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Study Detail

Eckenrode, J., Campa, M., Luckey, D. W., Henderson, C. R., Cole, R., Kitzman, H., Anson, E., Sidora-Arcoleo, K., Powers, J., & Olds, D. (2010). Long-term effects of prenatal and infancy nurse home visitation on the life course of youths: 19-year follow-up of a randomized trial. Archives of Pediatrics & Adolescent Medicine, 164(1), 9-15.

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

Study Screening Details

Screening DecisionScreening Conclusion
Study Passes ScreensEligible for Review

Study Design Details

RatingDesignSampleAttritionBaseline EquivalenceReassignmentConfounding Factors
HighRandomized controlled trialElmira, New York SampleLowEstablished on SES; Not established on maternal race, but analysis controlled for child race.NoneNone

Study Characteristics

Study Participants The authors actively recruited pregnant, first-time mothers who were fewer than 25 weeks pregnant, were younger than 19 years old, were single parents, or had low socioeconomic status. Between April 1978 and September 1980, 500 women were interviewed and 400 were randomly assigned to one of four conditions (two treatment and two comparison groups). This study measured the sample when the children were 19 years old. The sample included 310 youth (170 in the treatment groups and 140 in the comparison groups).
Setting Elmira, NY
Home Visiting Services The study included two treatment groups. Families in the first treatment group were provided nurse home visits through the mother’s pregnancy;, sensory and developmental screening for the child at 12 and 24 months of age; referrals for clinical evaluation and treatment, as needed; and free transportation for prenatal and well -child care through the child’s second birthday. Families in the second treatment group were provided the same services as the first treatment group except that the nurse continued visits through the child’s second birthday.
Comparison Condition The study included two comparison groups, which were combined for the analyses. Families in the first group were provided the same sensory and developmental screening for the child at 12 and 24 months of age as the treatment groups. Based on the results of these screenings, the children were referred for clinical evaluation and treatment when needed. Families in the second group were provided these same screening services plus free transportation for prenatal and well-child care through the child’s second birthday. There were no differences between in the groups in their use of prenatal and well-child care.
Staff Characteristics and Training All home visitors were nurses. No other information on training is provided.
Funding Source This research was supported by grant 801-099 from the Smith Richardson Foundation. Support for earlier phases of this trial was provided by a Senior Research Scientist Award (Dr Olds) and by grants from the Prevention Research and Behavioral Medicine Branch of the National Institute of Mental Health, the Assistant Secretary for Planning and Evaluation, Health and Human Services, the Bureau of Maternal and Child Health (Department of Health and Human Services), the Robert Wood Johnson Foundation, the W.T. Grant Foundation, the Ford Foundation, and the Commonwealth Fund. Dr Olds’ Research Center at the University of Colorado has a contract with the NFP National Service Office to conduct research on improving the NFP program model.
Author Affiliation David L. Olds, a study author, is a developer of this program model.

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