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

Dodge, KA

Goodman, WB

Murphy, RA

O’Donnell, K

Sato, J

Guptill, S

United States

2016-06-03T17:32:35Z

2017-12-13T18:22:13Z

2017-12-13T18:22:13Z

2014-02

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.

https://www.ncbi.nlm.nih.gov/pubmed/24354833

1541-0048

https://hdl.handle.net/10161/15881

eng

American Public Health Association

Am J Public Health

10.2105/AJPH.2013.301361

http://hdl.handle.net/10161/12076

10161/12076

Adult

Emergency Medical Services

Female

Home Health Nursing

Humans

Infant

Infant Welfare

Male

Parenting

Postnatal Care

Program Development

Program Evaluation

Surveys and Questionnaires

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

Journal article

Dodge, KA|0000-0001-5932-215X

Goodman, WB|0000-0002-2417-1483

https://www.ncbi.nlm.nih.gov/pubmed/24354833

S136

S143

Center for Child and Family Policy

Clinical Science Departments

Duke

Duke Institute for Brain Sciences

Duke Population Research Center

Duke Population Research Institute

Duke Science & Society

Initiatives

Institutes and Provost's Academic Units

Psychiatry, Child & Family Mental Health and Developmental Neuroscience

Psychiatry & Behavioral Sciences

Psychology and Neuroscience

Sanford School of Public Policy

School of Medicine

Staff

Temp group - logins allowed

Trinity College of Arts & Sciences

University Institutes and Centers

Published

104 Suppl 1