Black or African American
92%
Source
Olds, D. L., Kitzman, H. J., Cole, R. E., Hanks, C. A., Arcoleo, K. J., Anson, E. A., Luckey, D. W., Knudtson, M. D., Henderson, C. R., Bondy, J., & Stevenson, A. J. (2010). Enduring effects of prenatal and infancy home visiting by nurses on maternal life course and government spending: Follow-up of a randomized trial among children at age 12 years. Archives of Pediatrics & Adolescent Medicine, 164(5), 419-424
Model(s) Reviewed
Note: Navigate to model page for more information about the home visiting model. See the study manuscript for more information about how the model was implemented in this study.
Funding Sources
This project was supported by grant 1R01MH68790-01 from the National Institute of Mental Health, National Institutes of Health, and by grant 2004-52854-CO-JS0 from the Office of Juvenile Justice and Delinquency Prevention.
Study Design
| Design | Attrition | Baseline equivalence | Confounding factors | Valid, reliable measures? |
|---|---|---|---|---|
| Randomized controlled trial | Low | Established for race/ethnicity. Significant differences in SES, but controlled in analyses. |
None |
Not assessed in manuscripts reviewed under Handbook of Procedures and Standards, Version 1 |
Notes
In 2020, HomVEE updated this review to remove three 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.
Study Participants
The authors recruited women from the obstetric and pediatric care public system. A total of 743 pregnant women were enrolled and randomly assigned to treatment (228 women) or comparison (515 women). At the study’s onset, 92 percent of women in the sample were African American, 98.1 percent were unmarried, 64.1 percent were younger than 19 years, and 85 percent were living in households with incomes below the federal poverty threshold. For the 12-year follow-up, 594 women were interviewed. This sample is the same as that described in Kitzman et al. (2010) and reports on different outcomes from those described in that study.
Setting
Memphis, TN
Home Visiting Services
Mothers in the nurse-visited condition were provided home visiting from pregnancy through their child’s second birthday, and the same assessment and referrals and transportation services provided to those in the comparison group.
Model(s) Reviewed
Note: Navigate to model page for more information about the home visiting model. See the study manuscript for more information about how the model was implemented in this study.
Comparison Conditions
Mothers in the comparison group were provided developmental screening and referral services for their child at age 6, 12, and 24 months, and free transportation for scheduled prenatal care.
Findings that rate moderate or high in this manuscript
Family economic self-sufficiency
| Outcome measure | Timing of follow-up | Rating | Direction of Effect | Effect size (absolute value) | Stastical significance | Sample size | Sample description | |
|---|---|---|---|---|---|---|---|---|
Time employed, in months |
2 to 12 years |
High | 0.99 | Not statistically significant, p ≥ 0.05 |
594 mothers | Nurse visited during pregnancy and infancy and development screening comparison (Memphis) |
||
Time employed, in months |
10 to 12 years |
High | 2.62 | Not statistically significant, p ≥ 0.05 |
594 mothers | Nurse visited during pregnancy and infancy and development screening comparison (Memphis) |
||
Use of food stamps |
0 to 12 years |
High | 3.90 | Statistically significant, p < .05 |
594 mothers | Nurse visited during pregnancy and infancy and development screening comparison (Memphis) |
||
Use of food stamps |
10 to 12 years |
High | 2.65 | Not statistically significant, p ≥ 0.05 |
594 mothers | Nurse visited during pregnancy and infancy and development screening comparison (Memphis) |
||
Use of AFDC-TANF |
0 to 12 years |
High | 3.03 | Statistically significant, p < .05 |
594 mothers | Nurse visited during pregnancy and infancy and development screening comparison (Memphis |
||
Use of AFDC-TANF |
10 to 12 years |
High | 13.10 | Not statistically significant, p ≥ 0.05 |
594 mothers | Nurse visited during pregnancy and infancy and development screening comparison (Memphis) |
||
Use of Medicaid |
0 to 12 years |
High | 1.88 | Not statistically significant, p ≥ 0.05 |
594 mothers | Nurse visited during pregnancy and infancy and development screening comparison (Memphis) |
||
Use of Medicaid |
10 to 12 years |
High | 0.81 | Not statistically significant, p ≥ 0.05 |
594 mothers | Nurse visited during pregnancy and infancy and development screening comparison (Memphis) |
Reductions in juvenile delinquency, family violence, and crime
| Outcome measure | Timing of follow-up | Rating | Direction of Effect | Effect size (absolute value) | Stastical significance | Sample size | Sample description | |
|---|---|---|---|---|---|---|---|---|
Intimate partner violence |
12-year follow-up |
High | 0.03 | Not statistically significant, p ≥ 0.05 |
594 mothers | Nurse visited during pregnancy and infancy and development screening comparison (Memphis) |
||
Mother jailed |
12-year follow-up |
High | 0.02 | Not statistically significant, p ≥ 0.05 |
594 mothers | Nurse visited during pregnancy and infancy and development screening comparison (Memphis) |
||
Maternal arrests |
0 to 12 years |
High | 0.32 | Not statistically significant, p ≥ 0.05 |
594 mothers | Nurse visited during pregnancy and infancy and development screening comparison (Memphis) |
Reductions in child maltreatment
| Outcome measure | Timing of follow-up | Rating | Direction of Effect | Effect size (absolute value) | Stastical significance | Sample size | Sample description | |
|---|---|---|---|---|---|---|---|---|
Child foster care placements |
0 to 12 years |
High | 0.72 | Not statistically significant, p ≥ 0.05 |
594 mothers | Nurse visited during pregnancy and infancy and development 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 | |
|---|---|---|---|---|---|---|---|---|
Alcohol or other drug use |
12-year follow-up |
High | 0.05 | Not statistically significant, p ≥ 0.05 |
594 mothers | Nurse visited during pregnancy and infancy and development screening comparison (Memphis) |
||
Role impairment due to alcohol or drug use |
12-year follow-up |
High | Statistically significant, p < .05 |
594 mothers | Nurse visited during pregnancy and infancy and development screening comparison (Memphis) |
|||
Symptoms of psychological distress (borderline/clinical vs. normal) |
12-year follow-up |
High | 0.05 | Not statistically significant, p ≥ 0.05 |
594 mothers | Nurse visited during pregnancy and infancy and development screening comparison (Memphis) |
||
Cumulative subsequent births |
0 to 12 years |
High | 1.69 | Not statistically significant, p ≥ 0.05 |
594 mothers | Nurse visited during pregnancy and infancy and development screening comparison (Memphis) |
||
Cumulative subsequent births |
10 to 12 years |
High | 0.42 | Not statistically significant, p ≥ 0.05 |
594 mothers | Nurse visited during pregnancy and infancy and development screening comparison (Memphis) |
||
Pearlin Mastery Scale |
6 months to 12 years |
High | 4.30 | Statistically significant, p < .05 |
594 mothers | Nurse visited during pregnancy + infancy and development screening comparison (Memphis) |
||
Pearlin Mastery Scale |
12-year follow-up |
High | 2.80 | Not statistically significant, p ≥ 0.05 |
594 mothers | Nurse visited during pregnancy + infancy and development screening comparison (Memphis) |
This study included participants with the following characteristics at enrollment:
Race/Ethnicity
Maternal Education
Other Characteristics
This study included participants from the following locations:
- Tennessee