Manuscript Details

Hanks, Carole, Luckey, Dennis, Knudtson, Michael, Kitzman, Harriet, Anson, Elizabeth, Arcoleo, Kimberly, & Olds, David. (2011) Neighborhood context and the Nurse-Family Partnership. Unpublished report submitted to the U.S. Department of Justice. (Memphis results from Study 3.)

Model(s): Nurse-Family Partnership (NFP)®
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

Not established on race/ethnicity or SES

None

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

HomVEE originally reported findings from three locations described in this manuscript (Denver, Elmira, and Memphis) together under one citation. To align with the new study definition in the HomVEE Handbook of Procedures and Evidence Standards: Version 2, in 2021 HomVEE created new manuscript pages to report findings separately for each location.

Because baseline equivalence is not established on race/ethnicity and SES, we cannot determine if there were significant differences for which authors should have controlled in analyses. Thus the highest rating possible for the study is moderate.

Family Economic Self-Sufficiency
Outcome Measure Timing of Follow-Up Rating Direction of Effect Effect Size (Absolute Value) Stastical Significance Sample Size Sample Description
Neighborhood Disadvantage index 6 years Moderate
0.11 p = 0.38 627 mothers Memphis, TN - Nurse Family Partnership (NFP)
Neighborhood Disadvantage index 12 years Moderate
0.04 p = 0.78 569 mothers Memphis, TN - Nurse Family Partnership (NFP)
Neighborhood Disadvantage index 24 months Moderate
0.05 p = 0.7 657 mothers Memphis, TN - Nurse Family Partnership (NFP)
Neighborhood Disadvantage index 54 months Moderate
0.06 p = 0.63 626 mothers Memphis, TN - Nurse Family Partnership (NFP)
Neighborhood Disadvantage index 9 years Moderate
0.00 p = 0.99 617 mothers Memphis, TN - Nurse Family Partnership (NFP)
Subgroups
Outcome Measure Timing of Follow-Up Rating Direction of Effect Effect Size (Absolute Value) Stastical Significance Sample Size Sample Description
Neighborhood Disadvantage index 24 months Moderate
0.02 p = 0.88 338 mothers Memphis, TN Nurse Family Partnership (NFP); Subgroup: Mother has psychological vulnerability
Neighborhood Disadvantage index 54 months Moderate
0.11 p = 0.35 325 mothers Memphis, TN Nurse Family Partnership (NFP); Subgroup: Mother has psychological vulnerability
Neighborhood Disadvantage index 6 years Moderate
0.30 p = 0.01 332 mothers Memphis, TN Nurse Family Partnership (NFP); Subgroup: Mother has psychological vulnerability
Neighborhood Disadvantage index 12 years Moderate
0.19 p = 0.11 308 mothers Memphis, TN Nurse Family Partnership (NFP); Subgroup: Mother has psychological vulnerability
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
92%
Unknown
8%

Maternal Education

Data not available

Other Characteristics

Data not available

This study included participants from the following locations:

  • Tennessee
Study Participants

Since 1977, the authors have conducted three randomized controlled trials of NFP in trials in Elmira, New York, with a sample of primarily white families in a semi-rural community (N = 400); Memphis, Tennessee, with a sample of primarily African American families (N = 743); and Denver, Colorado, with a sample that is largely Hispanic (46 percent; N = 735). The Denver trial included a treatment arm in which NFP was delivered by paraprofessionals rather than nurses, but this study focuses on nurse-visited women. For this study, the authors obtained U.S. Bureau of Census tract and block group numbers for the addresses of participants in the Elmira, Memphis, and Denver NFP trials. The authors created a neighborhood disadvantage index in order to answer three research questions: (1) Did nurse-visited families move to less disadvantaged neighborhoods over time compared with their control-group counterparts? (2) If nurse-visited women moved to better neighborhoods, to what extent did their living in better neighborhoods account for their improvements in maternal and child health compared with control group women and children? (3) To what extent did the NFP program attenuate the risk for poor maternal and child health associated with concentrated neighborhood social disadvantage?

Setting

Memphis, TN

Intervention condition
Nurse-Family Partnership (NFP)®

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

See descriptions for site-specific trials.

Subgroups examined

• Mother has psychological vulnerability

Author Affiliation

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

Funding Sources

Not specified.