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Nurse home visiting to improve child and maternal outcomes: 5-year follow-up of an Australian randomised controlled trial
journal contribution
posted on 2023-02-20, 05:18 authored by S Goldfeld, H Bryson, F Mensah, A Price, Lisa GoldLisa Gold, F Orsini, B Kenny, S Perlen, SB Mudiyanselage, P Dakin, T Bruce, D Harris, L KempObjectives Nurse home visiting (NHV) is widely implemented to address inequities in child and maternal health. However, few studies have examined longer-term effectiveness or delivery within universal healthcare systems. We evaluated the benefits of an Australian NHV program (“right@home”) in promoting children’s language and learning, general and mental health, maternal mental health and wellbeing, parenting and family relationships, at child ages 4 and 5 years. Setting and participants Randomised controlled trial of NHV delivered via universal, child and family health services (the comparator). Pregnant women experiencing adversity (≥2 of 10 risk factors) were recruited from 10 antenatal clinics across 2 states (Victoria, Tasmania) in Australia. Intervention Mothers in the intervention arm were offered 25 nurse home visits (mean 23·2 home visits [SD 7·4, range 1–43] received) of 60–90 minutes, commencing antenatally and continuing until children’s second birthdays. Primary and secondary outcomes measured At 4 and 5 years, outcomes were assessed via parent interview and direct assessment of children’s language and learning (receptive and expressive language, phonological awareness, attention, and executive function). Outcomes were compared between intervention and usual care arms (intention to treat) using adjusted regression with robust estimation to account for nurse/site. Missing data were addressed using multiple imputation and inverse probability weighting. Results Of 722 women enrolled in the trial, 225 of 363 (62%) intervention and 201 of 359 (56%) usual care women provided data at 5 years. Estimated group differences showed an overall pattern favouring the intervention. Statistical evidence of benefits was found across child and maternal mental health and wellbeing, parenting and family relationships with effect sizes ranging 0·01–0·27. Conclusion An Australian NHV program promoted longer-term family functioning and wellbeing for women experiencing adversity. NHV can offer an important component of a proportionate universal system that delivers support and intervention relative to need.
History
Journal
PLoS ONEVolume
17Pagination
e0277773-e0277773Location
United StatesPublisher DOI
ISSN
1932-6203eISSN
1932-6203Language
enEditor/Contributor(s)
Martinuzzi AIssue
11 NovemberPublisher
Public Library of Science (PLoS)Usage metrics
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No categories selectedKeywords
PregnancyChildFemaleHumansChild, PreschoolMaleHouse CallsFollow-Up StudiesNurses, Community HealthParentingVictoriaPediatricBehavioral and Social ScienceBasic Behavioral and Social ScienceClinical Trials and Supportive ActivitiesClinical ResearchMental Health3.1 Primary prevention interventions to modify behaviours or promote wellbeing3 Prevention of disease and conditions, and promotion of well-beingMental healthReproductive health and childbirth3 Good Health and Well Being
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