Prenatal and Infancy Nurse Home Visiting Effects on Mothers: 18-Year Follow-up of a Randomized Trial

Olds, David L.; Kitzman, Harriet; Anson, Elizabeth; Smith, Joyce; Knudtson, Michael D.; Miller, Ted R.; Cole, Robert E.; Hopfer, Christian J.; Conti, Gabriella

doi:10.1542/peds.2018-3889

Cited by 69 publications

(44 citation statements)

References 48 publications

(92 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In NFP, superior executive functioning and behavioral adaptation during testing was observed in a follow-up conducted two years after the program ended (at age 4) (Olds et al, 2004). Finally, from a public health perspective, it will be important to document in future long-term outcome studies whether or not the mothers who participated in Primeiros Laços went on to give birth to fewer children and if there was greater spacing between first and second pregnancies for those mothers who did have additional children 106 , 107 .…”

Section: Discussionmentioning

confidence: 99%

A randomized controlled trial testing the efficacy of a Nurse Home Visiting Program for Pregnant Adolescents

Fatori

Zuccolo

Shephard

et al. 2021

Sci Rep

View full text Add to dashboard Cite

To test the efficacy of a nurse home visiting program (HVP) on child development, maternal and environmental outcomes in the first years of life. We conducted a randomized controlled trial to test the efficacy of Primeiros Laços, a nurse HVP for adolescent mothers living in a poor urban area of São Paulo, Brazil. Eighty adolescent mothers were included and randomized to receive either Primeiros Laços (intervention group, n = 40) or healthcare as usual (control group, n = 40). Primeiros Laços is a home visiting intervention delivered by trained nurses that starts during the first 16 weeks of pregnancy and continues to the child’s age of 24 months. Participants were assessed by blind interviewers at 8–16 weeks of pregnancy (baseline), 30 weeks of pregnancy, and 3, 6, 12, and 24 months of child’s age. We assessed oscillatory power in the mid-range alpha frequency via electroencephalography when the children were aged 6 months. Child development was measured by the Bayley Scales of Infant Development Third Edition (BSID-III). Weight and length were measured by trained professionals and anthropometric indexes were calculated. The home environment and maternal interaction with the child was measured by the Home Observation and Measurement of the Environment. Generalized estimating equation models were used to examine intervention effects on the trajectories of outcomes. Standardized effect sizes (Cohen’s d) were calculated using marginal means from endpoint assessments of all outcomes. The trial was registered at clinicaltrial.gov: NCT02807818. Our analyses showed significant positive effects of the intervention on child expressive language development (coefficient = 0.89, 95% CI [0.18, 1.61], p = 0.014), maternal emotional/verbal responsivity (coefficient = 0.97, 95% CI [0.37, 1.58], p = 0.002), and opportunities for variety in daily stimulation (coefficient = 0.37, 95% CI [0.09, 0.66], p = 0.009). Standardized effect sizes of the intervention were small to moderate. Primeiros Laços is a promising intervention to promote child development and to improve the home environment of low-income adolescent mothers. However, considering the limitations of our study, future studies should be conducted to assess Primeiros Laços potential to benefit this population.Clinical Trial Registration: The study was registered at clinicaltrial.gov (Registration date: 21/06/2016 and Registration number: NCT02807818).

show abstract

Section: Discussionmentioning

confidence: 99%

A randomized controlled trial testing the efficacy of a Nurse Home Visiting Program for Pregnant Adolescents

Fatori

Zuccolo

Shephard

et al. 2021

Sci Rep

View full text Add to dashboard Cite

show abstract

“…Finally, from a public health perspective, it will be important to document in future long-term outcome studies whether or not the mothers who participated in Primeiros Laços went on to give birth to fewer children and if there was greater spacing between rst and second pregnancies for those mothers who did have additional children 119,120 .…”

Section: Discussionmentioning

confidence: 99%

A Nurse Home Visiting Program for Pregnant Adolescents: A Randomized Controlled Trial

Fatori¹,

Zuccolo²,

Shephard³

et al. 2020

Preprint

View full text Add to dashboard Cite

Objective To test the efficacy of a nurse home visiting program (HVP) on child development, maternal and environmental outcomes in the first years of life.Methods We conducted a randomized controlled trial to test the efficacy of Primeiros Laços, a nurse HVP for adolescent mothers living in a poor urban area of São Paulo, Brazil. Eighty adolescent mothers were included and randomized to receive either Primeiros Laços (intervention group, n = 40) or healthcare as usual (control group, n = 40) groups. Primeiros Laços is a home visiting intervention delivered by trained nurses that starts during the first 16 weeks of pregnancy and continues to the child’s age of 24 months. Participants were assessed by blind interviewers at 8–16 weeks of pregnancy (baseline), 30 weeks of pregnancy, 3, 6, and 12 months of child’s age. Child development was measured by the Bayley Scales of Infant Development Third Edition (BSID-III). Weight and length were measured by trained professionals and anthropometric indexes were calculated. The home environment and maternal interaction with the child was measured by the Home Observation and Measurement of the Environment (HOME). Generalized estimating equation (GEE) models were used to examine intervention effects on the trajectories of outcomes. Standardized effect sizes (Cohen’s d) were calculated using marginal means from endpoint assessments of all outcomes. The trial was registered at clinicaltrial.gov: NCT02807818.Results Our analyses showed significant positive effects of the intervention on child expressive language development (coefficient = 0.89, 95% CI [0.18, 1.61], p = 0.014), maternal emotional/verbal responsivity (coefficient = 0.97, 95% CI [0.37, 1.58], p = 0.002), and opportunities for variety in daily stimulation (coefficient = 0.37, 95% CI [0.09, 0.66], p = 0.009). Standardized effect sizes of the intervention were small to moderate.Conclusions Primeiros Laços is a promising intervention to promote child development and to improve the home environment of low-income adolescent mothers.

show abstract

“…The NFP program is an evidence‐based public health nursing program designed to improve the health and well‐being of first‐time mothers and their children experiencing economic adversity. The home visiting program is based on over 40 years of evidence from three separate randomized clinical trials, with the first trial beginning in the 1970s in Elmira, New York (Eckenrode et al., 2010; Olds et al., 2014, 2019). Since program replication began in the United States (US) in 1996, the program has served over 340,000 families in 692 counties among 40 states and the U.S. Virgin Islands.…”

Section: Introductionmentioning

confidence: 99%

National survey of nurse home visitor collaboration with health care and social services

Williams

Brooks‐Russell

McManus

et al. 2021

Public Health Nursing

Self Cite

View full text Add to dashboard Cite

Objective To assess the degree to which nurses in a national public health home visiting program collaborate with interprofessional providers to serve families experiencing adversity. Design A descriptive, cross‐sectional survey measured collaborative practices between nurse home visitors, health care, and social service providers. A census of 263 nursing supervisors completed a web‐based survey. Measurements The survey included the validated 7‐item Relational Coordination Scale, adapted items from the Interagency Collaboration Activities Scale on shared resources, and items related to collaboration attitudes and beliefs. Data were analyzed with descriptive statistics. Results Relational coordination scores, which are relative measures, ranged from 1 to 5; highest with supplemental nutrition for Women, Infants & Children (M = 3.77) and early intervention (M = 3.44); and lowest with housing (M = 2.55). The greatest sharing of resources was with supplemental nutrition (sum = 12.95) and mental health providers (sum = 11.81), and least with housing (sum = 7.26); with a range of 1–30 where higher scores indicated greater resource‐sharing. Conclusion Home visiting nurses collaborate with interprofessional providers with variation in the degree of collaboration between agencies and by provider type within an agency. Collaboration was a function of two interrelated domains: interpersonal relationships supported by organizational and contextual factors at the systems‐level.

show abstract

Prenatal and Infancy Nurse Home Visiting Effects on Mothers: 18-Year Follow-up of a Randomized Trial

Cited by 69 publications

References 48 publications

A randomized controlled trial testing the efficacy of a Nurse Home Visiting Program for Pregnant Adolescents

A randomized controlled trial testing the efficacy of a Nurse Home Visiting Program for Pregnant Adolescents

A Nurse Home Visiting Program for Pregnant Adolescents: A Randomized Controlled Trial

National survey of nurse home visitor collaboration with health care and social services

Contact Info

Product

Resources

About