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Study Detail

Sidora-Arcoleo, K., Anson, E., Lorber, M., Cole, R., Olds, D., & Kitzman, H. (2010). Differential effects of a nurse home-visiting intervention on physically aggressive behavior in children. Journal of Pediatric Nursing, 25(1), 35-45.

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

Study Screening Details

Screening DecisionScreening Conclusion
Study Passes ScreensEligible for Review

Study Design Details

RatingDesignAttritionBaseline EquivalenceReassignmentConfounding Factors
ModerateRandomized controlled trialLowBaseline equivalence not established on SES or race/ethnicity; not possible to assess outcomes at baselineNoneNone
Notes:

The study reports findings for two subgroups: mothers with low psychological resources and mothers with high psychological resources. In both cases, outcomes rate low (because baseline equivalence and attrition information was not reported and was not available from the author) and therefore are not reported. In addition, the high psychological resources subgroup is not repeated in another non-overlapping sample in the NFP research and therefore is not included in the review at this time.

Study Characteristics

Study Participants This is a randomized controlled trial. Women were eligible to be included in this study if they were less than 29 weeks pregnant, had no previous live births, and had none of a specified list of chronic illnesses. Eligible women also had to meet two or more of the following criteria: unmarried, less than 12 years of education, and unemployed. Women were recruited through a clinic at the Regional Medical Center in Memphis, Tennessee. After being recruited, women were randomized into one of four intervention groups; two of these intervention groups were compared for this study. The two groups compared were (1) women who were provided free transportation for prenatal care and screenings and referrals at 6, 12, and 24 months; or (2) women who received the same services as group one and additionally received intensive nurse home visiting services during pregnancy and until the child turned 2. All women whose pregnancies resulted in live births were included in this study. Approximately 90 percent of women in the analytic sample were African American and 2 percent were married. The average age was 18 years and the average education level was 10 years. On average, women lived in census tracts with 35 percent of the population living below the poverty level.
Setting Memphis, Tennessee
Home Visiting Services Women in the intervention group received home visiting services during pregnancy and during the first two years of her child's life. These services covered topics related to health behavior, child care, and life planning for the woman (planning for pregnancy, education, and working). Women received an average of 7 home visits while pregnant and 26 during her child's first two years.
Comparison Condition Women in the comparison group received free transportation to prenatal care and developmental screenings/referrals for her child at 6, 12, and 24 months.
Staff Characteristics and Training All home visitors were nurses. No additional information is provided.
Funding Source Five federal agencies: the National Institute of Nursing Research (grant NR01-01691-05); the Bureau of Maternal and Child Health (grant MCJ 360579); the Administration for Children and Families (grant 90PJ0003 and 90PD0215/01); the Office of the Assistant Secretary for Planning and Evaluation; and the National Center for Child Abuse and Neglect, through a transfer of funds to the National Institute of Nursing Research. Four private foundations: the Robert Wood Johnson Foundation, Princeton, NJ (grants 017934, 11084, and 027901); the Carnegie Corporation of New York, New York, NY (grant B5492); the Pew Charitable Trusts, Philadelphia, PA (grants 88-0211-000 and 93-02363-000); and the William T. Grant Foundation, New York, NY (grants 88-1246-88 and 91-1246-88), including a Senior Research Scientist Award (1-K05-MH01382-01) to Dr. Olds; and the Hearst Foundation.
Author Affiliation The authors are affiliated with the following institutions: Arizona State University College of Nursing Healthcare Innovation, University of Rochester School of Nursing and Department of Pediatrics, Scripps College, and University of Colorado Department of Pediatrics. David L. Olds, a study author, is a developer of this program model.

Study Registration

Clinicaltrials.gov Identifier: None found. Study registration was assessed by HomVEE beginning with the 2014 review.

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