Manuscript Details

Sidora-Arcoleo, K., Anson, E., Lorber, M., Cole, R., Olds, D., & Kitzman, H. (2010). Differential effects of a nurse home-visiting intervention on physically aggressive behavior in children. Journal of Pediatric Nursing, 25(1), 35-45.

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

Baseline equivalence not established on SES or race/ethnicity; not possible to assess outcomes at baseline

None

Not assessed in manuscripts reviewed under Handbook of Procedures and Standards, Version 1
Notes from the review of this manuscript

The study reports findings for mothers with low psychological resources and mothers with high psychological resources. In both cases, outcomes rate low (because baseline equivalence and attrition information was not reported and was not available from the author) and therefore are not reported.

Child Development and School Readiness
Outcome Measure Timing of Follow-Up Rating Direction of Effect Effect Size (Absolute Value) Stastical Significance Sample Size Sample Description
Child's verbal ability - age 2 2 years Moderate
Not statistically significant, p>0.10 721 mother/child dyads Nurse home visiting from pregnancy to 2 years vs. control (Memphis)
Child's verbal ability - age 6 6 years Moderate
0.14 Not statistically significant, p = 0.10 721 mother/child dyads Nurse home visiting from pregnancy to 2 years vs. control (Memphis)
Physical aggression - age 12 12 years Moderate
Not statistically significant, p>0.10 721 mother/child dyads Nurse home visiting from pregnancy to 2 years vs. control (Memphis)
Physical aggression - age 2 2 years Moderate
0.21 Statistically significant, p = 0.01 721 mother/child dyads Nurse home visiting from pregnancy to 2 years vs. control (Memphis)
Physical aggression - age 6 6 years Moderate
Not statistically significant, p>0.10 721 mother/child dyads Nurse home visiting from pregnancy to 2 years vs. control (Memphis)
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.

Black or African American
94%
Unknown
6%

Maternal Education

Data not available

Other Characteristics

Data not available

This study included participants from the following locations:

  • Tennessee
Study Participants

This is a randomized controlled trial. Women were eligible to be included in this study if they were less than 29 weeks pregnant, had no previous live births, and had none of a specified list of chronic illnesses. Eligible women also had to meet two or more of the following criteria: unmarried, less than 12 years of education, and unemployed. Women were recruited through a clinic at the Regional Medical Center in Memphis, Tennessee. After being recruited, women were randomized into one of four intervention groups; two of these intervention groups were compared for this study. The two groups compared were (1) women who were provided free transportation for prenatal care and screenings and referrals at 6, 12, and 24 months; or (2) women who received the same services as group one and additionally received intensive nurse home visiting services during pregnancy and until the child turned 2. All women whose pregnancies resulted in live births were included in this study.Approximately 90 percent of women in the analytic sample were African American and 2 percent were married. The average age was 18 years and the average education level was 10 years. On average, women lived in census tracts with 35 percent of the population living below the poverty level.

Setting

Memphis, Tennessee

Intervention condition
Comparison Conditions

Women in the comparison group received free transportation to prenatal care and developmental screenings/referrals for her child at 6, 12, and 24 months.

Subgroups examined

• Child gender (boy or girl) • Mother has psychological vulnerability (yes or no)

Author Affiliation

The authors are affiliated with the following institutions: Arizona State University College of Nursing Healthcare Innovation, University of Rochester School of Nursing and Department of Pediatrics, Scripps College, and University of Colorado Department of Pediatrics. David L. Olds, a study author, is a developer of this model.

Funding Sources

Five federal agencies: the National Institute of Nursing Research (grant NR01-01691-05); the Bureau of Maternal and Child Health (grant MCJ 360579); the Administration for Children and Families (grant 90PJ0003 and 90PD0215/01); the Office of the Assistant Secretary for Planning and Evaluation; and the National Center for Child Abuse and Neglect, through a transfer of funds to the National Institute of Nursing Research. Four private foundations: the Robert Wood Johnson Foundation, Princeton, NJ (grants 017934, 11084, and 027901); the Carnegie Corporation of New York, New York, NY (grant B5492); the Pew Charitable Trusts, Philadelphia, PA (grants 88-0211-000 and 93-02363-000); and the William T. Grant Foundation, New York, NY (grants 88-1246-88 and 91-1246-88), including a Senior Research Scientist Award (1-K05-MH01382-01) to Dr. Olds; and the Hearst Foundation.