Manuscript Details

Nguyen, J. D., Carson, M. L., Parris, K. M., & Place, P. (2003). A comparison pilot study of public health field nursing home visitation program interventions for pregnant Hispanic adolescents. Public Health Nursing, 20(5), 412. doi:10.1046/j.1525-1446.2003.20509.x

Moderate rating
Study reviewed under: Handbook of Procedures and Standards, Version 1
Study design characteristics contributing to rating
Design Attrition Baseline equivalence Confounding factors? Valid, reliable measures?
Randomized controlled trial Low

Established on ethnicity. Not established on SES

None

Not assessed in manuscripts reviewed under Handbook of Procedures and Standards, Version 1
Child Health
Outcome Measure Timing of Follow-Up Rating Direction of Effect Effect Size (Absolute Value) Stastical Significance Sample Size Sample Description
Birth weight (grams) Birth Moderate
0.29 Not reported 156 children NFP-trained nurse visitors and comparison nurse visitors
Gestational age (months) Birth Moderate
0.02 Not reported 154 children NFP-trained nurse visitors and comparison nurse visitors
Effect rating key
Favorable finding / Statistically significant
Unfavorable finding / Statistically significant
Ambiguous finding / Statistically significant
No effect / Not statistically significant

This study included participants with the following characteristics at enrollment:

Race/Ethnicity

The race and ethnicity categories may sum to more than 100 percent if Hispanic ethnicity was reported separately or respondents could select two or more race or ethnicity categories.

Hispanic or Latino
100%

Maternal Education

Data not available

Other Characteristics

Enrollment in means-tested programs
69%

This study included participants from the following locations:

  • California
Study Participants

Drawing on pregnant adolescent patients who had been referred by physicians, community clinics, schools, and other social-and health-service agencies, this pilot study identified eligible adolescents before randomly assigning them to study groups. Eligible participants were on or eligible for Medi-Cal, at less than 28 weeks gestation, younger than 20 years old, and pregnant with their first child. Participants assigned to the comparison group received traditional Public Health Field Nursing (PHFN) services, while the program group received services from advanced trained public health nurses (ATPHN). A total of 225 Hispanic adolescents enrolled in the study (104 program and 121 comparison). Typical study participants were single, never married, enrolled in school, and planning to continue education postpartum. Across the two groups, 49 mothers were lost to follow-up, and birth outcome information was available on 156 infants (71 program and 85 comparison).

Setting

Urban communities in Orange County, California

Intervention condition
Comparison Conditions

Participants in the comparison group received a minimum of three PHFN visits: one initial assessment, one antepartum visit, and one postpartum and newborn visit. During these visits, the nurse provided physical assessment, education, and referrals.

Author Affiliation

None of the study authors are developers of this model.

Funding Sources

Funder(s) not listed.