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'right@home': a randomised controlled trial of sustained nurse home visiting from pregnancy to child age 2 years, versus usual care, to improve parent care, parent responsivity and the home learning environment at 2 years

Goldfeld, Sharon, Price, Anna, Bryson, Hannah, Bruce, Tracey, Mensah, Fiona, Orsini, Francesca, Gold, Lisa, Hiscock, Harriet, Smith, Charlene, Bishop, Lara, Jackson, Dianne and Kemp, Lynn 2017, 'right@home': a randomised controlled trial of sustained nurse home visiting from pregnancy to child age 2 years, versus usual care, to improve parent care, parent responsivity and the home learning environment at 2 years, BMJ open, vol. 7, no. 3, pp. 1-15, doi: 10.1136/bmjopen-2016-013307.

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Title 'right@home': a randomised controlled trial of sustained nurse home visiting from pregnancy to child age 2 years, versus usual care, to improve parent care, parent responsivity and the home learning environment at 2 years
Author(s) Goldfeld, Sharon
Price, Anna
Bryson, Hannah
Bruce, Tracey
Mensah, Fiona
Orsini, Francesca
Gold, LisaORCID iD for Gold, Lisa orcid.org/0000-0002-2733-900X
Hiscock, Harriet
Smith, Charlene
Bishop, Lara
Jackson, Dianne
Kemp, Lynn
Journal name BMJ open
Volume number 7
Issue number 3
Article ID e013307
Start page 1
End page 15
Total pages 15
Publisher BMJ Group
Place of publication London, Eng.
Publication date 2017-03-20
ISSN 2044-6055
Keyword(s) child development
home visits
maternal health
randomised controlled trial
socioeconomic factors
Summary INTRODUCTION: By the time children start school, inequities in learning, development and health outcomes are already evident. Sustained nurse home visiting (SNHV) offers a potential platform for families experiencing adversity, who often have limited access to services. While SNHV programmes have been growing in popularity in Australia and internationally, it is not known whether they can improve children's learning and development when offered via the Australian service system. The right@home trial aims to investigate the effectiveness of an SNHV programme, offered to women from pregnancy to child age 2 years, in improving parent care of and responsivity to the child, and the home learning environment.

METHODS AND ANALYSIS: Pregnant Australian women (n=722) are identified after completing a screening survey of 10 factors known to predict children's learning and development (eg, young pregnancy, poor mental or physical health, lack of support). Consenting women-surveyed while attending clinics at 10 hospitals in Victoria and Tasmania-are enrolled if they report having 2 or more risk factors. The intervention comprises 25 home visits from pregnancy to 2 years, focusing on parent care of the child, responsivity to the child and providing a good quality home learning environment. The standard, universal, Australian child and family health service provides the comparator (control). Primary outcome measures include a combination of parent-reported and objective assessments of children's sleep, safety, nutrition, parenting styles and the home learning environment, including the Home Observation of the Environment Inventory and items adapted from the Longitudinal Study of Australian Children.

ETHICS AND DISSEMINATION: This study is approved by the Royal Children's Hospital Human Research Ethics Committees (HREC 32296) and site-specific HRECs. The investigators and sponsor will communicate the trial results to stakeholders, participants, healthcare professionals, the public and other relevant groups via presentations and publications.
Language eng
DOI 10.1136/bmjopen-2016-013307
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2017, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution non-commercial licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30096165

Document type: Journal Article
Collections: Population Health
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.