Enduring Effects of Nurse Home Visitation on Maternal Life Course

Kitzman, Harriet; Olds, David L.; Sidora, Kimberly; Henderson, Charles; Hanks, Carole; Cole, Robert E.; Luckey, Dennis W.; Bondy, Jessica; Cole, Kimberly; Glazner, Judith

doi:10.1001/jama.283.15.1983

Cited by 194 publications

(128 citation statements)

References 27 publications

Supporting

Mentioning

119

Contrasting

Unclassified

Order By: Relevance

“…We believe that nurse-visited low-resource mothers chose to focus their resources on the care and protection of their children, and this explains why they were particularly successful, compared with their control-group counterparts, in managing the care of their firstborn children, as reflected in their children's having fewer injuries through age 2 and better cognition, arithmetic achievement, adjustment at age 6, and academic achievement in grades 1 to 3. 7,8,11,12 It is possible that the reduction in use of AFDC/TANF and food stamps observed during the 9-year period after birth of the first child for the entire sample may be explained at least in part by the nurse-visited women's increased involvement with the first child's biological father and the stability of partnered relationships, given that their partners were frequently employed and most likely brought additional financial resources to the household. In 1996, the US welfare reform act went into effect, 31 limiting women's lifetime use of public assistance (TANF).…”

Section: Discussionmentioning

confidence: 99%

“…We reviewed children's school records in grades 1 to 3 and obtained teachers' (primarily thirdgrade) reports of children's classroom behavior. The details of basic study design and its implementation have been reported previously 11,12 and are summarized here. Table 1 provides the numbers of eligible patients who were (1) invited to participate, (2) randomly assigned, and (3) evaluated at each follow-up assessment.…”

Section: Methodsmentioning

confidence: 99%

“…Results of the Memphis trial through child age 4 corroborated many of the early effects of the program on maternal life course observed in the first trial that focused on white individuals. 11,12 A recent study of program effects in Memphis through child age 6 found that the program also produced positive effects on children's cognition, mental health, and internal representations of relationships. 8 Our study was designed to examine the enduring impact of the program on mothers' life course, on children's academic and behavioral functioning in early elementary school (grades 1-3), and on mothers' reports of their children's mental health through child age 9.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Effects of Nurse Home Visiting on Maternal and Child Functioning: Age-9 Follow-up of a Randomized Trial

et al. 2007

Self Cite

View full text Add to dashboard Cite

OBJECTIVE-Our goal was to test the effect of prenatal and infancy home visits by nurses on mothers' fertility and children's functioning 7 years after the program ended at child age 2.METHODS-We conducted a randomized, controlled trial in a public system of obstetric and pediatric care. A total of 743 primarily black women <29 weeks' gestation, with previous live births and at least 2 sociodemographic risk characteristics (unmarried, <12 years of education, unemployed), were randomly assigned to receive nurse home visits or comparison services. Primary outcomes consisted of intervals between births of first and second children and number of children born per year; mothers' stability of relationships with partners and relationships with the biological father of the child; mothers' use of welfare, food stamps, and Medicaid; mothers' use of substances; mothers' arrests and incarcerations; and children's academic achievement, school conduct, and mental disorders. Secondary outcomes were the sequelae of subsequent pregnancies, women's employment, experience of domestic violence, and children's mortality.RESULTS-Nurse-visited women had longer intervals between births of first and second children, fewer cumulative subsequent births per year, and longer relationships with current partners. From birth through child age 9, nurse-visited women used welfare and food stamps for fewer months. Nurse-visited children born to mothers with low psychological resources, compared with controlgroup counterparts, had better grade-point averages and achievement test scores in math and reading in grades 1 through 3. Nurse-visited children, as a trend, were less likely to die from birth through age 9, an effect accounted for by deaths that were attributable to potentially preventable causes.CONCLUSIONS-By child age 9, the program reduced women's rates of subsequent births, increased the intervals between the births of first and second children, increased the stability of their relationships with partners, facilitated children's academic adjustment to elementary school, and seems to have reduced childhood mortality from preventable causes.Address correspondence to David L. Olds, PhD, University of Colorado at Denver and Health Sciences Center, 1825 Marion St, Suite 200, Denver, CO 80218. olds.david@tchden.org. The authors have indicated they have no financial relationships relevant to this article to disclose. NIH Public Access Author ManuscriptPediatrics. Author manuscript; available in PMC 2010 March 16. Published in final edited form as:Pediatrics. Home visiting by nurses for low-income, at-risk families has been promoted as a promising strategy for preventing child abuse and neglect, children's mental health problems, 1-3 and infant mortality. 4 Recent evidence suggests that the benefits hoped for from such programs do not hold for all types of home-visiting programs. 5 A program of home visiting by nurses known as the Nurse-Family Partnership (NFP) has produced consistent effects on several aspects of maternal and child heal...

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Effects of Nurse Home Visiting on Maternal and Child Functioning: Age-9 Follow-up of a Randomized Trial

et al. 2007

Self Cite

View full text Add to dashboard Cite

show abstract

“…Our measurement approach was based on the work of Kitzman et al 15 In brief, participating women were interviewed by trained interviewers at the time of enrollment and when the child reached 12 months of age. The enrollment interview collected data on demographic, 5 obstetrical, and medical histories, and data on health-related behaviors (eg, smoking, alcohol use), stress, selfefficacy, and social support.…”

Section: Study Design and Data Collectionmentioning

confidence: 99%

“…Use of human services was measured by asking mothers about their current receipt of WIC and Aid to Families With Dependent Children (AFDC), an approach found comparable to secondary data collection. 15 …”

Section: Study Design and Data Collectionmentioning

confidence: 99%

From Concept to Application: The Impact of a Community-Wide Intervention to Improve the Delivery of Preventive Services to Children

Margolis¹,

Stevens

Bordley³

et al. 2001

Pediatrics

123

View full text Add to dashboard Cite

ABSTRACT. Objective. To improve health outcomes of children, the US Maternal and Child Health Bureau has recommended more effective organization of preventive services within primary care practices and more coordination between practices and community-based agencies. However, applying these recommendations in communities is challenging because they require both more complex systems of care delivery within organizations and more complex interactions between them. To improve the way that preventive health care services are organized and delivered in 1 community, we designed, implemented, and assessed the impact of a health care system-level approach, which involved addressing multiple care delivery processes, at multiple levels in the community, the practice, and the family. Our objective was to improve the processes of preventive services delivery to all children in a defined geographic community, with particular attention to health outcomes for lowincome mothers and infants.Design. Observational intervention study in 1 North Carolina county (population 182 000) involving lowincome pregnant mothers and their infants, primary care practices, and departments of health and mental health. An interrupted time-series design was used to assess rates of preventive services in office practices before and after the intervention, and a historical cohort design was used to compare maternal and child health outcomes for women enrolled in an intensive home visiting program with women who sought prenatal care during the 9 months before the program's initiation. Outcomes were assessed when the infants reached 12 months of age.Interventions. Our primary objective was to achieve changes in the process of care delivery at the level of the clinical interaction between care providers and patients that would lead to improved health and developmental outcomes for families. We selected interventions that were directed toward major risk factors (eg, poverty, ineffective care systems for preventive care in office practices) and for which there was existing evidence of efficacy. The interventions involved community-, practice-, and family-level strategies to improve processes of care delivery to families and children. The objectives of the community-level intervention were: 1) to achieve policy level changes that would result in changes in resources available at the level of clinical care, 2) to engage multiple practice organizations in the intervention to achieve an effect on most, if not all, families in the community, and 3) to enhance communication between, among, and within public and private practice organizations to improve coordination and avoid duplication of services. The objective of the practice-level interventions was to overcome specific barriers in the process of care delivery so that preventive services could be effectively delivered. To assist the health department in implementing the family-level intervention, we provided assistance in hiring and training staff and ongoing consultation on staff supervision, including the ...

show abstract

Home-Visiting Intervention to Improve Child Care Among American Indian Adolescent Mothers

Barlow¹,

Varipatis-Baker

Speakman

et al. 2006

Arch Pediatr Adolesc Med

View full text Add to dashboard Cite

show abstract

Enduring Effects of Nurse Home Visitation on Maternal Life Course

Cited by 194 publications

References 27 publications

Effects of Nurse Home Visiting on Maternal and Child Functioning: Age-9 Follow-up of a Randomized Trial

Effects of Nurse Home Visiting on Maternal and Child Functioning: Age-9 Follow-up of a Randomized Trial

From Concept to Application: The Impact of a Community-Wide Intervention to Improve the Delivery of Preventive Services to Children

Home-Visiting Intervention to Improve Child Care Among American Indian Adolescent Mothers

Contact Info

Product

Resources

About