Manuscript Detail
Model(s) Reviewed:
Nurse-Family Partnership (NFP)®
| Screening decision | Screening conclusion | HomVEE procedures and standards version |
|---|---|---|
| Passes screens | Eligible for review | Version 1 |
| Rating | Design | Attrition | Baseline equivalence | Compromised randomization | Confounding factors | Valid, reliable measure(s) |
|---|---|---|---|---|---|---|
| Moderate | Randomized controlled trial | Low | Established on ethnicity. Not established on SES | None | None | Not assessed in manuscripts reviewed before 2021 |
| Study participants | Drawing on pregnant adolescent patients who had been referred by physicians, community clinics, schools, and other social-and health-service agencies, this pilot study identified eligible adolescents before randomly assigning them to study groups. Eligible participants were on or eligible for Medi-Cal, at less than 28 weeks gestation, younger than 20 years old, and pregnant with their first child. Participants assigned to the comparison group received traditional Public Health Field Nursing (PHFN) services, while the program group received services from advanced trained public health nurses (ATPHN). A total of 225 Hispanic adolescents enrolled in the study (104 program and 121 comparison). Typical study participants were single, never married, enrolled in school, and planning to continue education postpartum. Across the two groups, 49 mothers were lost to follow-up, and birth outcome information was available on 156 infants (71 program and 85 comparison). |
|---|---|
| Setting | Urban communities in Orange County, California |
| Intervention services | Program group participants received weekly ATPHN home visits lasting 60-90 minutes for the first four weeks, followed by visits every other week until delivery,weekly for the next six weeks, every other week until the child was 21 months old and monthly until the child was 24 months old. Home visits focused on promoting self-efficacy by encouraging adolescents to set personal goals, make adaptive behavior changes to promote healthy pregnancy outcomes, develop positive parenting skills, and optimize the developmental potential of the infant. ATPHNs assisted program participants with developing informal support systems and provided referrals as needed. |
| Comparison conditions | Participants in the comparison group received a minimum of three PHFN visits: one initial assessment, one antepartum visit, and one postpartum and newborn visit. During these visits, the nurse provided physical assessment, education, and referrals. |
| Subgroups examined |
This field lists subgroups examined in the manuscript (even if they were not replicated in other samples and not reported on the summary page for this model’s report). Subgroups are not listed for manuscripts reviewed before 2021. |
| Funding sources | Funder(s) not listed. |
| Author affiliation | None of the study authors are developers of this model. |
| Peer reviewed | Peer reviewed status is not listed for manuscripts reviewed before 2021. |
Findings that rate moderate or high
| Rating | Outcome measure | Effect | Sample | Timing of follow-up | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance | Notes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Moderate | Birth weight (grams) | FavorableUnfavorable or ambiguousNo Effect |
NFP-trained nurse visitors and comparison nurse visitors | Birth | 156 children | Mean = 3.00 | Mean = 3.00 | Mean difference = 164.26 | HomVEE calculated = 0.29 | Not reported | |
| Moderate | Gestational age (months) | FavorableUnfavorable or ambiguousNo Effect |
NFP-trained nurse visitors and comparison nurse visitors | Birth | 154 children | Mean = 38.88 | Mean = 38.92 | Mean difference = -0.04 | HomVEE calculated = -0.02 | Not reported |