FIRST STEPS: a trial of the effectiveness of the Group Family Nurse Partnership (gFNP) programme compared to routine care in improving outcomes for high risk mothers and preventing abuse

Conditions

Topic: Primary Care Research Network for England

Barnes J, Stuart J, Allen E, Petrou S, Sturgess J, Barlow J, Macdonald G, Spiby H, Aistrop D, Melhuish E, Kim SW, Elbourne D.

2017-11-0117 citations

10.1186/s13063-017-2259-y

Results of the First Steps study: a randomised controlled trial and economic evaluation of the Group Family Nurse Partnership (gFNP) programme compared with usual care in improving outcomes for high-risk mothers and their children and preventing abuse

Jacqueline Barnes, Jane Stuart, Elizabeth Allen, Stavros Petrou, Joanna Sturgess et al. (14 authors)

Public Health Research2017-11-0113 citations

10.3310/phr05090

First steps: study protocol for a randomized controlled trial of the effectiveness of the Group Family Nurse Partnership (gFNP) program compared to routine care in improving outcomes for high-risk mothers and their children and preventing abuse.

Barnes J, Aistrop D, Allen E, Barlow J, Elbourne D, Macdonald G, Melhuish E, Petrou S, Pink J, Snowdon C, Spiby H, Stuart J, Sturgess J.

2013-09-0811 citations

10.1186/1745-6215-14-285

Interventions

1. Group Family Nurse Partnership, Delivered by two Family Nurses one is also a qualified midwife. The group consists of between 8 and 12 women with EDDs within 6 weeks of each other, and partners are

Eligibility

Sex/Gender

Female

Inclusion criteria

Inclusion criteria: 1. Aged <20 with one or more previous live births, or 2. Aged 20-24 with low/no educational qualifications and no previous live births. Low educational qualifications is defined as not having both Maths and English GCSE at grade C or higher or, if they have both of these GCSEs, no more than 4 GCSEs in total at grade C or higher.;Inclusion criteria: 1. Aged <20 with one or more previous live births, or 2. Aged 20-24 with low/no educational qualifications and no previous live births. Low educational qualifications is defined as not having both Maths and English GCSE at grade C or higher or, if they have both of these GCSEs, no more than 4 GCSEs in total at grade C or higher.

Exclusion criteria

Exclusion criteria: 1. Expectant mothers who have previously received home-based FNP 2. Expectant mothers with psychotic mental illness 3. Expectant mothers who are not able to communicate in English;Exclusion criteria: 1. Expectant mothers who have previously received home-based FNP 2. Expectant mothers with psychotic mental illness 3. Expectant mothers who are not able to communicate in English

Design outcomes

Primary

Measure	Time frame
Adult Adolescent Parenting Inventory (AAPI-2); Timepoints: Baseline (10-14 weeks gestation) and 18 months later when infants are 12 months;Adult Adolescent Parenting Inventory (AAPI-2); Timepoints: Baseline (10-14 weeks gestation) and 18 months later when infants are 12 months	—

Secondary

Measure	Time frame
1. CARE index; Timepoints: Infant 12 months 2. Edinburgh Postnatal Depression Scale; Timepoints: baseline (10-14 weeks gestation), infant 2 months, infant 6 months, infant 12 months 3. EQ-5D 5L quality of life; Timepoints: Baseline (10-14 weeks gestation), infant 2 months, 6 months, 12 months 4. Medical Outcomes Study (MOS) social networks measure; Timepoints: Baseline (10 to 14 weeks gestation) and infant 12 months 5. Parenting Stress Index (short form); Timepoints: Infant 2 months and infant 12 months 6. Perceived Parenting Competence (PSOC); Timepoints: Infant 2 months, infant 12 months 7. Service use; Timepoint(s): Infant 2 months, 6 months and 12 months;1. CARE index; Timepoints: Infant 12 months 2. Edinburgh Postnatal Depression Scale; Timepoints: baseline (10-14 weeks gestation), infant 2 months, infant 6 months, infant 12 months 3. EQ-5D 5L quality of life; Timepoints: Baseline (10-14 weeks gestation), infant 2 months, 6 months, 12 months 4. Medical Outcomes Study (MOS) social networks measure; Timepoints: Baseline (10 to 14 weeks gestation) and infant 12 months 5. Parenting Stress Index (short form); Timepoints: Infant 2 months and infant 12 months 6. Perceived Parenting Competence (PSOC); Timepoints: Infant 2 months, infant 12 months 7. Service use; Timepoint(s): Infant 2 months, 6 months and 12 months	—

Measure

Time frame

1. CARE index; Timepoints: Infant 12 months 2. Edinburgh Postnatal Depression Scale; Timepoints: baseline (10-14 weeks gestation), infant 2 months, infant 6 months, infant 12 months 3. EQ-5D 5L quality of life; Timepoints: Baseline (10-14 weeks gestation), infant 2 months, 6 months, 12 months 4. Medical Outcomes Study (MOS) social networks measure; Timepoints: Baseline (10 to 14 weeks gestation) and infant 12 months 5. Parenting Stress Index (short form); Timepoints: Infant 2 months and infant 12 months 6. Perceived Parenting Competence (PSOC); Timepoints: Infant 2 months, infant 12 months 7. Service use; Timepoint(s): Infant 2 months, 6 months and 12 months;1. CARE index; Timepoints: Infant 12 months 2. Edinburgh Postnatal Depression Scale; Timepoints: baseline (10-14 weeks gestation), infant 2 months, infant 6 months, infant 12 months 3. EQ-5D 5L quality of life; Timepoints: Baseline (10-14 weeks gestation), infant 2 months, 6 months, 12 months 4. Medical Outcomes Study (MOS) social networks measure; Timepoints: Baseline (10 to 14 weeks gestation) and infant 12 months 5. Parenting Stress Index (short form); Timepoints: Infant 2 months and infant 12 months 6. Perceived Parenting Competence (PSOC); Timepoints: Infant 2 months, infant 12 months 7. Service use; Timepoint(s): Infant 2 months, 6 months and 12 months

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Countries

United Kingdom

Contacts

Public Contact; ;

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Outcome results

None listed