Hanks, Carole, Luckey, Dennis, Knudtson, Michael, Kitzman, Harriet, Anson, Elizabeth, Arcoleo, Kimberly, & Olds, David. (2011) Neighborhood context and the Nurse-Family Partnership. Unpublished report submitted to the U.S. Department of Justice. (Elmira results from Study 3.)
| Screening decision | Screening conclusion | HomVEE procedures and standards version |
|---|---|---|
| Passes screens | Eligible for review | Version 1 |
| Rating | Design | Attrition | Baseline equivalence | Compromised randomization | Confounding factors | Valid, reliable measure(s) |
|---|---|---|---|---|---|---|
| Moderate | Randomized controlled trial | Low | Not established on race/ethnicity or SES | None | None | Not assessed in manuscripts reviewed before 2021 |
HomVEE originally reported findings from three locations described in this manuscript (Denver, Elmira, and Memphis) together under one citation. To align with the new study definition in the HomVEE Handbook of Procedures and Evidence Standards: Version 2, in 2021 HomVEE created new manuscript pages to report findings separately for each location.
Because baseline equivalence is not established on race/ethnicity and SES, we cannot determine if there were significant differences for which authors should have controlled in analyses. Thus the highest rating possible for the study is moderate.
| Study participants | Since 1977, the authors have conducted three randomized controlled trials of NFP in trials in Elmira, New York, with a sample of primarily white families in a semi-rural community (N = 400); Memphis, Tennessee, with a sample of primarily African American families (N = 743); and Denver, Colorado, with a sample that is largely Hispanic (46 percent; N = 735). The Denver trial included a treatment arm in which NFP was delivered by paraprofessionals rather than nurses, but this study focuses on nurse-visited women. For this study, the authors obtained U.S. Bureau of Census tract and block group numbers for the addresses of participants in the Elmira, Memphis, and Denver NFP trials. The authors created a neighborhood disadvantage index in order to answer three research questions: (1) Did nurse-visited families move to less disadvantaged neighborhoods over time compared with their control-group counterparts? (2) If nurse-visited women moved to better neighborhoods, to what extent did their living in better neighborhoods account for their improvements in maternal and child health compared with control group women and children? (3) To what extent did the NFP program attenuate the risk for poor maternal and child health associated with concentrated neighborhood social disadvantage? |
|---|---|
| Setting | Elmira, NY; Memphis, TN; Denver, CO |
| Intervention services | See descriptions for site-specific trials. |
| Comparison conditions | See descriptions for site-specific trials. |
| Subgroups examined |
This field lists subgroups examined in the manuscript (even if they were not replicated in other samples and not reported on the summary page for this model’s report). • Mother has psychological vulnerability (yes or no) • Subgroups defined by combinations of maternal characteristics (unmarried and low income) |
| Funding sources | Not specified. |
| Author affiliation | David L. Olds, a study author, is a developer of this model. |
| Peer reviewed | Peer reviewed status is not listed for manuscripts reviewed before 2021. |
Findings that rate moderate or high
| Rating | Outcome measure | Effect | Sample | Timing of follow-up | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance | Notes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Moderate | Neighborhood Disadvantage index | FavorableUnfavorable or ambiguousNo Effect |
Elmira, NY- Nurse Family Partnership (NFP) | 24 months | 205 mothers | Unadjusted mean = 0.32 | Unadjusted mean = 0.45 | Mean difference = -0.13 | Study reported = -0.12 | p = 0.54 | Negative value is favorable to the intervention.
|
| Moderate | Neighborhood Disadvantage index | FavorableUnfavorable or ambiguousNo Effect |
Elmira, NY- Nurse Family Partnership (NFP) | 4 years | 214 mothers | Unadjusted mean = 0.36 | Unadjusted mean = 0.44 | Mean difference = -0.08 | Study reported = -0.07 | p = 0.72 | Negative value is favorable to the intervention.
|
| Moderate | Neighborhood Disadvantage index | FavorableUnfavorable or ambiguousNo Effect |
Elmira, NY- Nurse Family Partnership (NFP) | 15 years | 183 mothers | Unadjusted mean = 0.48 | Unadjusted mean = 0.06 | Mean difference = 0.42 | Study reported = 0.42 | p = 0.03 | Positive value is favorable to the comparison group.
|