Dodge, K. A., Goodman, W. B., Murphy, R. A., O’Donnell, K., Sato, J., & Guptill, S. (2013). Implementation and randomized controlled trial evaluation of universal postnatal nurse home visiting. American Journal of Public Health, published online ahead of print.
Used in Implementation Reports
Among 4,777 residential births from July 1, 2009, through December 31, 2010, the authors randomly selected one family with a birth on each even day to receive Durham Connects, and one family with a birth on each odd day to be followed as the control group. If those selected did not consent to be studied, the authors replaced them with a randomly selected family from the same birth date with the same race/ethnicity. Among the 664 families enrolled in the study, 531 participated in follow-up data collection. Participating families were approximately one-quarter non-Hispanic white, 40 percent black, one-quarter Hispanic, and 9 percent were another race or ethnicity. Mothers were about 28 years old on average. Control group babies had slightly worse birth outcomes (on average) than control group babies. Eight percent of control group babies had a birth complication, whereas only 4 percent of Durham Connects babies had a birth complication (a statistically significant difference, p less than 0.05).
Durham, North Carolina
Home Visiting Services
Durham Connects services consist of a total of four to seven contacts: a contact at the birthing hospital, one to three nurse home visits when infants are age 3 to 12 weeks, one or two nurse contacts with a community service provider, and a telephone or in-person follow-up contact one month later.
Families in the comparison condition could receive other services in their community, but were not eligible to receive Durham Connects services.
Staff Characteristics and Training
Nurses deliver Durham Connects according to manualized procedures. An independent expert accompanied the nurses to observe adherence to the intervention protocol at a random selection of 7 percent of home visits.
The Duke Endowment, the Pew Center on the States, NIH Grants K05DA15226 and P30DA023026.
Clinicaltrials.gov Identifier: NCT01406184
Established on race; not established on SES; not established on outcome measures assessable at baseline
Randomized controlled trial