Implementation and Randomized Controlled Trial Evaluation of Universal Postnatal Nurse Home Visiting

Dodge, Kenneth A.; Goodman, W. Benjamin; Murphy, Robert A.; O’Donnell, Karen; Sato, Jeannine M.; Guptill, Susan

doi:10.2105/ajph.2013.301361

Cited by 140 publications

(153 citation statements)

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“…A study of Durham Connects (also known as Family Connects) showed more than 80% participation and 84% adherence among all mothers delivering in Durham, North Carolina, during an 18-month period. 51 Researchers in this study, using rigorous methodology, documented important and beneficial effects on child health, including a 59% reduction in emergency medical care, an increase in positive parenting, successful linkages to community services, and by guest on May 12, 2018 http://pediatrics.aappublications.org/ Downloaded from improved maternal mental health. In addition, a large-scale study of SafeCare home-based services showed reductions in reports to child protective services after a scale-up of the program in Oklahoma.…”

Section: National Evaluation and Evidence Of Effectivenessmentioning

confidence: 95%

Early Childhood Home Visiting

et al. 2017

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High-quality home-visiting services for infants and young children can improve family relationships, advance school readiness, reduce child maltreatment, improve maternal-infant health outcomes, and increase family economic self-sufficiency. The American Academy of Pediatrics supports unwavering federal funding of state home-visiting initiatives, the expansion of evidence-based programs, and a robust, coordinated national evaluation designed to confirm best practices and cost-efficiency. Community home visiting is most effective as a component of a comprehensive early childhood system that actively includes and enhances a family-centered medical home.

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Section: National Evaluation and Evidence Of Effectivenessmentioning

confidence: 95%

Early Childhood Home Visiting

et al. 2017

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“…A final session 4 weeks after the nurse completes the case reinforces community connections. Dodge et al 8 reported that 80% of all families assigned to DC consented and began participation, with 86% of the consenting group completing the entire program (net completion = 69%). Of these families, 40% were European American, 37% were African American, and 23% were other or multiracial, with 26% reporting Hispanic ethnicity; 62% received Medicaid or had no health insurance, and 49% were married.…”

Section: The Durham Connects Programmentioning

confidence: 99%

“…Problems in community-wide implementation have been overcome by the Durham Connects (DC) program, 8 which was designed in collaboration with community leaders and piloted at the population level before evaluation by a randomized controlled trial (RCT). DC is a short-term, universal, inexpensive ($700 per family) postnatal nurse home visiting program designed to provide brief parenting intervention and to connect families with community resources based on individualized assessments of family needs.…”

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confidence: 99%

“…Community leaders signed a memorandum of agreement to align community-based resources with birth family needs. Dodge et al 8 reported a participation rate of 80% of the community population of families of newborns while maintaining 84% fidelity to the manualized DC protocol. An RCT with every birth in the Durham, North Carolina community over an 18-month period found that by age 6 months DC increases a family' s community connections, improves positive parenting behavior, and decreases emergency medical care costs by 59%.…”

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confidence: 99%

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Randomized Controlled Trial of Universal Postnatal Nurse Home Visiting: Impact on Emergency Care

et al. 2013

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BACKGROUND AND OBJECTIVES: Although nurse home visiting has proven efficacious with small samples, scaling up to community populations with diverse families has not yet proven effective. The Durham Connects program was developed in collaboration with community leaders as a brief, universal, postnatal nurse home visiting intervention designed to screen for risk, provide brief intervention, and connect families with more intensive evidence-based services as needed. This study tested program effectiveness in reducing infant emergency medical care between birth and age 12 months. METHODS:All 4777 resident births in Durham, North Carolina across 18 months were randomly assigned, with even birth date families to intervention and odd birth date families to control. Intervention families were offered 3 to 7 contacts between 3 and 12 weeks after birth to assess family needs and connect parents with community resources to improve infant health and well-being. Hospital records were analyzed by using an intent-to-treat design to evaluate impact among a representative subset of 549 families. RESULTS:After demographic factors (ie, birth risk, Medicaid status, ethnicity, and single parenthood) were covaried, relative to control families, families assigned to intervention had 50% less total emergency medical care use (mean [M] emergency department visits and hospital overnights) (M intervention = 0.78 and M control = 1.57; P , .001, effect size = 0.28) across the first 12 months of life.CONCLUSIONS: This brief, universal, postnatal nurse home visiting program improves population-level infant health care outcomes for the first 12 months of life. Nurse home visiting can be implemented universally at high fidelity with positive impacts on infant emergency health care that are similar to those of longer, more intensive home visiting programs. This approach offers a novel solution to the paradox of targeting by offering individually tailored intervention while achieving population-level impact. Pediatrics 2013;132:S140-S146

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“…For example, the Durham Connects program is a 4-7 session manualized program that addresses family needs in home and connects high-risk parents with community resources to improve infant health and well being. Several randomized controlled trials have found that program participants report fewer infant emergency care visits, more community connections, more positive parenting behaviors, and lower rates of mental health problems such as anxiety than the control group (Dodge et al, 2014). (See Table 3.…”

Section: The Early Years (Ages 0-5): Parenting and Child-centered Daymentioning

confidence: 99%

Developing Social-Emotional Skills for the Labor Market: The PRACTICE Model

Guerra¹,

Modecki²,

Cunningham³

2014

Policy Research Working Papers

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Although there is a general agreement in the literature of the importance of social-emotional skills for labor market success, there is little consensus on the specific skills that should be acquired or how and when to teach them. The psychology, economics, policy research, and program implementation literatures all touch on these issues, but they are not sufficiently integrated to provide policy direction. The objective of this paper is to provide a coherent framework and related policies and programs that bridge the psychology, economics, and education literature, specifically that related to skills employers value, non-cognitive skills that predict positive labor market outcomes, and skills targeted by psycho-educational prevention and intervention programs. The paper uses as its base a list of social-emotional skills that employers value, classifies these into eight subgroups (summarized by PRACTICE), then uses the psychology literature-drawing from the concepts of psycho-social and neuro-biological readiness and age-appropriate contexts-to map the age and context in which each skill subset is developed. The paper uses examples of successful interventions to illustrate the pedagogical process. The paper concludes that the social-emotional skills employers value can be effectively taught when aligned with the optimal stage for each skill development, middle childhood is the optimal stage for development of PRACTICE skills, and a broad international evidence base on effective program interventions at the right stage can guide policy makers to incorporate social-emotional learning into their school curriculum. Developing Social-Emotional Skills for the Labor Market:The PRACTICE Model

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Implementation and Randomized Controlled Trial Evaluation of Universal Postnatal Nurse Home Visiting

Cited by 140 publications

References 20 publications

Early Childhood Home Visiting

Early Childhood Home Visiting

Randomized Controlled Trial of Universal Postnatal Nurse Home Visiting: Impact on Emergency Care

Developing Social-Emotional Skills for the Labor Market: The PRACTICE Model

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