RCT parenting education and socioeconomically play; Child mental, 12. The number of were no differences in support programme vs disadvantaged area psychomotor and behavioural participating nurses, outcomes for first-time “To investigate the impact usual universal care. (n=208). development at 18 months. and hence mothers, was and multiparous mothers. of a long-term limited by the funding, This challenges the nurse home visiting 3. Structured home visits, 5. Child and maternal Perinatal outcomes: low birth infrastructure and assumptions of many programme, embedded post natal child health. weight and preterm birth, management capacity nurse home visiting within a universal child development education, extracted from hospital clinical within the service. programmes that their health system, on the health, access to secondary and 6. Home care, records. benefits are confined to development tertiary early childhood socioeconomically first-time mothers. and well-being of the child, health services, volunteer disadvantaged area. Child respiratory and mother and family” (p1). home visiting gastrointestinal illness and 14. The MECSH trial services and family 7. Child and family health immunization status, measured showed some significant support services within the nurses. by maternal self-report, being results and some trends local area, group activities fully immunized or not at that require replication in and community links. 24 months. larger samples of mothers drawn from a similarly Maternal and household widely defined at-risk smoking during pregnancy and group, including older, over the first 2 years of life. multiparous mothers, and mothers with higher levels Breastfeeding over the first 2 of education. years of life, Maternal health (SF-12), depression (EDS) and social support, the number of stressful life events in the previous year and family functioning, and experience of being a mother. Parent–child interaction: No significant difference in interaction between the intervention and comparison groups Mothers receiving the intervention were more emotionally and verbally
RCT “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” (p1). parenting education and support programme vs usual universal care. 3. Structured home visits, post natal child development education, access to secondary and tertiary early childhood health services, volunteer home visiting services and family support services within the local area, group activities and community links. socioeconomically disadvantaged area (n=208). 5. Child and maternal health. 6. Home care, socioeconomically disadvantaged area. 7. Child and family health nurses. play; Child mental, psychomotor and behavioural development at 18 months. Perinatal outcomes: low birth weight and preterm birth, extracted from hospital clinical records. Child respiratory and gastrointestinal illness and immunization status, measured by maternal self-report, being fully immunized or not at 24 months. Maternal and household smoking during pregnancy and over the first 2 years of life. Breastfeeding over the first 2 years of life, Maternal health (SF-12), depression (EDS) and social support, the number of stressful life events in the previous year and family functioning, and experience of being a mother. Parent–child interaction: No significant difference in interaction between the intervention and comparison groups Mothers receiving the intervention were more emotionally and verbally 12. The number of participating nurses, and hence mothers, was limited by the funding, infrastructure and management capacity within the service. were no differences in outcomes for first-time and multiparous mothers. This challenges the assumptions of many nurse home visiting programmes that their benefits are confined to first-time mothers. 14. The MECSH trial showed some significant results and some trends that require replication in larger samples of mothers drawn from a similarly widely defined at-risk group, including older, multiparous mothers, and mothers with higher levels of education.
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