Sharon Goldfeld|Anna Price|Charlene Smith|Tracey Bruce|Hannah Bryson|Fiona Mensah|Francesca Orsini|Lisa Gold|Harriet Hiscock|Lara Bishop|Ashlee Smith|Susan Perlen|Lynn Kemp
Nurse Home Visiting for Families Experiencing Adversity: A Randomized Trial
Royal Children's Hospital|University of Melbourne|Royal Children's Hospital|University of Melbourne|Ingham Institute|Western Sydney University|Royal Children's Hospital|University of Melbourne|Murdoch Children's Research Institute|Deakin University|Royal Children's Hospital|University of Melbourne|Royal Children's Hospital|Royal Children's Hospital|Ingham Institute|Western Sydney University
objectives nurse home visiting nhv may redress inequities childrens health development evident school entry tested effectiveness australian nhv program righthome offered pregnant women experiencing adversity hypothesizing improvements 1 parent care 2 responsivity 3 home learning environment child age 2 years methods randomized controlled trial nhv delivered via universal child family health services conducted pregnant women experiencing adversity 2 10 risk factors sufficient english proficiency recruited antenatal clinics 10 hospitals across 2 states intervention comprised 25 nurse visits child age 2 years researchers blinded randomization assessed 13 primary outcomes including home observation environment home inventory 6 subscales 25 secondary outcomes reults 1427 eligible women 722 506 randomly assigned 306 363 84 women intervention 290 359 81 women control group provided 2year data compared women control group intervention reported regular child bedtimes adjusted odds ratio 176 95 confidence interval ci 125 248 increased safety adjusted mean difference amd 022 95 ci 007 037 increased warm parenting amd 009 95 ci 002 016 less hostile parenting reverse scored amd 029 95 ci 016 041 increased home parental involvement amd 026 95 ci 014 038 increased home variety experience amd 020 95 ci 007 034 conclusions righthome program improved parenting home environment determinants childrens health development replicability possible scale could integrated australian child family health services trialed countries similar child health services