Child and family outcomes of a long-term nurse home visitation programme: a randomised controlled trial
| Autor: | Graham V. Vimpani, Stephen Matthey, Henna Aslam, Siggi Zapart, Elizabeth Harris, Catherine M. McMahon, Lynn Kemp, Teresa Anderson, Virginia Schmied |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Parents medicine.medical_specialty Adolescent Child Health Services Breastfeeding Child Welfare Poison control law.invention Young Adult Child Development Randomized controlled trial Nursing law Poverty Areas Intervention (counseling) Outcome Assessment Health Care Humans Medicine Maternal Health Services Parent-Child Relations Family Health Psychomotor learning business.industry Public health Infant Middle Aged Community Health Nursing Home Care Services Child development Breast Feeding Socioeconomic Factors Child Preschool Pediatrics Perinatology and Child Health Female Epidemiologic Methods business Delivery of Health Care Psychosocial |
| Zdroj: | Archives of Disease in Childhood. 96:533-540 |
| ISSN: | 1468-2044 0003-9888 |
| DOI: | 10.1136/adc.2010.196279 |
| Popis: | Objective To investigate the impact of a long-term nurse home visiting programme, embedded within a universal child health system, on the health, development and well-being of the child, mother and family. Design Randomised controlled trial. Setting/participants 208 (111 intervention, 97 comparison) eligible at-risk mothers living in a socioeconomically disadvantaged area in Sydney, booking into the local public hospital for confinement. Intervention A sustained and structured nurse home visiting antenatal and postnatal parenting education and support programme. Control Usual universal care. Main outcome measures The quality of the home environment for child development (12–24 months), parent–child interaction and child mental, psychomotor and behavioural development at 18 months. Results Mothers receiving the intervention were more emotionally and verbally responsive (HOME observation) during the first 2 years of their child9s life than comparison group mothers (mean difference 0.5; 95% CI 0.1 to 0.9). Duration of breastfeeding was longer for intervention mothers than comparison mothers (mean difference 7.9 weeks; 95% CI 2.9 to 12.9). There was no significant difference in parent–child interaction between the intervention and comparison groups. There were no significant overall group differences in child mental, psychomotor or behavioural development. Mothers assessed antenatally as having psychosocial distress benefitted from the intervention across a number of areas. Conclusion This sustained nurse home visiting programme showed trends to enhanced outcomes in many, but not all, areas. Specifically, it resulted in clinically enhanced outcomes in breastfeeding duration and, for some subgroups of mothers, women9s experience of motherhood and children9s mental development. Trial registration number ACTRN12608000473369. |
| Databáze: | OpenAIRE |
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