Black or African American
91%
Kitzman, H., Olds, D. L., Sidora, K., Henderson, C. R., Hanks, C., Cole, R., et al. (2000). Enduring effects of nurse home visitation on maternal life course: A 3-year follow-up of a randomized trial. JAMA: The Journal of the American Medical Association, 283(15), 1983–1989.
Model(s): Nurse-Family Partnership (NFP)®
Study design characteristics contributing to rating
| Design | Attrition | Baseline equivalence | Confounding factors? | Valid, reliable measures? |
|---|---|---|---|---|
| Randomized controlled trial | Low |
Difference in SES, but controlled in analysis. |
None |
Not assessed in manuscripts reviewed under Handbook of Procedures and Standards, Version 1 |
Notes from the review of this manuscript
In 2020, HomVEE updated this review in two ways. First, HomVEE removed mother's partnership status/family structure findings from the Family Economic Self-Sufficiency domain because ACF determined that mother's partnership status is ineligible for review by HomVEE. Second, HomVEE removed the partner employment finding from the Family Economic Self-Sufficiency domain because partner SES is not eligible for review unless the same SES variable is measured for the mother, and the partner is coresident with the mother.
Child Health
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| Number of subsequent low birth weight newborns (< 2500 g) | 3-year follow-up | High | Not statistically significant,p ≥ 0.05 | 646 mothers | Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) | ||
| Number of subsequent neonatal intensive care unit or special care admissions | 3-year follow-up | High | Not statistically significant,p ≥ 0.05 | 646 mothers | Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) |
Family Economic Self-Sufficiency
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| Current socioeconomic status (percentile ranked by U.S. occupational codes) | 3-year follow-up | High | Not statistically significant,p ≥ 0.05 | 646 mothers | Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) | ||
| Highest education level | 3-year follow-up | High | Not statistically significant,p ≥ 0.05 | 646 mothers | Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) | ||
| Number of months mother or child received AFDC (0–60 months postpartum) | 3-year follow-up | High | Statistically significant,p ≤ 0.01 | 646 mothers | Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) | ||
| Number of months mother or child received food stamps (0–60 months postpartum) | 3-year follow-up | High | Statistically significant,p ≤ 0.01 | 646 mothers | Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) | ||
| Number of months received WIC (0–54 months postpartum) | 3-year follow-up | High | Not statistically significant,p ≥ 0.05 | 646 mothers | Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) | ||
| Number of months received Medicaid (0–54 months postpartum) | 3-year follow-up | High | Not statistically significant,p ≥ 0.05 | 646 mothers | Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) | ||
| Number of months worked (0–54 months postpartum) | 3-year follow-up | High | Not statistically significant,p ≥ 0.05 | 646 mothers | Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) |
Maternal Health
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| Number of months between birth or first and second child | 3-year follow-up | High | Statistically significant,p ≤ 0.01 | 646 mothers | Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) | ||
| Number of subsequent live births | 3-year follow-up | High | Not statistically significant,p ≥ 0.05 | 646 mothers | Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) | ||
| Number of subsequent pregnancies | 3-year follow-up | High | Statistically significant,p < 0.05 | 646 mothers | Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) | ||
| Number of subsequent pregnancies with short intervals (< 6 months from previous delivery or termination) | 3-year follow-up | High | Statistically significant,p < 0.05 | 646 mothers | Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) | ||
| Number of subsequent spontaneous abortions | 3-year follow-up | High | Not statistically significant,p ≥ 0.05 | 646 mothers | Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) | ||
| Number of subsequent still births | 3-year follow-up | High | Not statistically significantp ≥ 0.05 | 646 mothers | Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) | ||
| Number of subsequent therapeutic abortions | 3-year follow-up | High | Not statistically significant,p ≥ 0.05 | 646 mothers | Nurse visited during pregnancy + infancy and developmental screening comparison (Memphis) |
This study included participants from the following locations:
- Tennessee
Study Participants
The sample included pregnant, first-time mothers who were less than 29 weeks pregnant. Women were recruited through an obstetrical clinic if they had no previous live births, no chronic illnesses linked to fetal growth retardation or preterm delivery, and at least two of the following sociodemographic characteristics: unmarried, less than 12 years of education, and unemployed. Between June 1990 and August 1991, 1,290 women were invited to participate and 1,139 consented and were randomly assigned. At enrollment, 92 percent of the women enrolled were African American, 98 percent were unmarried, and 64 percent were age 18 or younger. This study measured the sample when the children were 3 to 5 years old. The study sample included 646 women, 203 in the program group and 443 in the comparison group.
Setting
Memphis, Tennessee
Intervention condition
Note: Navigate to the model page for more information about the home visiting model. See the source manuscript for more information about how the model was implemented in this study.
Comparison Conditions
The study included two comparison groups. The first comparison group received taxicab transportation for prenatal care appointments. The second comparison group received the transportation plus developmental screening and referral to services when the children were 6, 12, and 24 months old. The two comparison groups were combined for the prenatal analysis. Only the second group was followed for postnatal outcomes.
Funding Sources
Grant 90PD0215/01 from the Administration for Children and Families, Department of Health and Human Services; grant 9704-014 from the Carnegie Corporation of New York; grant 031052 from the Robert Wood Johnson Foundation; and a Senior Research Scientist Award (1-K05-MH01382-01) to Dr. Olds.