Child Abuse
Conditions
Keywords
home visitation, family outcomes, competency training
Brief summary
This proposal examines the impact of an augmented competency based approach to training of home visitors and supervisors for delivery of the Nurse Family Partnership (NFP) on staff performance, fidelity to the program model, and family outcomes relative to child maltreatment and early behaviors associated with youth violence. The central premise underlying the proposed study is that the augmented competency based curriculum and clinical consultation to supervisors will improve nurses' knowledge and skills in working with families, which in turn, will lead to greater fidelity to the home visit guidelines (i.e., quality implementation), which in turn, will result in better maternal and child health outcomes.
Detailed description
A two group experimental design will be used to examine the impact of an augmented competency-based curriculum for NFP home visitors and supervisors coupled with structured clinical consultation by NFP National Office professional development staff, as compared against the standard curriculum currently used, on quality of program implementation and family outcomes.
Interventions
BEHAVIORALHome visitation
Home visitation to improve maternal health and well-being and parenting practices
Sponsors
Centers for Disease Control and Prevention
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
Yes
Inclusion criteria
* First time mothers (enrolled during pregnancy) and their children
Exclusion criteria
* See above. No other
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assessment of children's home environment | 12 and 24 months |
| Children's emergency room visits/hospitalizations | 6, 12, 18, and 24 months |
| Children's adjustment and behavior | 21-22 months |
| Children's language development at 21 months | 21 months |
| Referrals to child protective services 6, 12, 18, and 24 months | 6, 12, 18, and 24 months |
Countries
United States
Outcome results
None listed