None listed
Conditions
Brief summary
Home visiting programs comprising intensive and sustained nurse home visits over the entire first two years of life (SNHV) show promise as interventions to promote child health and family functioning, and ameliorate disadvantage. This study is the first Australian randomised trial to determine the impact of a comprehensive SNHV program commencing antenatally in a population group living in an area of known disadvantage. As such this trial is a best-practice demonstration model for professional home visiting in Australia, with significant implications for the development of early childhood policy and strategy throughout Australia.
Interventions
Sustained nurse home visiting commencing in the second trimester of pregnancy and continuing to child-age 2 years. Each mother receives 25 visits of 1 hour duration. During visits the nurse provides education and support for the mother and family to enhance their coping and problem solving skills and ability to mobilise resources; foster positive parenting skills; establish supportive relationships in their community; mentor maternal-infant bonding and attachment; and provide primary health care
Sustained nurse home visiting commencing in the second trimester of pregnancy and continuing to child-age 2 years. Each mother receives 25 visits of 1 hour duration. During visits the nurse provides education and support for the mother and family to enhance their coping and problem solving skills and ability to mobilise resources; foster positive parenting skills; establish supportive relationships in their community; mentor maternal-infant bonding and attachment; and provide primary health care and health education, including but not limited to immunisation, Sudden Infant Death Syndrome risk reduction, infant nutrition and child safety.
Sponsors
University of NSW
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
0 to No maximum
Healthy volunteers
Yes
Inclusion criteria
Pregnant women, and English speaking, and Resident in New South Wales, Australia postcode area 2168, and One or more risk factors for poorer parental coping from maternal self report of expected lack of practical and emotional support, stressors in the past 12 months, personality, mental health, history of abuse in the mother’s childhood, and family violence, or Current probably distress measured as Edinburgh Depression Scale score of 10 or more
Exclusion criteria
Poor English requiring an interpreter or no telephone
Outcome results
None listed