WWHV003651

Olds, D. L., Kitzman, H., Cole, R., Robinson, J., Sidora, K., Luckey, D. W., et al. (2004). Effects of nurse home-visiting on maternal life course and child development: Age 6 follow-up results of a randomized trial. Pediatrics, 114(6), 1550–1559

Citation Year
2004
Rating
Used in Implementation Reports
On
Study Participants

The sample included pregnant, first-time mothers who were less than 29 weeks pregnant. Women were recruited through an obstetrical clinic if they had no previous live births, no chronic illnesses linked to fetal growth retardation or preterm delivery, and at least two of the following sociodemographic characteristics: unmarried, less than 12 years of education, and unemployed. Between June 1990 and August 1991, 1,290 women were invited to participate and 1,139 consented and were randomly assigned. At enrollment, 92 percent of the women enrolled were African American, 98 percent were unmarried, and 64 percent were age 18 or younger. This study measured the sample when the children were 6 years old. The study sample included 641 women, 197 in the program group and 444 in the comparison group.

Setting

Memphis, Tennessee

Home Visiting Services

The study included two treatment groups. The first treatment group received home visits from a nurse during pregnancy and two postpartum visits (one in the hospital prior to discharge and one in the home). The treatment group also received the screening and transportation services described below for the comparison groups. The second treatment group received the same services as the first treatment group, but the home visiting continued until the child was 2 years old. On average, the nurses completed 7 home visits during pregnancy and 26 home visits postpartum. Nurses used a detailed protocol for each visit, which focused on health-related behaviors, parenting, education, and employment. The two treatment groups were combined for the prenatal analysis. Only the second treatment group was followed for postnatal outcomes.

Comparison Conditions

The study included two comparison groups. The first comparison group received taxicab transportation for prenatal care appointments. The second comparison group received the transportation plus developmental screening and referral to services when the children were 6, 12, and 24 months old. The two comparison groups were combined for the prenatal analysis. Only the second group was followed for postnatal outcomes.

Staff Characteristics and Training

All home visitors were nurses. No other information on training is provided.

Author Affiliation

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

Funding Sources

The Administration for Children and Families, Department of Health and Human Services (grant 90PD0215/01); the Hearst Foundation; the Robert Wood Johnson Foundation (grant 027901); and a Senior Research Scientist Award (1-K05-MH01382-01) to D.L.O.

Sample
Memphis, Tennessee Sample
Attrition
Low
Reassignment
None
Citation short
Olds, D. L., Kitzman, H., Cole, R., Robinson, J., Sidora, K., Luckey, D. W., et al. (2004)
Confounding Factors
None
Baseline Equivalence
Difference in SES, but controlled in analysis.
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.