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Toward Population Impact from Home Visiting.

dc.contributor.author Dodge, Kenneth A
dc.contributor.author Goodman, W Benjamin
dc.contributor.author Murphy, Robert
dc.contributor.author O'Donnell, Karen
dc.contributor.author Sato, Jeannine
dc.coverage.spatial United States
dc.date.accessioned 2017-12-13T18:27:29Z
dc.date.available 2017-12-13T18:27:29Z
dc.date.issued 2013-01-01
dc.identifier https://www.ncbi.nlm.nih.gov/pubmed/23526864
dc.identifier.issn 0736-8038
dc.identifier.uri https://hdl.handle.net/10161/15883
dc.description.abstract Although some home-visiting programs have proven effective with the families they serve, no program has yet demonstrated an impact at the population level. We describe the Durham Connects (DC) initiative, which aims to achieve population impact by coalescing community agencies to serve early-intervention goals through a Preventive System Of Care and by delivering a universal, short-term, postnatal nurse home-visiting program. The home-visitor delivers brief intervention, assesses family needs in 12 domains, and connects the family with community resources to address individualized family needs. Evaluation of DC occurred through a population randomized controlled trial of all 4,777 births in Durham, NC, over an 18-month period. DC was implemented with high penetration and high fidelity. Impact evaluation indicated that by age 6 months, DC infants had 18 percent fewer emergency room visits and 80 percent fewer overnights in the hospital than did control families. We conclude that population impact is achievable if a program attends to challenges of community partnership, universal reach and assessment, rigorous evaluation, and models for sustaining funding.
dc.language eng
dc.relation.ispartof Zero Three
dc.title Toward Population Impact from Home Visiting.
dc.type Journal article
duke.contributor.id Dodge, Kenneth A|0079828
duke.contributor.id Goodman, W Benjamin|0539945
duke.contributor.id Murphy, Robert|0333858
pubs.author-url https://www.ncbi.nlm.nih.gov/pubmed/23526864
pubs.begin-page 17
pubs.end-page 23
pubs.issue 3
pubs.organisational-group Center for Child and Family Policy
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 Psychology and Neuroscience
pubs.organisational-group Sanford School of Public Policy
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 33


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