Nurse-Family Partnership (NFP)® Meets HHS Criteria

Last updated: October 2019

Effects Shown in Research & Outcome Measure Details

Positive Parenting Practices

Outcomes Rated High

Nurse-Family Partnership (NFP)®
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Outcome Measure Effect Follow-up Timing Sample Sample Size Intervention Group Comparison Group Group Difference Effect Size Statistical Significance Outcome Type Notes

Parenting practices - Hostility: Child Report of Parental Behavior Inventory (CRPBI)

FavorableUnfavorable or ambiguousNo Effect

15 years

Nurse-visited group 4 vs. comparison groups 1 and 2, Elmira sample

300 children Unadjusted mean = 1.38 Unadjusted mean = 1.99 MD = -0.61 HomeVEE calculated = -1.22

Statistically significant, p = 0.00

Secondary ,

Parenting practices - Inconsistent discipline: Child Report of Parental Behavior Inventory (CRPBI)

FavorableUnfavorable or ambiguousNo Effect

15 years

Nurse-visited group 4 vs. comparison groups 1 and 2, Elmira sample

300 children Unadjusted mean = 1.90 Unadjusted mean = 1.99 MD = -0.09 HomeVEE calculated = -0.16

Not statistically significant, p = 0.23

Secondary

Parenting practices - Parent involvement: Child Report of Parental Behavior Inventory (CRPBI)

FavorableUnfavorable or ambiguousNo Effect

15 years

Nurse-visited group 4 vs. comparison groups 1 and 2, Elmira sample

300 children Unadjusted mean = 3.34 Unadjusted mean = 3.33 MD = 0.01 HomeVEE calculated = 0.02

Not statistically significant, p = 0.89

Secondary

Parenting practices - Supervision: Parenting Style Index measure by Steinberg et al. (1993)

FavorableUnfavorable or ambiguousNo Effect

15 years

Nurse-visited group 4 vs. comparison groups 1 and 2, Elmira sample

300 children Unadjusted mean = 0.86 Unadjusted mean = 0.89 MD = -0.03 HomeVEE calculated = -0.26

Not statistically significant, p = 0.05

Secondary

Parenting practices - Warmth: Child Report of Parental Behavior Inventory (CRPBI)

FavorableUnfavorable or ambiguousNo Effect

15 years

Nurse-visited group 4 vs. comparison groups 1 and 2, Elmira sample

300 children Unadjusted mean = 3.65 Unadjusted mean = 3.67 MD = -0.02 HomeVEE calculated = -0.04

Not statistically significant, p = 0.76

Secondary
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Outcome Measure Outcome Measure Description Collection Method Properties Outcome Type Operations links

Parenting practices - Hostility: Child Report of Parental Behavior Inventory (CRPBI)

The Child Report of Parental Behavior Inventory (CRPBI) is designed to assess parenting behavior based on child and parent reports.

Child report

Properties not reported by author.

Secondary

Parenting practices - Inconsistent discipline: Child Report of Parental Behavior Inventory (CRPBI)

The Child Report of Parental Behavior Inventory (CRPBI) is designed to assess parenting behavior based on child and parent reports.

Child report

Properties not reported by author.

Secondary

Parenting practices - Parent involvement: Child Report of Parental Behavior Inventory (CRPBI)

The Child Report of Parental Behavior Inventory (CRPBI) is designed to assess parenting behavior based on child reports.

Child report

Properties not reported by author.

Secondary

Parenting practices - Supervision: Parenting Style Index measure by Steinberg et al. (1993)

The Parenting Style Index is a measure developed by Steinberg and colleagues in 1993, in part to assess personal communication between parents and children.

Child report

Properties not reported by author.

Secondary

Parenting practices - Warmth: Child Report of Parental Behavior Inventory (CRPBI)

The Child Report of Parental Behavior Inventory (CRPBI) is designed to assess parenting behavior based on child and parent reports, using psychometric measures.

Child report

Properties not reported by author.

Secondary
Nurse-Family Partnership (NFP)®
Show Findings Details
Outcome Measure Effect Follow-up Timing Sample Sample Size Intervention Group Comparison Group Group Difference Effect Size Statistical Significance Outcome Type
HOME (emotional/ cognitive stimulation)
FavorableUnfavorable or ambiguousNo Effect
2 years postpartum Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) 675 mothers Adjusted mean = 32.30 Adjusted mean = 30.90 Mean difference = 1.40 Not available Statistically significant,
p < 0.01
Primary
NCAST Child Responsiveness (total score)
FavorableUnfavorable or ambiguousNo Effect
2 years postnatal Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) 1082 children Adjusted mean = 17.70 Adjusted mean = 17.40 Mean difference = 0.30 Not available Not statistically significant,
p > 0.05
Primary
NCAST Maternal Teaching (total score)
FavorableUnfavorable or ambiguousNo Effect
2 years postpartum Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) 675 mothers Adjusted mean = 36.70 Adjusted mean = 36.50 Mean difference = 0.20 Not available Not statistically significant,
p > 0.05
Primary
Beliefs associated with child abuse (AAPI total score)
FavorableUnfavorable or ambiguousNo Effect
2 years postpartum Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) 672 mothers Adjusted mean = 98.70 Adjusted mean = 100.50 Mean difference = -1.80 Not available Statistically significant,
p < 0.01
Primary
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Outcome Measure Outcome Measure Description Collection Method Properties Outcome Type Operations links

NCAST: Caregiver total score

The NCAST assesses the quality of teaching interaction between caregivers and young children. The researchers examined the composite score for parent interaction. Observation

Not reported by author

Primary

AAPI

The AAPI assesses parenting and childrearing attitudes. The researchers examined the AAPI total score to measure beliefs associated with child abuse. Parent/caregiver report

Not reported by author

Primary

HOME: Total score

The HOME assesses parenting practices and aspects of the home environment. Parent/caregiver interview and observational assessment

Not reported by author

Primary

NCAST Child Responsiveness

Mothers and children were observed while the mothers taught their children a developmentally challenging task. The mothers’ behaviors were coded and summarized to characterize their sensitivity, responsiveness, and quality of teaching. The infants’ behaviors were coded and aggregated to characterize their responsiveness and clarity of communication toward their mothers.

Observation conducted at the project offices

Not reported by author

Primary
Nurse-Family Partnership (NFP)®
Show Findings Details
Outcome Measure Effect Follow-up Timing Sample Sample Size Intervention Group Comparison Group Group Difference Effect Size Statistical Significance Outcome Type
HOME (avoidance of restriction and punishment)
FavorableUnfavorable or ambiguousNo Effect
10 months Nurse visited during pregnancy and comparison (Elmira) 184 mothers Adjusted mean = 5.77 Adjusted mean = 5.60 Mean difference = 0.17 Not available Statistical significance not reported Primary
HOME (avoidance of restriction and punishment)
FavorableUnfavorable or ambiguousNo Effect
10 months Nurse visited during pregnancy + infancy and comparison (Elmira) 191 mothers Adjusted mean = 5.40 Adjusted mean = 5.60 Mean difference = -0.20 Not available Not statistically significant,
p ≥ 0.05
Primary
HOME (avoidance of restriction and punishment)
FavorableUnfavorable or ambiguousNo Effect
22 months Nurse visited during pregnancy and comparison (Elmira) 171 mothers Adjusted mean = 5.53 Adjusted mean = 6.28 Mean difference = -0.75 Not available Statistical significance not reported Primary
HOME (avoidance of restriction and punishment)
FavorableUnfavorable or ambiguousNo Effect
22 months Nurse visited during pregnancy + infancy and comparison (Elmira) 180 mothers Adjusted mean = 5.82 Adjusted mean = 6.28 Mean difference = -0.46 Not available Not statistically significant,
p ≥ 0.05
Primary
HOME (provision of appropriate play materials)
FavorableUnfavorable or ambiguousNo Effect
10 months Nurse visited during pregnancy and comparison (Elmira) 195 mothers Adjusted mean = 7.45 Adjusted mean = 7.26 Mean difference = 0.19 Not available Statistical significance not reported Primary
HOME (provision of appropriate play materials)
FavorableUnfavorable or ambiguousNo Effect
10 months Nurse visited during pregnancy + infancy and comparison (Elmira) 201 mothers Adjusted mean = 7.36 Adjusted mean = 7.26 Mean difference = 0.10 Not available Not statistically significant,
p ≥ 0.05
Primary
HOME (provision of appropriate play materials)
FavorableUnfavorable or ambiguousNo Effect
22 months Nurse visited during pregnancy and comparison (Elmira) 190 mothers Adjusted mean = 8.66 Adjusted mean = 8.65 Mean difference = 0.01 Not available Statistical significance not reported Primary
HOME (provision of appropriate play materials)
FavorableUnfavorable or ambiguousNo Effect
22 months Nurse visited during pregnancy + infancy and comparison (Elmira) 198 mothers Adjusted mean = 8.68 Adjusted mean = 8.65 Mean difference = 0.03 Not available Not statistically significant,
p ≥ 0.05
Primary
Conflict
FavorableUnfavorable or ambiguousNo Effect
6 months Nurse visited during pregnancy and comparison (Elmira) 164 mothers Adjusted mean = 0.27 Adjusted mean = 0.25 Mean difference = 0.02 Not available Statistical significance not reported Secondary
Conflict
FavorableUnfavorable or ambiguousNo Effect
6 months Nurse visited during pregnancy + infancy and comparison (Elmira) 163 mothers Adjusted mean = 0.29 Adjusted mean = 0.25 Mean difference = 0.04 Not available Not statistically significant,
p ≥ 0.05
Secondary
Spank or hit (number of times last 2 weeks)
FavorableUnfavorable or ambiguousNo Effect
6 months Nurse visited during pregnancy and comparison (Elmira) 151 mothers Adjusted mean = 1.71 Adjusted mean = 1.09 Mean difference = 0.62 Not available Statistical significance not reported Secondary
Spank or hit (number of times last 2 weeks)
FavorableUnfavorable or ambiguousNo Effect
6 months Nurse visited during pregnancy + infancy and comparison (Elmira) 159 mothers Adjusted mean = 0.19 Adjusted mean = 1.09 Mean difference = -0.90 Not available Not statistically significant,
p ≥ 0.05
Secondary
Worry or concern (Sum of positive responses for behavioral problems)
FavorableUnfavorable or ambiguousNo Effect
6 months Nurse visited during pregnancy and comparison (Elmira) 164 mothers Adjusted mean = 0.61 Adjusted mean = 0.54 Mean difference = 0.07 Not available Statistical significance not reported Secondary
Worry or concern (Sum of positive responses for behavioral problems)
FavorableUnfavorable or ambiguousNo Effect
6 months Nurse visited during pregnancy + infancy and comparison (Elmira) 163 mothers Adjusted mean = 0.83 Adjusted mean = 0.54 Mean difference = 0.29 Not available Statistically significant,
p < 0.05
Secondary
Yell or scold (number of times last 2 weeks)
FavorableUnfavorable or ambiguousNo Effect
6 months Nurse visited during pregnancy and comparison (Elmira) 151 mothers Adjusted mean = 7.56 Adjusted mean = 7.90 Mean difference = -0.34 Not available Statistical significance not reported Secondary
Yell or scold (number of times last 2 weeks)
FavorableUnfavorable or ambiguousNo Effect
6 months Nurse visited during pregnancy + infancy and comparison (Elmira) 159 mothers Adjusted mean = 3.99 Adjusted mean = 7.90 Mean difference = -3.91 Not available Not statistically significant,
p ≥ 0.05
Secondary
Show Outcome Measure Summary
Outcome Measure Outcome Measure Description Collection Method Properties Outcome Type Operations links

HOME: Avoidance of restriction and punishment, Provision of appropriate play materials

The HOME assesses parenting practices and aspects of the home environment. The assessment had six dimensions, including the avoidance of restriction and punishment and the provision of appropriate play materials. Parent/caregiver interview and observational assessment

Rates of inter-observer agreement on the individual items ranged from 82 to 100 percent.

Primary

Conflict

Sum of positive responses to behavioral problems, such as feeding difficulties and crying Parent/caregiver self-report

Not reported by author

Secondary

Spank or hit

Counts of the number of times the mother spanked or hit her child during the last two weeks Parent/caregiver self-report

Not reported by author

Secondary

Worry or concern

Sum of positive responses to behavioral problems, such as feeding difficulties and crying Parent/caregiver self-report

Not reported by author

Secondary

Yell or scold

Counts of the number of times the mother yelled at or scolded her child during the last two weeks Parent/caregiver self-report

Not reported by author

Secondary
Nurse-Family Partnership (NFP)®
Show Findings Details
Outcome Measure Effect Follow-up Timing Sample Sample Size Intervention Group Comparison Group Group Difference Effect Size Statistical Significance Outcome Type Notes
HOME inventory (total score)
FavorableUnfavorable or ambiguousNo Effect
34 months Nurse visited during pregnancy + infancy and comparison (Elmira) 238 mothers Adjusted mean = 39.08 Adjusted mean = 39.03 Mean difference = 0.05 Not available Not statistically significant,
p ≥ 0.05
Primary
HOME inventory (total score)
FavorableUnfavorable or ambiguousNo Effect
34 months Nurse visited during pregnancy and comparison (Elmira) 227 mothers Adjusted mean = 38.45 Adjusted mean = 39.03 Mean difference = -0.58 Not available Statistical significance not reported Primary
HOME inventory (total score)
FavorableUnfavorable or ambiguousNo Effect
46 months Nurse visited during pregnancy and comparison (Elmira) 227 mothers Adjusted mean = 40.18 Adjusted mean = 39.67 Mean difference = 0.51 Not available Statistical significance not reported Primary
HOME inventory (total score)
FavorableUnfavorable or ambiguousNo Effect
46 months Nurse visited during pregnancy + infancy and comparison (Elmira) 238 mothers Adjusted mean = 39.66 Adjusted mean = 39.67 Mean difference = -0.01 Not available Not statistically significant,
p ≥ 0.05
Primary
Hazardous exposures observed in home
FavorableUnfavorable or ambiguousNo Effect
34 months Nurse visited during pregnancy + infancy and comparison (Elmira) 209 mothers Adjusted mean = 0.22 Adjusted mean = 0.38 Mean difference = -0.16 Not available Statistically significant,
p < 0.05
Primary

footnote4

Submitted by user on Fri, 03/15/2019 - 14:29

Statistical significance reported on authors’ calculation of incidence ratio.

Hazardous exposures observed in home
FavorableUnfavorable or ambiguousNo Effect
34 months Nurse visited during pregnancy and comparison (Elmira) 202 mothers Adjusted mean = 0.23 Adjusted mean = 0.38 Mean difference = -0.15 Not available Statistical significance not reported Primary
Hazardous exposures observed in home
FavorableUnfavorable or ambiguousNo Effect
46 months Nurse visited during pregnancy and comparison (Elmira) 202 mothers Adjusted mean = 0.31 Adjusted mean = 0.46 Mean difference = -0.15 Not available Statistical significance not reported Primary
Hazardous exposures observed in home
FavorableUnfavorable or ambiguousNo Effect
46 months Nurse visited during pregnancy + infancy and comparison (Elmira) 209 mothers Adjusted mean = 0.21 Adjusted mean = 0.46 Mean difference = -0.25 Not available Statistically significant,
p < 0.01
Primary

footnote4

Submitted by user on Fri, 03/15/2019 - 14:29

Statistical significance reported on authors’ calculation of incidence ratio.

Show Outcome Measure Summary
Outcome Measure Outcome Measure Description Collection Method Properties Outcome Type Operations links

HOME: Total score

The HOME assesses parenting practices and aspects of the home environment. Parent/caregiver interview and observational assessment

Inter-observer reliability for the HOME total scores were greater than 95% at both the 34- (n = 28 pairs) and 46-month observations (n = 24 pairs).

Primary

Hazardous exposures observed in HOME

A checklist indicating the degree of the child’s exposure to the following categories of household hazards: (1) chipped or flaking paint, (2) sharp objects, (3) danger of burns, and (4) objects that pose a risk for falls. Interviewer observation

For each hazard category, the inter-observer reliability at 34 months exceeded 93% (n = 30 pairs) and at 46 months exceeded 86% (n = 22 pairs).

Primary
Nurse-Family Partnership (NFP)®
Show Findings Details
Outcome Measure Effect Follow-up Timing Sample Sample Size Intervention Group Comparison Group Group Difference Effect Size Statistical Significance Outcome Type
HOME total score
FavorableUnfavorable or ambiguousNo Effect
4-year follow-up Nurse home visitor and comparison (Denver) 408 mothers Adjusted mean = 25.32 Adjusted mean = 25.09 Mean difference = 0.23 Study reported = 0.07 Not statistically significant,
p = 0.47
Primary
Sensitive/responsive interaction
FavorableUnfavorable or ambiguousNo Effect
4-year follow-up Nurse home visitor and comparison (Denver) 408 mothers Adjusted mean = 100.51 Adjusted mean = 98.66 Mean difference = 1.85 Study reported = 0.18 Not statistically significant,
p = 0.06
Primary
Show Outcome Measure Summary
Outcome Measure Outcome Measure Description Collection Method Properties Outcome Type Operations links

HOME: Total score

The HOME assesses parenting practices and aspects of the home environment. Parent/caregiver interview and observational assessment

Not reported by author

Primary

Sensitive/responsive interaction

Mother-child interaction during free play was coded and subsequently analyzed using principal components analysis to derive a single factor for sensitive/responsive interaction. Parent/caregiver interview and observational assessment

Cronbach’s α = 0.67

Primary
NFP with Paraprofessional Home Visitors
Show Findings Details
Outcome Measure Effect Follow-up Timing Sample Sample Size Intervention Group Comparison Group Group Difference Effect Size Statistical Significance Outcome Type
HOME environment score
FavorableUnfavorable or ambiguousNo Effect
21 months Paraprofessional home visitor and comparison (Denver) 420 mothers Adjusted mean = 37.40 Adjusted mean = 37.10 Mean difference = 0.30 Not available Not statistically significant,
p > 0.05
Primary
Mother-infant responsive interaction
FavorableUnfavorable or ambiguousNo Effect
24 months Paraprofessional home visitor and comparison (Denver) 392 mothers Adjusted mean = 100.15 Adjusted mean = 98.99 Mean difference = 1.16 Not available Not statistically significant,
p > 0.05
Primary
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Outcome Measure Outcome Measure Description Collection Method Properties Outcome Type Operations links

HOME: Environment score

The HOME assesses parenting practices and aspects of the home environment

Parent/caregiver interview and observational assessment

Not reported by author

Primary

Mother-infant responsive interaction

Subscale scores were factor analyzed and identified a single internally consistent principal component, responsive interaction, which was standardized to a mean of 100 and a standard deviation of 10. The outcome was measured at the 24th month of the child’s life.

Parent/caregiver-infant interaction was videotaped either in the laboratory or at home

Not reported by author

Primary

Outcomes Rated Moderate

Nurse-Family Partnership (NFP)®
Show Findings Details
Outcome Measure Effect Follow-up Timing Sample Sample Size Intervention Group Comparison Group Group Difference Effect Size Statistical Significance Outcome Type Notes
HOME environment score
FavorableUnfavorable or ambiguousNo Effect
Unknown Nurse home visitor and comparison (Denver) 406 mothers Adjusted mean = 37.79 Adjusted mean = 37.10 Mean difference = 0.69 Not available Not statistically significant,
p > 0.05
Primary

footnote3

Submitted by user on Fri, 03/15/2019 - 14:29

Authors report the difference in this outcome to be statistically significant, p < 0.10, which is greater than the acceptable alpha for this review (&alpha; = 0.05).

Mother-infant responsive interaction
FavorableUnfavorable or ambiguousNo Effect
Unknown Nurse home visitor and comparison (Denver) 372 mothers Adjusted mean = 100.31 Adjusted mean = 98.99 Mean difference = 1.32 Not available Statistically significant,
p ≤ 0.05
Primary

footnote17

Submitted by user on Fri, 03/15/2019 - 14:29

The study indicates home environments were rated at 12 and 21 months, however, only one result is presented in the article and the timing is not labeled.

Show Outcome Measure Summary
Outcome Measure Outcome Measure Description Collection Method Properties Outcome Type Operations links

HOME: Total score

The HOME assesses parenting practices and aspects of the home environment. Parent/caregiver interview and observational assessment

Not reported by author

Primary

Mother-infant responsive interaction

Subscale scores were factor analyzed and identified a single internally consistent principal component, responsive interaction, which was standardized to a mean of 100 and a standard deviation of 10. The outcome was measured at the 24th month of the child’s life. Parent/caregiver-infant interaction was videotaped either in the laboratory or at home

Not reported by author

Primary
NFP with Paraprofessional Home Visitors
Show Findings Details
Outcome Measure Effect Follow-up Timing Sample Sample Size Intervention Group Comparison Group Group Difference Effect Size Statistical Significance Outcome Type
HOME total score
FavorableUnfavorable or ambiguousNo Effect
4-year follow-up Paraprofessional home visitor and comparison (Denver) 412 mothers Adjusted mean = 25.08 Adjusted mean = 25.09 Mean difference = -0.01 Study reported = 0.00 Not statistically significant,
p = 0.96
Primary
Sensitive/responsive interaction
FavorableUnfavorable or ambiguousNo Effect
4-year follow-up Paraprofessional home visitor and comparison (Denver) 412 mothers Adjusted mean = 100.92 Adjusted mean = 98.66 Mean difference = 2.26 Study reported = 0.23 Statistically significant,
p = 0.03
Primary
Show Outcome Measure Summary
Outcome Measure Outcome Measure Description Collection Method Properties Outcome Type Operations links

HOME: Total score

The HOME assesses parenting practices and aspects of the home environment.

Parent/caregiver interview and observational assessment

Not reported by author

Primary

Sensitive/responsive interaction

Mother-child interaction during free play was coded and subsequently analyzed using principal components analysis to derive a single factor for sensitive/responsive interaction.

Parent/caregiver interview and observational assessment

Cronbach’s α = 0.67

Primary
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