Manuscript Detail | Home Visiting Evidence of Effectiveness

Hanks, Carole, Luckey, Dennis, Knudtson, Michael, Kitzman, Harriet, Anson, Elizabeth, Arcoleo, Kimberly, & Olds, David. (2011) Neighborhood context and the Nurse-Family Partnership. Unpublished report submitted to the U.S. Department of Justice. (Memphis results from Study 3.)

Manuscript screening details
Screening decision	Screening conclusion	HomVEE procedures and standards version
Passes screens	Eligible for review	Version 1

Study design details
Rating	Design	Attrition	Baseline equivalence	Compromised randomization	Confounding factors	Valid, reliable measure(s)
Moderate	Randomized controlled trial	Low	Not established on race/ethnicity or SES	None	None	Not assessed in manuscripts reviewed before 2021

Notes:

HomVEE originally reported findings from three locations described in this manuscript (Denver, Elmira, and Memphis) together under one citation. To align with the new study definition in the HomVEE Handbook of Procedures and Evidence Standards: Version 2, in 2021 HomVEE created new manuscript pages to report findings separately for each location.

footnote159

Because baseline equivalence is not established on race/ethnicity and SES, we cannot determine if there were significant differences for which authors should have controlled in analyses. Thus the highest rating possible for the study is moderate.

Study characteristics
Study participants	Since 1977, the authors have conducted three randomized controlled trials of NFP in trials in Elmira, New York, with a sample of primarily white families in a semi-rural community (N = 400); Memphis, Tennessee, with a sample of primarily African American families (N = 743); and Denver, Colorado, with a sample that is largely Hispanic (46 percent; N = 735). The Denver trial included a treatment arm in which NFP was delivered by paraprofessionals rather than nurses, but this study focuses on nurse-visited women. For this study, the authors obtained U.S. Bureau of Census tract and block group numbers for the addresses of participants in the Elmira, Memphis, and Denver NFP trials. The authors created a neighborhood disadvantage index in order to answer three research questions: (1) Did nurse-visited families move to less disadvantaged neighborhoods over time compared with their control-group counterparts? (2) If nurse-visited women moved to better neighborhoods, to what extent did their living in better neighborhoods account for their improvements in maternal and child health compared with control group women and children? (3) To what extent did the NFP program attenuate the risk for poor maternal and child health associated with concentrated neighborhood social disadvantage?
Setting	Memphis, TN
Intervention services	See descriptions for site-specific trials.
Comparison conditions	See descriptions for site-specific trials.
Subgroups examined	This field lists subgroups examined in the manuscript (even if they were not replicated in other samples and not reported on the summary page for this model’s report). Subgroups are not listed for manuscripts reviewed before 2021.
Funding sources	Not specified.
Author affiliation	David L. Olds, a study author, is a developer of this model.
Peer reviewed	Peer reviewed status is not listed for manuscripts reviewed before 2021.

Findings that rate moderate or high

Family economic self-sufficiency
Rating	Outcome measure	Effect	Sample	Timing of follow-up	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance	Notes
Moderate	Neighborhood Disadvantage index	FavorableUnfavorable or ambiguousNo Effect	Memphis, TN - Nurse Family Partnership (NFP)	24 months	657 mothers	Unadjusted mean = 2.30	Unadjusted mean = 2.21	Mean difference = 0.09	Study reported = 0.05	p = 0.7	footnote163 Submitted by user on Fri, 03/15/2019 - 14:29 Positive value is favorable to the comparison group.
Moderate	Neighborhood Disadvantage index	FavorableUnfavorable or ambiguousNo Effect	Memphis, TN - Nurse Family Partnership (NFP)	54 months	626 mothers	Unadjusted mean = 2.40	Unadjusted mean = 2.28	Mean difference = 0.12	Study reported = 0.06	p = 0.63	footnote163 Submitted by user on Fri, 03/15/2019 - 14:29 Positive value is favorable to the comparison group.
Moderate	Neighborhood Disadvantage index	FavorableUnfavorable or ambiguousNo Effect	Memphis, TN - Nurse Family Partnership (NFP)	6 years	627 mothers	Unadjusted mean = 1.86	Unadjusted mean = 2.04	Mean difference = -0.18	Study reported = -0.11	p = 0.38	footnote162 Submitted by user on Fri, 03/15/2019 - 14:29 Negative value is favorable to the intervention.
Moderate	Neighborhood Disadvantage index	FavorableUnfavorable or ambiguousNo Effect	Memphis, TN - Nurse Family Partnership (NFP)	9 years	617 mothers	Unadjusted mean = 1.93	Unadjusted mean = 1.93	Mean difference = 0.00	Study reported = 0.00	p = 0.99	footnote163 Submitted by user on Fri, 03/15/2019 - 14:29 Positive value is favorable to the comparison group.
Moderate	Neighborhood Disadvantage index	FavorableUnfavorable or ambiguousNo Effect	Memphis, TN - Nurse Family Partnership (NFP)	12 years	569 mothers	Unadjusted mean = 1.54	Unadjusted mean = 1.60	Mean difference = -0.06	Study reported = -0.04	p = 0.78	footnote162 Submitted by user on Fri, 03/15/2019 - 14:29 Negative value is favorable to the intervention.
Moderate	Neighborhood Disadvantage index	FavorableUnfavorable or ambiguousNo Effect	Memphis, TN Nurse Family Partnership (NFP) - low psychological resources	24 months	338 mothers	Unadjusted mean = 2.48	Unadjusted mean = 2.51	Mean difference = -0.03	Study reported = -0.02	p = 0.88	footnote162 Submitted by user on Fri, 03/15/2019 - 14:29 Negative value is favorable to the intervention.
Moderate	Neighborhood Disadvantage index	FavorableUnfavorable or ambiguousNo Effect	Memphis, TN Nurse Family Partnership (NFP) - low psychological resources	54 months	325 mothers	Unadjusted mean = 2.52	Unadjusted mean = 2.71	Mean difference = -0.19	Study reported = -0.11	p = 0.35	footnote162 Submitted by user on Fri, 03/15/2019 - 14:29 Negative value is favorable to the intervention.
Moderate	Neighborhood Disadvantage index	FavorableUnfavorable or ambiguousNo Effect	Memphis, TN Nurse Family Partnership (NFP) - low psychological resources	6 years	332 mothers	Unadjusted mean = 2.84	Unadjusted mean = 2.34	Mean difference = 0.50	Study reported = 0.30	p = 0.01	footnote163 Submitted by user on Fri, 03/15/2019 - 14:29 Positive value is favorable to the comparison group.
Moderate	Neighborhood Disadvantage index	FavorableUnfavorable or ambiguousNo Effect	Memphis, TN Nurse Family Partnership (NFP) - low psychological resources	12 years	308 mothers	Unadjusted mean = 2.03	Unadjusted mean = 1.74	Mean difference = 0.29	Study reported = 0.19	p = 0.11	footnote163 Submitted by user on Fri, 03/15/2019 - 14:29 Positive value is favorable to the comparison group.