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Nurturing Parenting Programs (Birth to Age 5)

In Brief

Last Updated

July 2011


Evidence of Model Effectiveness

This model does not meet the criteria established by the Department of Health and Human Services (HHS) for an “evidence-based early childhood home visiting service delivery model” for the general population or for tribal populations.


Model Description

The Nurturing Parenting Programs target families with children from the prenatal period to age 18 who are at risk for child abuse or neglect. There are five general Nurturing Parenting Programs that specifically target children during the prenatal period or from birth to age 5 and that can be delivered primarily in the home: (1) Nurturing Program for Prenatal Families; (2) Nurturing Program for Parents and their Infants, Toddlers and Preschoolers; (3) Nurturing Program for Teen Parents and their Children; (4) Nurturing Skills for Families Program; and (5) Nurturing Skills for Teen Parents Program. In all five programs, home visitors engage in activities to promote positive parenting skills, self-nurturing, and child brain development. Depending on the model selected, the home-based–only model for adult and teen parents and their infants, toddlers, and preschoolers contains up to 55 home sessions each lasting 1.5 hours. The home-based programs have been adapted for several special populations, including military families, Hispanic families, and families with children with special needs and health challenges. For more information, please read the Model Overview.


Extent of Evidence

Results of Research and ReviewNumber of Studies
Released from 1979 to 2011 10
Eligible for review 1
     Rated high 0
     Rated moderate 0
     Rated low 1
     Additional sources1 0

1Additional sources overlap with another study and are not rated.

For more information, see the study database. For more information on the criteria used to determine the study ratings, please read Producing Study Ratings.


Summary of Findings

Please read Describing Effects for more information on these categories. Only results from studies that meet the standards for the high or moderate ratings are included above.


Criteria Established by the Department of Health and Human Services

Information Based on Comprehensive Review of All High- and Moderate-Impact Studies for this Model
High- or moderate-quality impact study? No
Across high- or moderate-quality studies, favorable impacts in…
   at least two outcome domains within one sample
   the same domain for at least two non-overlapping samples?
Favorable impacts on full sample? NA
Any favorable impacts on outcome measures sustained at least 12 months after model enrollment?1 NA
One or more favorable, statistically significant impact reported in a peer-reviewed journal?1 NA

NA = not applicable.

1This information is reported for all models, but the requirements for sustained findings and inclusion in a peer-reviewed journal only apply to models for which all findings are from randomized controlled trials.

Please read the HHS Criteria for Evidence-Based Models for more information.