Home visitation programs: Critical Issues and Future Directions

Azzi-Lessing, Lenette

doi:10.1016/j.ecresq.2011.03.005

Cited by 115 publications

(95 citation statements)

References 80 publications

(144 reference statements)

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“…[1][2][3][4][5] Only a small number of effectiveness trials of homevisiting services have been conducted. [6][7][8][9][10][11][12] Additionally, there is little information about the extent to which home-visiting services actually reach disadvantaged mothers.…”

Section: Key Messagesmentioning

confidence: 99%

“…[1][2][3][4][5] Although the specific ARTICLE SUMMARY Article focus ▪ Efficacy trials have reported positive outcomes from home-visiting programmes delivered by nurses to socially disadvantaged mothers and young children. ▪ There is limited information about the effects of home-visiting programmes when delivered as part of routine clinical practice by nurses in community health services.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of nurse home-visiting for disadvantaged families: results of a natural experiment

et al. 2013

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ObjectiveTo evaluate the effects of a postnatal home-visiting programme delivered by community health nurses to socially disadvantaged mothers in South Australia.DesignThe intervention group of 428 mothers lived in metropolitan Adelaide and the comparison group of 239 mothers lived in regional towns where the programme was not yet available. All participating mothers met health service eligibility criteria for enrolment in the home-visiting programme. Participants in both groups were assessed at baseline (mean child age=14.4 weeks SD=2.3), prior to programme enrolment, and again when the children were aged 9, 18 and 24 months.SettingState-wide community child health service.Participants667 socially disadvantaged mothers enrolled consecutively. 487 mothers (73%) completed the 24-month assessment.InterventionTwo-year postnatal home-visiting programme based on the Family Partnership Model.Primary outcome measuresParent Stress Index (PSI), Kessler Psychological Distress Scale and the Ages and Stages Questionnaire.ResultsMixed models adjusting for baseline differences were used to compare outcomes in the two groups. The mothers in the home-visiting group reported greater improvement on the PSI subscales assessing a mother's perceptions on the quality of their relationship with their child (1.10, 95% CI 0.06 to 2.14) and satisfaction with their role as parents (0.46, 95% CI −0.15 to 1.07) than mothers in the comparison group. With the exception of childhood sleeping problems, there were no other significant differences in the outcomes across the two groups.ConclusionsThe findings suggest that home-visiting programmes delivered by community health nurses as part of routine clinical practice have the potential to improve maternal–child relationships and help mothers adjust to their role as parents.Clinical Trial RegistrationAustralian and New Zealand Clinical Trials Registry ACTRN12608000275369.

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Section: Key Messagesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effectiveness of nurse home-visiting for disadvantaged families: results of a natural experiment

et al. 2013

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“…[27][28][29][30][31][32][33][34][35] Some home visitation experts caution that potential program impacts on maltreatment may be obscured by "surveillance effects" because families receiving home visitation (ie, the intervention group) have regular contact with professionals or paraprofessionals who might identify and report instances of maltreatment, whereas families not participating in the program (ie, the control group) are not exposed to the same level of scrutiny. 24,36 The mixed nature of findings for these home visitation programs suggests that the next step is to determine which program strategieswork best for whom and under what conditions.…”

Section: Discussionmentioning

confidence: 99%

Limiting Home Visiting Effects: Maternal Depression as a Moderator of Child Maltreatment

et al. 2013

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OBJECTIVE: To test, with a sample of adolescent mothers (16–20 at childbirth) and their first-born infants/toddlers (average age 1 year), whether the impact of a home visiting (HV) child maltreatment prevention program was moderated by maternal depression. METHODS: The study design was a randomized controlled trial of Healthy Families Massachusetts, a statewide child maltreatment prevention program. A total of 707 first-time mothers were randomly assigned to the HV or control group. The HV group received visits from paraprofessional home visitors. Mothers in the control group were referred to other service providers. The outcome variable consisted of state Child Protective Services reports of child abuse and neglect (mother or other person as perpetrator). Maternal depression was assessed by maternal report (Center for Epidemiologic Studies-Depression questionnaire). RESULTS: A considerable proportion of families had child maltreatment reports (30% of sample) and maternal depression (38% had clinically significant symptoms). Most maltreatment was neglect. Among control group mothers, reports of maltreatment did not vary according to depressive symptoms. For HV mothers, probability of reports varied with levels of depressive symptoms. Nonsymptomatic HV mothers were less likely to have a child who was reported for maltreatment compared with HV mothers who endorsed clinical levels of depressive symptoms. CONCLUSIONS: The prevalence of maternal depressive symptoms in this sample, and the link between depression and child maltreatment prevention program effectiveness, suggest that home visitors be alert to maternal depression. Programs also should be aware of possible surveillance effects related to maternal depression.

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“…Indeed, a review of home visiting evaluation findings suggests measured, nuanced, and contextspecific interpretations that should guide program developers, frontline staff, and researchers in articulating and measuring what is achievable and meaningful, program to program, for the populations and communities served. 15 In this study, we assessed impact results from a randomized, controlled trial of Healthy Families Massachusetts (HFM), the only universal statewide home visiting program that specifically targets and wholly serves first-time young parents; reflecting the Five-Tiered Approach to evaluation, 16,17 we detailed program processes, model fidelity, participants' use of the program, and profiles of relationships between home visitors and clients. Here we describe the main program effects 12 and 24 months after enrollment on 28 indicators grouped into 5 outcome domains: parenting, child development, education, family planning, and maternal health and well-being.…”

mentioning

confidence: 99%

Improving Adolescent Parenting: Results From a Randomized Controlled Trial of a Home Visiting Program for Young Families

et al. 2016

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Home visitation programs: Critical Issues and Future Directions

Cited by 115 publications

References 80 publications

Effectiveness of nurse home-visiting for disadvantaged families: results of a natural experiment

Effectiveness of nurse home-visiting for disadvantaged families: results of a natural experiment

Limiting Home Visiting Effects: Maternal Depression as a Moderator of Child Maltreatment

Improving Adolescent Parenting: Results From a Randomized Controlled Trial of a Home Visiting Program for Young Families

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