Manuscript Details

Holmberg, John; Luckey, Dennis; Olds, David. (2011) Teacher data for the Denver Year-9 follow-up. Unpublished report submitted to the U.S. Department of Justice.

Model(s): Nurse-Family Partnership (NFP)®, NFP with Paraprofessional Home Visitors
High 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 race/ethnicity and SES

None

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

This study received a mixed rating. Some outcomes rate high, others moderate, and still others low. For the low psychological resources subgroup, we were unable to determine attrition and if the baseline information provided corresponds to the analytic sample, so the outcomes for the low psychological resources subgroup rate low. For paraprofessional versus control comparison in the whole sample, the study rates high because there is low attrition and demonstration of baseline equivalence on race/ethnicity and socioeconomic status (SES). For the nurse versus control comparison in the whole sample, most of the outcomes had high attrition, but baseline equivalence was established on race/ethnicity and SES, so these outcomes rate moderate. Within the nurse versus control comparison in the whole sample, there are two outcomes for which attrition is low, and these outcomes rate high. 

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
ASPD Total Score - borderline/clinical Age 9 follow-up Moderate
0.26 p-value = 0.59 310 mothers Denver Nurse Family Partnership (NFP) - Nurse vs. Control
ASPD Total Score - borderline/clinical Age 9 follow-up High
0.37 p-value = 0.37 328 mothers Denver Nurse Family Partnership (NFP) - Paraprofessional vs. Control
CBCL Externalizing - Dual Rater Clinical Age 9 follow-up Moderate
0.29 p-value = 0.26 303 mothers Denver Nurse Family Partnership (NFP) - Nurse vs. Control
CBCL Externalizing - Dual Rater Clinical Age 9 follow-up High
0.20 p-value = 0.33 320 mothers Denver Nurse Family Partnership (NFP) - Paraprofessional vs. Control
CBCL Internalizing - Dual Rater Clinical Age 9 follow-up Moderate
0.53 p-value = 0.1 302 mothers Denver Nurse Family Partnership (NFP) - Nurse vs. Control
CBCL Internalizing - Dual Rater Clinical Age 9 follow-up High
0.03 p-value = 0.9 317 mothers Denver Nurse Family Partnership (NFP) - Paraprofessional vs. Control
CBCL Total - Dual Rater Clinical Age 9 follow-up Moderate
0.18 p-value = 0.47 302 mothers Denver Nurse Family Partnership (NFP) - Nurse vs. Control
CBCL Total - Dual Rater Clinical Age 9 follow-up High
0.01 p-value = 0.94 317 mothers Denver Nurse Family Partnership (NFP) - Paraprofessional vs. Control
Current grade placement Age 9 follow-up Moderate
0.06 p-value = 0.57 304 mothers Denver Nurse Family Partnership (NFP) - Nurse vs. Control
Current grade placement Age 9 follow-up High
0.16 p-value = 0.13 321 mothers Denver Nurse Family Partnership (NFP) - Paraprofessional vs. Control
Learning support services: hrs/week Age 9 follow-up Moderate
0.02 p-value = 0.83 294 mothers Denver Nurse Family Partnership (NFP) - Nurse vs. Control
Learning support services: hrs/week Age 9 follow-up High
0.09 p-value = 0.4 309 mothers Denver Nurse Family Partnership (NFP) - Paraprofessional vs. Control
Math Grades: Parent Report Age 9 follow-up High
0.11 p-value = 0.32 374 mothers Denver Nurse Family Partnership (NFP) - Nurse vs. Control
Math Grades: Parent Report Age 9 follow-up Moderate
0.11 p-value = 0.32 374 mothers Denver Nurse Family Partnership (NFP) - Nurse vs. Control
Math Grades: Parent Report Age 9 follow-up High
0.15 p-value = 0.16 391 mothers Denver Nurse Family Partnership (NFP) - Paraprofessional vs. Control
Math Grades: School Report Age 9 follow-up Moderate
0.12 p-value = 0.24 295 mothers Denver Nurse Family Partnership (NFP) - Nurse vs. Control
Math Grades: School Report Age 9 follow-up High
0.15 p-value = 0.15 305 mothers Denver Nurse Family Partnership (NFP) - Paraprofessional vs. Control
Reading Grades: Parent Report Age 9 follow-up High
0.05 p-value = 0.62 375 mothers Denver Nurse Family Partnership (NFP) - Nurse vs. Control
Reading Grades: Parent Report Age 9 follow-up High
0.07 p-value = 0.47 391 mothers Denver Nurse Family Partnership (NFP) - Paraprofessional vs. Control
Reading Grades: School Report Age 9 follow-up Moderate
0.03 p-value = 0.8 294 mothers Denver Nurse Family Partnership (NFP) - Nurse vs. Control
Reading Grades: School Report Age 9 follow-up High
0.16 p-value = 0.14 307 mothers Denver Nurse Family Partnership (NFP) - Paraprofessional vs. Control
Special Education school report Age 9 follow-up Moderate
0.17 p-value = 0.42 294 mothers Denver Nurse Family Partnership (NFP) - Nurse vs. Control
Special Education school report Age 9 follow-up High
0.01 p-value = 0.98 308 mothers Denver Nurse Family Partnership (NFP) - Paraprofessional vs. Control
Times sent to Principal's office Age 9 follow-up Moderate
0.02 p-value = 0.85 308 mothers Denver Nurse Family Partnership (NFP) - Nurse vs. Control
Times sent to Principal"s office Age 9 follow-up High
0.15 p-value = 0.18 326 mothers Denver Nurse Family Partnership (NFP) - Paraprofessional vs. Control
Effect rating key
Favorable finding / Statistically significant
Unfavorable finding / Statistically significant
Ambiguous finding / Statistically significant
No effect / Not statistically significant

Note: Tables do not include findings that HomVEE rated low or indeterminate, or found to be ineligible for review.

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
16%
Hispanic or Latino
45%
White
36%
Unknown
3%

Maternal Education

Data not available

Other Characteristics

Data not available

This study included participants from the following locations:

  • Colorado
Study Participants

Women were recruited through 21 antepartum clinics that served low-income pregnant women. Recruitment focused on women who had no previous live births and either qualified for Medicaid or had no private health insurance. From March 1994 to June 1995, 1,178 women were invited to participate and 735 consented and were randomly assigned to one of three conditions: a control group, nurse home visiting, and paraprofessional home visiting. Randomization was conducted within strata based on maternal race (Hispanic, white, black, American Indian, or Asian); maternal gestational age (fewer than 32 weeks, 32 weeks or more); and geographic region. This study augments the data collection procedures of the Denver trial of the NFP . The authors conducted follow-up evaluations with interviews and direct tests of the children on 575 families.

Setting

Denver, Colorado metropolitan area

Intervention condition
Nurse-Family Partnership (NFP)®
NFP with Paraprofessional Home Visitors

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

Women in the comparison group received developmental screening and referral services for their children at 6, 12, 15, 21, and 24 months.

Subgroups examined

• Mother has psychological vulnerability (yes or no)

Author Affiliation

David L. Olds, a study author, is a developer of this model.

Funding Sources

Not specified.