Nurse-Family Partnership (NFP)® Meets HHS Criteria

Model effectiveness research report last updated: 2019

Effects shown in research

Reductions in juvenile delinquency, family violence, and crime

Findings rated high

Nurse-Family Partnership (NFP)®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Arrested, lifetime
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and comparison (Elmira) 219 children %(adjusted) = 30.00 Adjusted mean % = 37.00 Difference = -0.07 HomVEE calculated = -0.20 Not statistically significant, p ≥ 0.05
Arrested, lifetime
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and infancy and comparison (Elmira) 231 children %(adjusted) = 21.00 Adjusted mean % = 37.00 Difference = -0.16 HomVEE calculated = -0.48 Statistically significant, p < 0.05
Arrested, past year
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and infancy and comparison (Elmira) 231 children %(adjusted) = 8.00 Adjusted mean % = 6.00 Difference = 0.03 HomVEE calculated = 0.03 Not statistically significant, p ≥ 0.05
Arrested, past year
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and comparison (Elmira) 219 children %(adjusted) = 12.00 Adjusted mean % = 6.00 Difference = 0.06 HomVEE calculated = 0.49 Not statistically significant, p ≥ 0.05
Convicted, lifetime
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and infancy and comparison (Elmira) 231 children %(adjusted) = 12.00 Adjusted mean % = 28.00 Difference = -0.16 HomVEE calculated = -0.64 Statistically significant, p < 0.05
Convicted, lifetime
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and comparison (Elmira) 219 children %(adjusted) = 23.00 Adjusted mean % = 28.00 Difference = -0.05 HomVEE calculated = -0.16 Not statistically significant, p ≥ 0.05
Convicted, past year
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and comparison (Elmira) 219 children %(adjusted) = 10.00 Adjusted mean % = 4.00 Difference = 0.06 HomVEE calculated = 0.56 Not statistically significant, p ≥ 0.05
Convicted, past year
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and infancy and comparison (Elmira) 231 children %(adjusted) = 8.00 Adjusted mean % = 4.00 Difference = 0.03 HomVEE calculated = 0.34 Not statistically significant, p ≥ 0.05
Felony assault
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and infancy and comparison (Elmira) 231 children %(adjusted) = 3.00 Adjusted mean % = 7.00 Difference = -0.05 HomVEE calculated = -0.64 Not statistically significant, p ≥ 0.05
Felony assault
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and comparison (Elmira) 219 children %(adjusted) = 3.00 Adjusted mean % = 7.00 Difference = -0.04 HomVEE calculated = -0.52 Not statistically significant, p ≥ 0.05
Fraud
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and infancy and comparison (Elmira) 231 children %(adjusted) = 2.00 Adjusted mean % = 4.00 Difference = -0.03 HomVEE calculated = -0.67 Not statistically significant, p ≥ 0.05
Fraud
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and comparison (Elmira) 219 children %(adjusted) = 5.00 Adjusted mean % = 4.00 Difference = 0.01 HomVEE calculated = 0.09 Not statistically significant, p ≥ 0.05
Illegal services
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and infancy and comparison (Elmira) 231 children %(adjusted) = 4.00 Adjusted mean % = 7.00 Difference = -0.03 HomVEE calculated = -0.34 Not statistically significant, p ≥ 0.05
Illegal services
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and comparison (Elmira) 219 children %(adjusted) = 6.00 Adjusted mean % = 7.00 Difference = -0.01 HomVEE calculated = -0.07 Not statistically significant, p ≥ 0.05
Minor assault
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and infancy and comparison (Elmira) 231 children %(adjusted) = 23.00 Adjusted mean % = 26.00 Difference = -0.03 HomVEE calculated = -0.10 Not statistically significant, p ≥ 0.05
Minor assault
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and comparison (Elmira) 219 children %(adjusted) = 27.00 Adjusted mean % = 26.00 Difference = 0.01 HomVEE calculated = 0.03 Not statistically significant, p ≥ 0.05
Minor theft
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and comparison (Elmira) 219 children %(adjusted) = 9.00 Adjusted mean % = 11.00 Difference = -0.02 HomVEE calculated = -0.14 Not statistically significant, p ≥ 0.05
Minor theft
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and infancy and comparison (Elmira) 231 children %(adjusted) = 8.00 Adjusted mean % = 11.00 Difference = -0.03 HomVEE calculated = -0.25 Not statistically significant, p ≥ 0.05
Number of arrests, lifetime
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and infancy and comparison (Elmira) 231 children Adjusted mean = 0.37 Adjusted mean = 0.86 Mean difference = -0.49 Not available Statistically significant, p < 0.05
Number of arrests, lifetime
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and comparison (Elmira) 219 children Adjusted mean = 0.52 Adjusted mean = 0.86 Mean difference = -0.34 Not available Not statistically significant, p ≥ 0.05
Number of arrests, past year
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and comparison (Elmira) 219 children Adjusted mean = 0.11 Adjusted mean = 0.06 Mean difference = 0.05 Not available Not statistically significant, p ≥ 0.05
Number of arrests, past year
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and infancy and comparison (Elmira) 231 children Adjusted mean = 0.10 Adjusted mean = 0.06 Mean difference = 0.04 Not available Not statistically significant, p ≥ 0.05
Number of convictions, lifetime
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and infancy and comparison (Elmira) 231 children Adjusted mean = 0.20 Adjusted mean = 0.58 Mean difference = -0.38 Not available Statistically significant, p < 0.05
Number of convictions, lifetime
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and comparison (Elmira) 219 children Adjusted mean = 0.33 Adjusted mean = 0.58 Mean difference = -0.25 Not available Not statistically significant, p ≥ 0.05
Number of convictions, past year
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and infancy and comparison (Elmira) 231 children Adjusted mean = 0.09 Adjusted mean = 0.05 Mean difference = 0.04 Not available Not statistically significant, p ≥ 0.05
Number of convictions, past year
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and comparison (Elmira) 219 children Adjusted mean = 0.10 Adjusted mean = 0.05 Mean difference = 0.05 Not available Not statistically significant, p ≥ 0.05
Public disorder
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and comparison (Elmira) 219 children %(adjusted) = 30.00 Adjusted mean % = 26.00 Difference = 0.04 HomVEE calculated = 0.13 Not statistically significant, p ≥ 0.05
Public disorder
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and infancy and comparison (Elmira) 231 children %(adjusted) = 32.00 Adjusted mean % = 26.00 Difference = 0.06 HomVEE calculated = 0.18 Not statistically significant, p ≥ 0.05
Vandalism
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and infancy and comparison (Elmira) 231 children %(adjusted) = 7.00 Adjusted mean % = 7.00 Difference = -0.01 HomVEE calculated = -0.06 Not statistically significant, p ≥ 0.05
Vandalism
FavorableUnfavorable or ambiguousNo Effect
19-year follow-up Nurse visited during pregnancy and comparison (Elmira) 219 children %(adjusted) = 5.00 Adjusted mean % = 7.00 Difference = -0.02 HomVEE calculated = -0.24 Not statistically significant, p ≥ 0.05
Nurse-Family Partnership (NFP)®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Ever arrested
FavorableUnfavorable or ambiguousNo Effect
12 years Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) 594 mothers and 578 children % (adjusted) = 3.10 Adjusted mean % = 3.10 Difference = 0.00 HomVEE calculated = 0.00 Not statistically significant
Nurse-Family Partnership (NFP)®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
NYS arrests (incidence; administrative records)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy and comparison (Elmira) 227 mothers Adjusted mean = 0.34 Adjusted mean = 0.38 Mean difference = -0.04 Not available Statistical significance not reported
NYS arrests (incidence; administrative records)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy + infancy and comparison (Elmira) 245 mothers Adjusted mean = 0.12 Adjusted mean = 0.38 Mean difference = -0.26 Not available Not statistically significant,
p > 0.05
NYS convictions (incidence; administrative records)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy + infancy and comparison (Elmira) 245 mothers Adjusted mean = 0.12 Adjusted mean = 0.27 Mean difference = -0.15 Not available Not statistically significant,
p > 0.05
NYS convictions (incidence; administrative records)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy and comparison (Elmira) 227 mothers Adjusted mean = 0.28 Adjusted mean = 0.27 Mean difference = 0.01 Not available Statistical significance not reported
Arrests (incidence; self-report)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy + infancy and comparison (Elmira) 244 mothers Adjusted mean = 0.09 Adjusted mean = 0.22 Mean difference = -0.13 Not available Not statistically significant,
p > 0.05

footnote5

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Information on sample sizes for this study was received through communication with the authors. HomVEE previously rated 24-month outcomes for nurse home visitors Moderate due to high attrition. Upon further examination, HomVEE noted that the outcomes had low attrition, and therefore they rate High.

Arrests (incidence; self-report)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy and comparison (Elmira) 226 mothers Adjusted mean = 0.16 Adjusted mean = 0.22 Mean difference = -0.06 Not available Statistical significance not reported

footnote5

Submitted by user on

Information on sample sizes for this study was received through communication with the authors. HomVEE previously rated 24-month outcomes for nurse home visitors Moderate due to high attrition. Upon further examination, HomVEE noted that the outcomes had low attrition, and therefore they rate High.

Convictions (incidence; self-report)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy + infancy and comparison (Elmira) 245 mothers Adjusted mean = 0.03 Adjusted mean = 0.13 Mean difference = -0.10 Not available Not statistically significant,
p > 0.05
Convictions (incidence; self-report)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy and comparison (Elmira) 227 mothers Adjusted mean = 0.05 Adjusted mean = 0.13 Mean difference = -0.08 Not available Statistical significance not reported
Days in jail (incidence; self-report)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy and comparison (Elmira) 227 mothers Adjusted mean = 0.13 Adjusted mean = 0.65 Mean difference = -0.52 Not available Statistical significance not reported
Days in jail (incidence; self-report)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy + infancy and comparison (Elmira) 245 mothers Adjusted mean = 0.01 Adjusted mean = 0.65 Mean difference = -0.64 Not available Not statistically significant,
p > 0.05
Nurse-Family Partnership (NFP)®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Ever was person inneed of supervision (PINS; self-report)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy and comparison (Elmira) 227 adolescents % (adjusted) = 11.00 Adjusted mean % = 13.00 Mean difference = -2.00 HomVEE calculated = -0.12 Not statistically significant,
p = 0.75

footnote2

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Statistical significance reported on authors’ calculations of the odds ratio.

Ever was person inneed of supervision (PINS; self-report)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy + infancy and comparison (Elmira) Unknown % (adjusted) = 8.00 Adjusted mean % = 13.00 Mean difference = -5.00 HomVEE calculated = -0.33 Not statistically significant,
p = 0.33

footnote2

Submitted by user on

Statistical significance reported on authors’ calculations of the odds ratio.

Incidence of arrests (mother report)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy and comparison (Elmira) 277 adolescents Adjusted mean = 0.11 Adjusted mean = 0.12 Mean difference = -0.01 Not available Not statistically significant,
p = 0.73

footnote1

Submitted by user on

Statistical significance reported on authors’ calculations of the log-incidence difference.

Incidence of arrests (mother report)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy + infancy and comparison (Elmira) 245 adolescents Adjusted mean = 0.08 Adjusted mean = 0.12 Mean difference = -0.04 Not available Not statistically significant,
p = 0.37

footnote1

Submitted by user on

Statistical significance reported on authors’ calculations of the log-incidence difference.

Incidence–arrests (self-report)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy and comparison (Elmira) 227 adolescents Adjusted mean = 0.16 Adjusted mean = 0.36 Mean difference = -0.20 Not available Statistically significant,
p < 0.01

footnote1

Submitted by user on

Statistical significance reported on authors’ calculations of the log-incidence difference.

Incidence–convictions and probation violations (self-report)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy + infancy and comparison (Elmira) 245 adolescents Adjusted mean = 0.10 Adjusted mean = 0.27 Mean difference = -0.17 Not available Statistically significant,
p < 0.01

footnote1

Submitted by user on

Statistical significance reported on authors’ calculations of the log-incidence difference.

Incidence–convictions and probation violations (self-report)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy and comparison (Elmira) 227 adolescents Adjusted mean = 0.06 Adjusted mean = 0.27 Mean difference = -0.21 Not available Statistically significant,
p < 0.01

footnote1

Submitted by user on

Statistical significance reported on authors’ calculations of the log-incidence difference.

Incidence–long-term school suspensions
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy + infancy and comparison (Elmira) 245 adolescents Adjusted mean = 0.01 Adjusted mean = 0.04 Mean difference = -0.03 Not available Not statistically significant,
p = 1.00

footnote1

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Statistical significance reported on authors’ calculations of the log-incidence difference.

Incidence–sent to youth corrections (self-report)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy and comparison (Elmira) 227 adolescents Adjusted mean = 0.05 Adjusted mean = 0.05 Mean difference = 0.00 Not available Not statistically significant,
p = 0.98

footnote1

Submitted by user on

Statistical significance reported on authors’ calculations of the log-incidence difference.

Incidence–sent to youth corrections (self-report)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy + infancy and comparison (Elmira) 245 adolescents Adjusted mean = 0.04 Adjusted mean = 0.05 Mean difference = -0.01 Not available Not statistically significant,
p = 0.98

footnote1

Submitted by user on

Statistical significance reported on authors’ calculations of the log-incidence difference.

Incidence–short-term school suspensions
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy + infancy and comparison (Elmira) 245 adolescents Adjusted mean = 0.27 Adjusted mean = 0.28 Mean difference = -0.01 Not available Not statistically significant,
p = 0.97

footnote1

Submitted by user on

Statistical significance reported on authors’ calculations of the log-incidence difference.

Number of major delinquent acts (self-report)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy + infancy and comparison (Elmira) 245 adolescents Adjusted mean = 3.57 Adjusted mean = 3.02 Mean difference = 0.55 Not available Not statistically significant,
p = 0.48
Number of major delinquent acts (self-report)
FavorableUnfavorable or ambiguousNo Effect
15-year follow-up Nurse visited during pregnancy and comparison (Elmira) 227 adolescents Adjusted mean = 2.79 Adjusted mean = 3.02 Mean difference = -0.23 Not available Not statistically significant,
p = 0.93
Nurse-Family Partnership (NFP)®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Intimate partner violence
FavorableUnfavorable or ambiguousNo Effect
12-year follow-up Nurse visited during pregnancy and infancy and development screening comparison (Memphis) 594 mothers %(adjusted) = 22.00 Adjusted mean % = 21.00 OR = 1.06 HomVEE calculated = 0.03 Not statistically significant, p ≥ 0.05
Maternal arrests
FavorableUnfavorable or ambiguousNo Effect
0 to 12 years Nurse visited during pregnancy and infancy and development screening comparison (Memphis) 594 mothers %(adjusted) = 49.00 Adjusted mean % = 36.00 OR = 1.36 HomVEE calculated = 0.32 Not statistically significant, p ≥ 0.05
Mother jailed
FavorableUnfavorable or ambiguousNo Effect
12-year follow-up Nurse visited during pregnancy and infancy and development screening comparison (Memphis) 594 mothers % (adjusted) = 13.00 Adjusted mean % = 13.00 OR = 0.97 HomVEE calculated = -0.02 Not statistically significant, p ≥ 0.05
Nurse-Family Partnership (NFP)®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Any domestic violence, birth to age 6
FavorableUnfavorable or ambiguousNo Effect
6-year follow-up Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) 641 mothers % (adjusted) = 39.00 Adjusted mean % = 40.00 OR = 0.97 Study reported = -0.02 Not statistically significant,
p = 0.87

footnote2

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Statistical significance reported on authors’ calculations of the odds ratio.

Nurse-Family Partnership (NFP)®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Any domestic violence (6–9 years postpartum)
FavorableUnfavorable or ambiguousNo Effect
9-year follow-up Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) 627 mothers = 0.21 = 0.24 OR = 0.81 HomVEE calculated = -0.11 Not statistically significant,
p = 0.37

footnote2

Submitted by user on

Statistical significance reported on authors’ calculations of the odds ratio.

Mother jailed (6–9 years postpartum)
FavorableUnfavorable or ambiguousNo Effect
9-year follow-up Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) 627 mothers = 0.04 = 0.03 OR = 1.46 HomVEE calculated = 0.25 Not statistically significant,
p = 0.46

footnote2

Submitted by user on

Statistical significance reported on authors’ calculations of the odds ratio.

Number of maternal arrests (6–9 years postpartum)
FavorableUnfavorable or ambiguousNo Effect
9-year follow-up Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) 627 mothers Mean = 0.41 Mean = 0.30 Mean difference = 0.11 Study reported = 1.35 Not statistically significant,
p = 0.16
Nurse-Family Partnership (NFP)®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Any domestic violence (past 6 months)
FavorableUnfavorable or ambiguousNo Effect
4-year follow-up Nurse home visitor and comparison (Denver) 424 mothers = 0.07 = 0.14 OR = 0.47 HomVEE calculated = -0.46 Statistically significant,
p = 0.05
Any domestic violence (since child age 2)
FavorableUnfavorable or ambiguousNo Effect
4-year follow-up Nurse home visitor and comparison (Denver) 424 mothers = 0.16 = 0.24 OR = 0.60 HomVEE calculated = -0.31 Not statistically significant,
p = 0.09

Findings rated moderate

NFP with Paraprofessional Home Visitors
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Any domestic violence (past 6 months)
FavorableUnfavorable or ambiguousNo Effect
4-year follow-up Paraprofessional home visitor and comparison (Denver) 431 mothers = 0.14 = 0.14 OR = 1.05 HomVEE calculated = 0.03 Not statistically significant,
p = 0.88
Any domestic violence (since child age 2)
FavorableUnfavorable or ambiguousNo Effect
4-year follow-up Paraprofessional home visitor and comparison (Denver) 431 mothers = 0.22 = 0.24 OR = 0.90 HomVEE calculated = -0.06 Not statistically significant,
p = 0.72
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