Competency Training, Staff Performance, & Family Outcomes

Phase 2

Completed

• Conditions: Child Abuse
• Interventions: Behavioral: Home visitation

• Registration Number: NCT00336193
• Lead Sponsor: Centers for Disease Control and Prevention

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.

Study Timeline

• Study Start: 2005-08
• Study First Submitted: 2006-06-10
• Study First Submitted QC: 2006-06-10
• Study First Posted: 2006-06-13
• Primary Completion: 2009-09
• Study Completion: 2009-09
• Status Verified: 2011-02
• Last Update Submitted: 2011-02-10
• Last Update Posted: 2011-02-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 1075

Inclusion Criteria

• First time mothers (enrolled during pregnancy) and their children

Exclusion Criteria

• See above. No other exclusion criteria will be used.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Home visitation	Home visitation	In the intervention condition, nurse home visitors receive enhanced training to improve delivery of parenting interventions to mothers

Primary Outcome Measures

Name	Time	Method
Children's adjustment and behavior	21-22 months
Children's language development at 21 months	21 months
Assessment of children's home environment	12 and 24 months
Children's emergency room visits/hospitalizations	6, 12, 18, and 24 months
Referrals to child protective services 6, 12, 18, and 24 months	6, 12, 18, and 24 months

Trial Locations

Locations (1)

University of Colorado Denver Health Sciences Center; 🇺🇸 Denver, Colorado, United States