replaces http://hdl.handle.net/10161/12076
dc.relation.replaces 10161/12076
dc.subject Adult
dc.subject Emergency Medical Services
dc.subject Female
dc.subject Home Health Nursing
dc.subject Humans
dc.subject Infant
dc.subject Infant Welfare
dc.subject Male
dc.subject Parenting
dc.subject Postnatal Care
dc.subject Program Development
dc.subject Program Evaluation
dc.subject Surveys and Questionnaires
dc.title Implementation and randomized controlled trial evaluation of universal postnatal nurse home visiting.
dc.type Journal article
pubs.author-url https://www.ncbi.nlm.nih.gov/pubmed/24354833
pubs.begin-page S136
pubs.end-page S143
pubs.organisational-group Center for Child and Family Policy
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Duke
pubs.organisational-group Duke Institute for Brain Sciences
pubs.organisational-group Duke Population Research Center
pubs.organisational-group Duke Population Research Institute
pubs.organisational-group Duke Science & Society
pubs.organisational-group Initiatives
pubs.organisational-group Institutes and Provost's Academic Units
pubs.organisational-group Psychiatry, Child & Family Mental Health and Developmental Neuroscience
pubs.organisational-group Psychiatry & Behavioral Sciences
pubs.organisational-group Psychology and Neuroscience
pubs.organisational-group Sanford School of Public Policy
pubs.organisational-group School of Medicine
pubs.organisational-group Staff
pubs.organisational-group Temp group - logins allowed
pubs.organisational-group Trinity College of Arts & Sciences
pubs.organisational-group University Institutes and Centers
pubs.publication-status Published
pubs.volume 104 Suppl 1
dc.identifier.eissn 1541-0048


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