Nurse-Family Partnership (NFP)® Meets HHS Criteria

Last updated: 2019

Effects shown in research & outcome measure details

Reductions in child maltreatment

Findings 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 Notes
Percentage abused
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy + infancy and comparison (Elmira) 228 adolescents = 0.39 = 0.37 Mean difference = 2.00 Not available Statistical significance not reported

footnote5

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

Information on sample sizes for this study was received through communication with the authors. HomVEE previously rated 24-month outcomes for nurse home visitors Moderate due to high attrition. Upon further examination, HomVEE noted that the outcomes had low attrition, and therefore they rate High.

Percentage neglected
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy + infancy and comparison (Elmira) 228 adolescents = 0.61 = 0.63 Mean difference = -2.00 Not available Statistical significance not reported

footnote5

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

Information on sample sizes for this study was received through communication with the authors. HomVEE previously rated 24-month outcomes for nurse home visitors Moderate due to high attrition. Upon further examination, HomVEE noted that the outcomes had low attrition, and therefore they rate High.

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Outcome measure Outcome measure description Collection method Properties Operations links

Percentage abused

Percentage of children with substantiated reports of abuse Review of CPS records

Not applicable

Percentage neglected

Percentage of children with substantiated reports of neglect Review of CPS records

Not applicable

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 Notes
Number of days hospitalized–injuries/ingestions
FavorableUnfavorable or ambiguousNo Effect
2 years postnatal Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) 671 children Adjusted mean = 0.04 Adjusted mean = 0.18 Mean difference = -0.14 Not available Statistically significant,
p < 0.01

footnote1

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

Statistical significance reported on authors’ calculations of the log-incidence difference.

Number of emergency department visits–injuries/ingestions
FavorableUnfavorable or ambiguousNo Effect
2 years postnatal Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) 671 children Adjusted mean = 0.33 Adjusted mean = 0.34 Mean difference = -0.01 Not available Not statistically significant,
p > 0.05

footnote1

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

Statistical significance reported on authors’ calculations of the log-incidence difference.

Number of hospitalizations–injuries/ingestions
FavorableUnfavorable or ambiguousNo Effect
2 years postnatal Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) 671 children Adjusted mean = 0.01 Adjusted mean = 0.03 Mean difference = -0.02 Not available Not statistically significant,
p > 0.05

footnote1

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

Statistical significance reported on authors’ calculations of the log-incidence difference.

Number of outpatient visits–injuries/ingestions
FavorableUnfavorable or ambiguousNo Effect
2 years postnatal Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) 671 children Adjusted mean = 0.11 Adjusted mean = 0.20 Mean difference = -0.09 Not available Statistically significant,
p ≤ 0.05

footnote1

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

Statistical significance reported on authors’ calculations of the log-incidence difference.

Total number of health care encounters–injuries/ingestions
FavorableUnfavorable or ambiguousNo Effect
2 years postnatal Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) 671 children Adjusted mean = 0.43 Adjusted mean = 0.56 Mean difference = -0.13 Not available Statistically significant,
p ≤ 0.05

footnote1

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

Statistical significance reported on authors’ calculations of the log-incidence difference.

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Outcome measure Outcome measure description Collection method Properties Operations links

Number of emergency department visits—injuries/ingestions

Counts of child ER visits for injuries and poison ingestions Review of children’s medical records

Not applicable

Number of hospitalizations—injuries/ingestions

Counts of child hospitalizations for injuries and poison ingestions Review of children’s medical records

Not applicable

Number of outpatient visits—injuries/ingestions

Counts of child outpatient visits for injuries and poison ingestions Review of children’s medical records

Not applicable

Total number of health care encounters—injuries/ingestions

Counts of child injuries and poison ingestions Review of children’s medical records

Not applicable

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
Number of emergency room visits for accidents and poisonings (first year of life)
FavorableUnfavorable or ambiguousNo Effect
1-year follow-up Nurse visited during pregnancy and comparison (Elmira) 205 children Adjusted mean = 0.12 Adjusted mean = 0.06 Mean difference = 0.06 Not available Statistical significance not reported
Number of emergency room visits for accidents and poisonings (first year of life)
FavorableUnfavorable or ambiguousNo Effect
1-year follow-up Nurse visited during pregnancy + infancy and comparison (Elmira) 223 children Adjusted mean = 0.12 Adjusted mean = 0.06 Mean difference = 0.06 Not available Not statistically significant,
p > 0.05
Number of emergency room visits for accidents and poisonings (second year of life)
FavorableUnfavorable or ambiguousNo Effect
2-year follow-up Nurse visited during pregnancy and comparison (Elmira) 185 children Adjusted mean = 0.32 Adjusted mean = 0.34 Mean difference = -0.02 Not available Statistical significance not reported
Number of emergency room visits for accidents and poisonings (second year of life)
FavorableUnfavorable or ambiguousNo Effect
2-year follow-up Nurse visited during pregnancy + infancy and comparison (Elmira) 196 children Adjusted mean = 0.15 Adjusted mean = 0.34 Mean difference = -0.19 Not available Statistically significant,
p < 0.05
Substantiated abuse or neglect
FavorableUnfavorable or ambiguousNo Effect
2-year follow-up Nurse visited during pregnancy and comparison 247 children % (adjusted) = 8.00 Adjusted mean % = 10.00 Mean difference = -2.00 HomeVEE calculated = -0.15 Not statistically significant,
p > 0.10
Substantiated abuse or neglect
FavorableUnfavorable or ambiguousNo Effect
2-year follow-up Nurse visited during pregnancy + infancy and comparison 256 children % (adjusted) = 5.00 Adjusted mean % = 10.00 Mean difference = -5.00 HomeVEE calculated = -0.45 Not statistically significant,
p > 0.10
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Outcome measure Outcome measure description Collection method Properties Operations links

Number of ER visits for accidents and poisonings

Counts of ER visits for accidents and poisonings Review of medical records

Not applicable

Substantiated abuse or neglect

Percentage of sample members with substantiated reports of abuse or neglect Comparisons of sample members’ names and addresses with state social service records of substantiated cases of abuse or neglect

Not applicable

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 Notes
New substantiated cases of abuse/neglect from 25 to 48 months
FavorableUnfavorable or ambiguousNo Effect
48 months Nurse visited during pregnancy and comparison (Elmira) 245 children % (adjusted) = 4.00 Adjusted mean % = 5.00 Mean difference = -1.00 HomeVEE calculated = -0.14 Statistical significance not reported
New substantiated cases of abuse/neglect from 25 to 48 months
FavorableUnfavorable or ambiguousNo Effect
48 months Nurse visited during pregnancy + infancy and comparison (Elmira) 253 children % (adjusted) = 8.00 Adjusted mean % = 5.00 OR = 1.80 Study reported = 0.30 Not statistically significant
p > 0.05

footnote7

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

The <abbr title="Home Visiting Evidence of Effectiveness">HomVEE</abbr> reversed the odds ratio from the study-reported calculation to reflect the odds of the treatment versus the control group.

Number of emergency department visits for injuries/ingestions (25 to 50 months)
FavorableUnfavorable or ambiguousNo Effect
50 months Nurse visited during pregnancy + infancy and comparison (Elmira) 221 children Adjusted mean = 0.47 Adjusted mean = 0.61 Mean difference = -0.14 Not available Not statistically significant,
p > 0.05

footnote1

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

Statistical significance reported on authors’ calculations of the log-incidence difference.

Number of injuries/ingestions in physician record (25 to 50 months)
FavorableUnfavorable or ambiguousNo Effect
50 months Nurse visited during pregnancy + infancy and comparison (Elmira) 221 children Adjusted mean = 0.34 Adjusted mean = 0.57 Mean difference = -0.23 Not available Statistically significant,
p ≤ 0.05

footnote1

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

Statistical significance reported on authors’ calculations of the log-incidence difference.

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Outcome measure Outcome measure description Collection method Properties Operations links

New substantiated cases of abuse/neglect

Incidence of substantiated reports of child abuse or neglect Comparisons of sample members’ names and addresses with state social service records of substantiated cases of abuse or neglect

Not applicable

Number of emergency department visits for injuries/ingestions

Counts of ER visits for injuries and poison ingestions Review of hospital records

Not applicable

Number of injuries/ingestions in physician record

Counts of injuries and poison ingestions in physicians’ records

Review of medical records

Not applicable

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
Child foster care placements
FavorableUnfavorable or ambiguousNo Effect
0 to 12 years Nurse visited during pregnancy and infancy and development screening comparison (Memphis) 594 mothers %(adjusted) = 12.00 Adjusted mean % = 4.00 OR = 3.33 HomeVEE calculated = 0.72 Not statistically significant, p ≥ 0.05
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Outcome measure Outcome measure description Collection method Properties Operations links

Child foster care placements

Count of the number of the mother’s children that had been placed in foster care Parent/caregiver report

Not applicable

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 Notes
Substantiated reports of child abuse and neglect (incidence)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy and comparison (Elmira) 227 mothers Adjusted mean = 0.35 Adjusted mean = 0.54 Mean difference = -0.19 Not available Statistical significance not reported
Substantiated reports of child abuse and neglect (incidence)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy + infancy and comparison (Elmira) 245 mothers Adjusted mean = 0.29 Adjusted mean = 0.54 Mean difference = -0.25 Not available Statistically significant,
p < 0.01

footnote1

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

Statistical significance reported on authors’ calculations of the log-incidence difference.

Show outcome measure summary
Outcome measure Outcome measure description Collection method Properties Operations links

Substantiated reports of child abuse and neglect (incidence)

Incidence of substantiated reports of child abuse or neglect Review of CPS records

Not applicable

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
Number maltreatment, substantiated reports (percentage)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy + infancy and comparison (Elmira) Unknown = 0.76 = 0.68 = 8.00 HomeVEE calculated = 0.24 Statistical significance not reported
Number neglect, substantiated reports (percentage)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy + infancy and comparison (Elmira) Unknown = 0.83 = 0.73 = 10.00 HomeVEE calculated = 0.36 Statistical significance not reported
Onset of maltreatment
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy + infancy and comparison (Elmira) Unknown Not available Not available HR = 0.73 Not available Statistical significance not reported
Onset of neglect
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy + infancy and comparison (Elmira) Unknown Not available Not available HR = 0.59 Not available Statistical significance not reported
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Outcome measure Outcome measure description Collection method Properties Operations links

Number of maltreatment, substantiated reports

Incidence of substantiated reports of child abuse or neglect Review of CPS records

Not applicable

Number of neglect, substantiated reports

Incidence of substantiated reports of child abuse or neglect Review of CPS records

Not applicable

Onset of maltreatment

Age at which the child first received a verified CPS report of maltreatment Review of CPS records

Not applicable

Onset of neglect

Age at which the child first received a verified CPS report of neglect Review of CPS records

Not applicable

Findings rated moderate

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
Number of emergency department visits for injuries/ingestions (25 to 50 months)
FavorableUnfavorable or ambiguousNo Effect
50 months Nurse visited during pregnancy and comparison (Elmira) 209 children Adjusted mean = 0.46 Adjusted mean = 0.61 Mean difference = -0.15 Not available Statistical significance not reported
Number of injuries/ingestions in physician record (25 to 50 months)
FavorableUnfavorable or ambiguousNo Effect
50 months Nurse visited during pregnancy and comparison (Elmira) 209 children Adjusted mean = 0.56 Adjusted mean = 0.57 Mean difference = -0.01 Not available Statistical significance not reported
Show outcome measure summary
Outcome measure Outcome measure description Collection method Properties Operations links

Number of emergency department visits for injuries/ingestions

Counts of ER visits for injuries and poison ingestions Review of hospital records

Not applicable

Number of injuries/ingestions in physician record

Counts of injuries and poison ingestions in physicians’ records

Review of medical records

Not applicable

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