Skip Navigation

Nurse Family Partnership (NFP)®

Meets DHHS criteria for an evidenced based model

Last Updated: May 2016

In Brief for Reductions in Child Maltreatment Outcomes

Impact Studies Rated High


Eckenrode, J., Zielinski, D., Smith, E., Marcynyszyn, L. A., Henderson, C. R., Kitzman, H., et al. (2001). Child maltreatment and the early onset of problem behaviors: Can a program of nurse home visitation break the link? Development and Psychopathology, 13(4), 873–890.
Show Study Effects Details
Outcome Effect Sample Timing of Follow-Up Sample Size Program Group Comparison Group Mean Difference or Odds Ratio
Statistical Significance
Effect Size
Outcome Type
Percentage abused No Effect Nurse visited during pregnancy + infancy and comparison (Elmira) 15-year follow-up 228 adolescent youth1 0.39 0.37 MD = 2.0 Statistical significance not reported Not available Primary
Percentage neglected No Effect Nurse visited during pregnancy + infancy and comparison (Elmira) 15-year follow-up 228 adolescent youth1 0.61 0.63 MD = -2.0 Statistical significance not reported Not available Primary

1 Information on sample sizes for this study was received through communication with the authors. HomVEE previously rated 24-month outcomes for nurse home visitors Moderate due to high attrition. Upon further examination, HomVEE noted that the outcomes had low attrition, and therefore they rate High.

Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Percentage abused Percentage of children with substantiated reports of abuse Review of CPS records Not applicable Primary
Percentage neglected Percentage of children with substantiated reports of neglect Review of CPS records Not applicable Primary

Kitzman, H., Olds, D. L., Henderson, C. R., Hanks, C., Cole, R., Tatelbaum, R., et al. (1997). Effect of prenatal and infancy home visitation by nurses on pregnancy outcomes, childhood injuries, and repeated childbearing. A randomized controlled trial. JAMA: The Journal of the American Medical Association, 278(8), 644–652.
Show Study Effects Details
Outcome Effect Sample Timing of Follow-Up Sample Size Program Group Comparison Group Mean Difference or Odds Ratio
Statistical Significance
Effect Size
Outcome Type
Number of days hospitalized–injuries/ingestions Favorable Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) 2 years postnatal 671 children Adjusted mean = 0.04 Adjusted mean = 0.18 MD = -0.14 Statistically significant,
p < 0.01
1
Not available Primary
Number of emergency department visits–injuries/ingestions No Effect Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) 2 years postnatal 671 children Adjusted mean = 0.33 Adjusted mean = 0.34 MD = -0.01 Not statistically significant,
p > 0.05
1
Not available Primary
Number of hospitalizations–injuries/ingestions No Effect Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) 2 years postnatal 671 children Adjusted mean = 0.01 Adjusted mean = 0.03 MD = -0.02 Not statistically significant,
p > 0.05
1
Not available Primary
Number of outpatient visits–injuries/ingestions Favorable Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) 2 years postnatal 671 children Adjusted mean = 0.11 Adjusted mean = 0.20 MD = -0.09 Statistically significant,
p ≤ 0.05
1
Not available Primary
Total number of health care encounters–injuries/ingestions Favorable Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) 2 years postnatal 671 children Adjusted mean = 0.43 Adjusted mean = 0.56 MD = -0.13 Statistically significant,
p ≤ 0.05
1
Not available Primary

1 Statistical significance reported on authors’ calculations of the log-incidence difference.

Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Number of days hospitalized—injuries/ingestions Counts of days the child was hospitalized for injuries and poison ingestions Review of children’s medical records Not applicable Primary
Number of emergency department visits—injuries/ingestions Counts of child ER visits for injuries and poison ingestions Review of children’s medical records Not applicable Primary
Number of hospitalizations—injuries/ingestions Counts of child hospitalizations for injuries and poison ingestions Review of children’s medical records Not applicable Primary
Number of outpatient visits—injuries/ingestions Counts of child outpatient visits for injuries and poison ingestions Review of children’s medical records Not applicable Primary
Total number of health care encounters—injuries/ingestions Counts of child injuries and poison ingestions Review of children’s medical records Not applicable Primary

Olds, D. L., Eckenrode, J., Henderson, C. R., Kitzman, H., Powers, J., Cole, R., et al. (1997). Long-term effects of home visitation on maternal life course and child abuse and neglect. Fifteen-year follow-up of a randomized trial. JAMA: The Journal of the American Medical Association, 278(8), 637–643.
Show Study Effects Details
Outcome Effect Sample Timing of Follow-Up Sample Size Program Group Comparison Group Mean Difference or Odds Ratio
Statistical Significance
Effect Size
Outcome Type
Substantiated reports of child abuse and neglect (incidence) No Effect Nurse visited during pregnancy and comparison (Elmira) 15-year follow-up 227 mothers Adjusted mean = 0.35 Adjusted mean = 0.54 MD = -0.19 Statistical significance not reported Not available Primary
Substantiated reports of child abuse and neglect (incidence) Favorable Nurse visited during pregnancy + infancy and comparison (Elmira) 15-year follow-up 245 mothers Adjusted mean = 0.29 Adjusted mean = 0.54 MD = -0.25 Statistically significant,
p < 0.01
1
Not available Primary

1 Statistical significance reported on authors’ calculations of the log-incidence difference.

Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Substantiated reports of child abuse and neglect (incidence) Incidence of substantiated reports of child abuse or neglect Review of CPS records Not applicable Primary

Olds, D. L., Henderson Jr., C. R., Chamberlin, R., & Tatelbaum, R. (1986). Preventing child abuse and neglect: A randomized trial of nurse home visitation. Pediatrics, 78, 65–78.
Show Study Effects Details
Outcome Effect Sample Timing of Follow-Up Sample Size Program Group Comparison Group Mean Difference or Odds Ratio
Statistical Significance
Effect Size
Outcome Type
Number of emergency room visits for accidents and poisonings (first year of life) No Effect Nurse visited during pregnancy and comparison (Elmira) 1-year follow-up 205 children Adjusted mean = 0.12 Adjusted mean = 0.06 MD = 0.06 Statistical significance not reported Not available Primary
Number of emergency room visits for accidents and poisonings (first year of life) No Effect Nurse visited during pregnancy + infancy and comparison (Elmira) 1-year follow-up 223 children Adjusted mean = 0.12 Adjusted mean = 0.06 MD = 0.06 Not statistically significant,
p > 0.05
Not available Primary
Number of emergency room visits for accidents and poisonings (second year of life) No Effect Nurse visited during pregnancy and comparison (Elmira) 2-year follow-up 185 children Adjusted mean = 0.32 Adjusted mean = 0.34 MD = -0.02 Statistical significance not reported Not available Primary
Number of emergency room visits for accidents and poisonings (second year of life) Favorable Nurse visited during pregnancy + infancy and comparison (Elmira) 2-year follow-up 196 children Adjusted mean = 0.15 Adjusted mean = 0.34 MD = -0.19 Statistically significant,
p < 0.05
Not available Primary
Substantiated abuse or neglect No Effect Nurse visited during pregnancy + infancy and comparison 2-year follow-up 256 children 5% (adjusted) 10% (adjusted) MD = -5 Not statistically significant,
p > 0.10
HomVEE = -0.45 Primary
Substantiated abuse or neglect No Effect Nurse visited during pregnancy and comparison 2-year follow-up 247 children 8% (adjusted) 10% (adjusted) MD = -2.0 Not statistically significant,
p > 0.10
HomVEE = -0.15 Primary
Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Number of ER visits for accidents and poisonings Counts of ER visits for accidents and poisonings Review of medical records Not applicable Primary
Substantiated abuse or neglect Percentage of sample members with substantiated reports of abuse or neglect Comparisons of sample members’ names and addresses with state social service records of substantiated cases of abuse or neglect Not applicable Primary

Olds, D. L., Henderson, C. R., & Kitzman, H. (1994). Does prenatal and infancy nurse home visitation have enduring effects on qualities of parental caregiving and child health at 25 to 50 months of life? Pediatrics, 93(1), 89–98.
Show Study Effects Details
Outcome Effect Sample Timing of Follow-Up Sample Size Program Group Comparison Group Mean Difference or Odds Ratio
Statistical Significance
Effect Size
Outcome Type
New substantiated cases of abuse/neglect from 25 to 48 months No Effect Nurse visited during pregnancy and comparison (Elmira) 48 months 245 children 4% (adjusted) 5% (adjusted) MD = -1 Statistical significance not reported HomVEE = -0.14 Primary
New substantiated cases of abuse/neglect from 25 to 48 months No Effect Nurse visited during pregnancy + infancy and comparison (Elmira) 48 months 253 children 8% (adjusted) 5% (adjusted) OR = 1.801 Not statistically significant
p > 0.05
0.3 Primary
Number of emergency department visits for injuries/ingestions (25 to 50 months) No Effect Nurse visited during pregnancy + infancy and comparison (Elmira) 50 months 221 children Adjusted mean = 0.47 Adjusted mean = 0.61 MD = -0.14 Not statistically significant,
p > 0.05
2
Not available Primary
Number of injuries/ingestions in physician record (25 to 50 months) Favorable Nurse visited during pregnancy + infancy and comparison (Elmira) 50 months 221 children Adjusted mean = 0.34 Adjusted mean = 0.57 MD = -0.23 Statistically significant,
p ≤ 0.05
2
Not available Primary

1 The HomVEE reversed the odds ratio from the study-reported calculation to reflect the odds of the treatment versus the control group.

2 Statistical significance reported on authors’ calculations of the log-incidence difference.

Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
New substantiated cases of abuse/neglect Incidence of substantiated reports of child abuse or neglect Comparisons of sample members’ names and addresses with state social service records of substantiated cases of abuse or neglect Not applicable Primary

Olds, D. L., Kitzman, H. J., Cole, R. E., Hanks, C. A., Arcoleo, K. J., Anson, E. A., Luckey, D. W., Knudtson, M. D., Henderson, C. R., Bondy, J., & Stevenson, A. J. (2010). Enduring effects of prenatal and infancy home visiting by nurses on maternal life course and government spending: Follow-up of a randomized trial among children at age 12 years. Archives of Pediatrics & Adolescent Medicine, 164(5), 419-424
Show Study Effects Details
Outcome Effect Sample Timing of Follow-Up Sample Size Program Group Comparison Group Mean Difference or Odds Ratio
Statistical Significance
Effect Size
Outcome Type
Child foster care placements No Effect Nurse visited during pregnancy and infancy and development screening comparison (Memphis) 0 to 12 years 594 mothers 12%(adjusted) 4%(adjusted) OR = 3.33 Not statistically significant, p > .05 HomVEE = 0.72 Secondary
Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Child foster care placements Count of the number of the mother’s children that had been placed in foster care Parent/caregiver report Not applicable Secondary

Zielinski, D. S., Eckenrode, J., & Olds, D. L. (2009). Nurse home visitation and the prevention of child maltreatment: Impact on the timing of official reports. Development and Psychopathology, 21(2), 441–453. doi:10.1017/S0954579409000248
Show Study Effects Details
Outcome Effect Sample Timing of Follow-Up Sample Size Program Group Comparison Group Mean Difference or Odds Ratio
Statistical Significance
Effect Size
Outcome Type
Number maltreatment, substantiated reports (percentage) No Effect Nurse visited during pregnancy + infancy and comparison (Elmira) 15-year follow-up Unknown 0.76 0.68 8 Statistical significance not reported HomVEE = 0.24 Primary
Number neglect, substantiated reports (percentage) No Effect Nurse visited during pregnancy + infancy and comparison (Elmira) 15-year follow-up Unknown 0.83 0.73 10 Statistical significance not reported HomVEE = 0.36 Primary
Onset of maltreatment No Effect Nurse visited during pregnancy + infancy and comparison (Elmira) 15-year follow-up Unknown Not available Not available HR = 0.73 Statistical significance not reported Not available Primary
Onset of neglect Favorable Nurse visited during pregnancy + infancy and comparison (Elmira) 15-year follow-up Unknown Not available Not available HR = 0.59 Statistical significance not reported Not available Primary
Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Number of maltreatment, substantiated reports Incidence of substantiated reports of child abuse or neglect Review of CPS records Not applicable Primary
Number of neglect, substantiated reports Incidence of substantiated reports of child abuse or neglect Review of CPS records Not applicable Primary
Onset of maltreatment Age at which the child first received a verified CPS report of maltreatment Review of CPS records Not applicable Primary
Onset of neglect Age at which the child first received a verified CPS report of neglect Review of CPS records Not applicable Primary
Top

Impact Studies Rated Moderate


Olds, D. L., Henderson, C. R., & Kitzman, H. (1994). Does prenatal and infancy nurse home visitation have enduring effects on qualities of parental caregiving and child health at 25 to 50 months of life? Pediatrics, 93(1), 89–98.
Show Study Effects Details
Outcome Effect Sample Timing of Follow-Up Sample Size Program Group Comparison Group Mean Difference or Odds Ratio
Statistical Significance
Effect Size
Outcome Type
Number of emergency department visits for injuries/ingestions (25 to 50 months) No Effect Nurse visited during pregnancy and comparison (Elmira) 50 months 209 children Adjusted mean = 0.46 Adjusted mean = 0.61 MD = -0.15 Statistical significance not reported Not available Primary
Number of injuries/ingestions in physician record (25 to 50 months) No Effect Nurse visited during pregnancy and comparison (Elmira) 50 months 209 children Adjusted mean = 0.56 Adjusted mean = 0.57 MD = -0.01 Statistical significance not reported Not available Primary
Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Number of emergency department visits for injuries/ingestions Counts of ER visits for injuries and poison ingestions Review of hospital records Not applicable Primary
Number of injuries/ingestions in physician record Counts of injuries and poison ingestions in physicians’ records Review of medical records Not applicable Primary
Top