WWHV038783

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 Unpublished report submitted to the U.S. Department of Justice.

Citation Year
2011
Rating
Used in Implementation Reports
On
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

Elmira, NY; Memphis, TN; Denver, CO

Home Visiting Services

See descriptions for site-specific trials.

Comparison Conditions

See descriptions for site-specific trials.

Staff Characteristics and Training

See descriptions for site-specific trials.

Author Affiliation

David L. Olds, a study author, is a developer of this model.

Funding Sources

Not specified.

Sample
Elmira, New York; Memphis, Tennessee; and Denver, Colorado samples
Attrition
Low
Reassignment
None
Citation short
Hanks, Carole, Luckey, Dennis, Knudtson, Michael, Kitzman, Harriet, Anson, Elizabeth, Arcoleo, Kimberly, & Olds, David. (2011)
Confounding Factors
None
Baseline Equivalence
Not established on race/ethnicity or SES
Disposition
Not applicable
Screening Decision
Passes screens
Design Detail
Randomized controlled trial
General Effects Notes
Results with nurse home visitors.
General Outcome Notes
Outcomes with nurse home visitors.