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.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.identifier | ||
| dc.identifier.issn | 0736-8038 | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.relation.ispartof | Zero Three | |
| dc.title | Toward Population Impact from Home Visiting. | |
| dc.type | Journal article | |
| duke.contributor.orcid | Dodge, Kenneth A|0000-0001-5932-215X | |
| duke.contributor.orcid | Goodman, W Benjamin|0000-0002-2417-1483 | |
| pubs.author-url | ||
| 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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