Status of Birth Outcomes in Clients of the Nurse-Family Partnership

Thorland, W.; Currie, Dustin W.

doi:10.1007/s10995-017-2267-2

Cited by 27 publications

(11 citation statements)

References 20 publications

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“…Such findings, largely based on randomized trials, add further support to the potential for NFP to facilitate clients' growth toward economic self‐sufficiency, as a result of the program's replication. Additionally, prior studies of other cohorts from NFP replications have also shown beneficial impacts on birth outcomes and child development metrics (Thorland & Currie, ; Thorland, Currie, & Colangelo, ; Thorland, Currie, Wiegand, et al, ).…”

Section: Discussionmentioning

confidence: 92%

“…The findings from these studies served as the basis for the implementation of NFP, which began in 1996 and continues in scale‐up. Correspondingly, a number of additional studies have been conducted on NFP cohorts drawn from these implementations, which demonstrate beneficial impact on a variety of primary outcomes (Miller, ; Thorland & Currie, ; Thorland, Currie, Wiegand, Walsh, & Mader, ).…”

Section: Introductionmentioning

confidence: 99%

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Education and employment outcomes in clients of the Nurse–Family Partnership

Flowers

Sainer

Stoneburner

et al. 2020

Public Health Nursing

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Objectives Nurse–Family Partnership (NFP) is an evidence‐based home visitation program designed for low‐income, first‐time mothers to support pregnancy, child development, and maternal self‐sufficiency. This study examined educational and employment outcomes among NFP clients compared to a reference sample. Design Entropy balancing and a difference‐in‐difference design were used to compare the two samples of women from 2007 to 2016. Sample There were 127,427 women in the NFP sample, and 787 women in the reference cohort. Measurements Educational outcomes included high school completion and employment outcomes consisted of employment status. Results Across a one‐year interval, NFP mothers with less than a high school diploma or general education diploma (GED) at baseline showed a 9.5 percentage point increase in diploma or GED attainment compared to the reference mothers [95% CI: 0.015–0.180]. Similarly, mothers enrolled in NFP who were not employed at baseline showed a 7.8 percentage point increase in employment compared to the reference mothers [95% CI: 0.003–0.150]. Conclusions The findings in this study show positive results for NFP mothers attaining high school completion and employment compared to mothers in the reference group. Such findings are of importance with regard to progression toward economic self‐sufficiency and corresponding reduction of health disparities.

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Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Education and employment outcomes in clients of the Nurse–Family Partnership

Flowers

Sainer

Stoneburner

et al. 2020

Public Health Nursing

Self Cite

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“…In contrast, the results raise questions about the immediate effectiveness of contemporary SNHV programs for addressing some child physical health outcomes such as birthweight, pre‐term birth, and maternal mental health. However, a recent large scale propensity matching study of NFP found a significant reduction in preterm births suggesting statistical power limitations could mask the effect on some outcomes in RCTs (Thorland & Currie, 2017). Limited effectiveness for some outcomes is perhaps indicative of the need for broad structural changes that address issues with equity and access that direct service provision alone cannot accomplish.…”

Section: Discussionmentioning

confidence: 99%

Systematic review: Effects of sustained nurse home visiting programs for disadvantaged mothers and children

Molloy

Beatson

Harrop³

et al. 2020

Journal of Advanced Nursing

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Aims To systematically evaluate published experimental studies of sustained nurse home visiting (SNHV) programs. This review summarizes the evidence and identifies gaps in the literature to inform practice, policy, and future research. Design Restricted systematic review with narrative summary. Data Sources Databases searched were Medline, CINAHL, PsycINFO, and Cochrane Central Register of Controlled Trials. Year of publication was originally restricted from 2008 to the date of search (13 February 2018, with supplementary searches conducted to identify more recent publications (up to 2019). Several reputable evidence clearinghouses were also searched. Review Methods Studies were included if they used a randomized or cluster‐randomized controlled trial to evaluate a home visiting program that: (a) targeted disadvantaged mothers; (b) commenced during pregnancy or prior to the child's first birthday; (c) had an intended duration of at least 12 months from the time of enrolment; and (d) was substantively delivered by nurses or midwives. Meta‐analyses and reviews of studies meeting these criteria were also included. A quality appraisal was conducted for all studies. Results Of 1,393 total articles, 30 met inclusion criteria. Seven specific SNHV programs were identified. Each demonstrated evidence of a positive statistical effect on at least one child or maternal outcome. Conclusion Sustained nurse home visiting programs benefit disadvantaged families, though effects vary across outcomes and subgroups. Further research is needed to discern the critical components of effective programs. Impact As SNHV programs have gained policy appeal, the need to evaluate the evidence‐base supporting such interventions has become imperative. The findings of this review will assist policy‐makers and practitioners in high‐income countries to make evidence‐informed decisions about which programs are best suited to addressing specific maternal and child outcomes for disadvantaged families. This should in turn ameliorate some of the inequalities in child development that have significant social and economic costs.

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“…The Nurse-Family Partnership, based in Colorado, demonstrated wide success in providing psychosocial support for first time mothers and in improving maternal and infant outcomes. 52,53 California and Florida adopted limited use of mobile clinics to deliver prenatal services to underserved communities. 54,55 Evaluative studies of this intervention demonstrated women who received care from the mobile vans achieved earlier initiation of care than those attending appointments in community clinics.…”

Section: Implications For Practice And/or Policymentioning

confidence: 99%

The Association between Travel Time and Prenatal Care Attendance

Maldonado¹,

Fryer

Tucker³

et al. 2019

Am J Perinatol

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Objective To evaluate the association between a patient's travel time to clinic and her prenatal care attendance. Study Design We conducted a retrospective cohort study of women (≥18 years) who received prenatal care and delivered at North Carolina Women's Hospital between July 1, 2014, and June 30, 2016 (n = 2,808 women, 24,021 appointments). We queried demographic data from the electronic medical record and calculated travel time with ArcGIS. Multinomial logistic regression models estimated the association between travel time and attendance, adjusted for sociodemographic covariates. Results For every 10 minutes of additional travel time, women were 1.05 (95% confidence interval [CI]: 1.02–1.08, p < 0.001) times as likely to arrive late and 1.03 (95% CI: 1.01–1.04, p < 0.001) times as likely to cancel appointments than arrive on time. Travel time did not significantly affect a patient's likelihood of not showing for appointments. Non-Hispanic black patients were 71% more likely to arrive late and 51% more likely to not show for appointments than non-Hispanic white patients (p < 0.05). Publicly insured women were 28% more likely to arrive late to appointments and 82% more likely to not show for appointments than privately insured women (p < 0.05). Conclusion Changes to transportation availability alone may only modestly affect outcomes compared with strategically improving access for sociodemographically marginalized women.

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Status of Birth Outcomes in Clients of the Nurse-Family Partnership

Cited by 27 publications

References 20 publications

Education and employment outcomes in clients of the Nurse–Family Partnership

Education and employment outcomes in clients of the Nurse–Family Partnership

Systematic review: Effects of sustained nurse home visiting programs for disadvantaged mothers and children

The Association between Travel Time and Prenatal Care Attendance

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