Black or African American
94%
Source
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.
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
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.
Study Design
| 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
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.
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
Home Visiting Services
Women in the intervention group received home visiting services during pregnancy and during the first two years of her child's life. These services covered topics related to health behavior, child care, and life planning for the woman (planning for pregnancy, education, and working). Women received an average of 7 home visits while pregnant and 26 during her child's first two years.
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
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)
Findings that rate moderate or high in this manuscript
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 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) |
|||
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) |
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