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Study Detail

Nguyen, J. D., Carson, M. L., Parris, K. M., & Place, P. (2003). A comparison pilot study of public health field nursing home visitation program interventions for pregnant Hispanic adolescents. Public Health Nursing, 20(5), 412. doi:10.1046/j.1525-1446.2003.20509.x

Program(s) Reviewed: Nurse Family Partnership (NFP)®

Study Screening Details

Screening DecisionScreening Conclusion
Study Passes ScreensEligible for Review

Study Design Details

RatingDesignSampleAttritionBaseline EquivalenceReassignmentConfounding Factors
ModerateRandomized controlled trialOther SamplesLowEstablished on ethnicity. Not established on SESNoneNone

Study Characteristics

Study Participants

Drawing on pregnant adolescent patients who had been referred by physicians, community clinics, schools, and other social-and health-service agencies, this pilot study identified eligible adolescents before randomly assigning them to study groups. Eligible participants were on or eligible for Medi-Cal, at less than 28 weeks gestation, younger than 20 years old, and pregnant with their first child. Participants assigned to the comparison group received traditional Public Health Field Nursing (PHFN) services, while the program group received services from advanced trained public health nurses (ATPHN). A total of 225 Hispanic adolescents enrolled in the study (104 program and 121 comparison). Typical study participants were single, never married, enrolled in school, and planning to continue education postpartum. Across the two groups, 49 mothers were lost to follow-up, and birth outcome information was available on 156 infants (71 program and 85 comparison).


Urban communities in Orange County, California

Home Visiting Services

Program group participants received weekly ATPHN home visits lasting 60-90 minutes for the first four weeks, followed by visits every other week until delivery,weekly for the next six weeks, every other week until the child was 21 months old and monthly until the child was 24 months old. Home visits focused on promoting self-efficacy by encouraging adolescents to set personal goals, make adaptive behavior changes to promote healthy pregnancy outcomes, develop positive parenting skills, and optimize the developmental potential of the infant. ATPHNs assisted program participants with developing informal support systems and provided referrals as needed.

Comparison Condition

Participants in the comparison group received a minimum of three PHFN visits: one initial assessment, one antepartum visit, and one postpartum and newborn visit. During these visits, the nurse provided physical assessment, education, and referrals.

Staff Characteristics and Training

PHFN nurses have a Bachelor of Science in Nursing degree, maternal and child health experience, and training in general field nursing. ATPHNs have the same background and have also received a week of extensive training and two multi-day follow up-trainings on parenting education, home visiting protocols, clinical record keeping, and the NFP theoretical framework.

Funding Source

Funder(s) not listed.

Author Affiliation

None of the study authors are developers of this program model.


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