A Scientific Evaluation of the Nurse-Family Partnership (NFP) Program in British Columbia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 739
- 试验地点
- 2
- 主要终点
- Average number of childhood injuries
研究概览
简要总结
Nurse-Family Partnership (NFP) is a primary prevention program that was developed by Dr. David Olds in the United States (US) with the goal of helping vulnerable young first-time mothers and their children. The program involves public health nurses (PHNs) visiting mothers in their homes, providing intensive supports starting in pregnancy and continuing until children reach their second birthday. Studies in the US have shown that NFP significantly reduces child maltreatment and child behaviour problems, while also improving children's early learning and mother's economic self-sufficiency. Economic studies have also shown that the program pays for itself over the long-term. However, NFP has never been tested in Canada. Due to major differences in our populations and in our public services, we do not know whether NFP will show the same benefits here. We therefore plan to conduct a scientific evaluation of NFP's effectiveness in British Columbia (BC), in close collaboration with the BC government and BC's Health Authorities. Using randomized-controlled trial methods, NFP's effectiveness will be specifically evaluated in comparison with existing perinatal services in BC regarding outcomes across three fundamental domains: 1) pregnancy and birth; 2) child health and development; and 3) maternal health and life course. Findings from this evaluation will be used to improve the NFP program - to better meet the needs of vulnerable young mothers and their children in BC.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- — 至 24 Years（Child, Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Aged 24 years or under
- •First Birth
- •Less than 27 weeks gestation
- •Competent to provide informed consent, including conversational competence in English
- •Experiencing socioeconomic disadvantage (must meet 5a or 5b):
- •5a. Aged 19 years or younger (eligible) 5b. Aged 20-24 (eligible if has TWO of the following):
- •Lone parent (is not married or living common-law, i.e., not living with the same person for more than one year)
- •Less than grade 12 (does not have BC's Dogwood certificate, General Education Development [GED] Credential or other diploma equivalent to grade 12; note that the Evergreen Certificate is not equivalent to grade 12)
- •Low income (based on answering "yes" to any ONE of the following)
- •5.3a. Do you receive income assistance (e.g., disability, social assistance, employment insurance, or BC Medical Services Plan Premium Assistance)?
- •5.3b. Do you find it very difficult to live on your total household income, particularly regarding food and rent?
- •5.3c. Do you live in a group home, shelter, or institutional facility (e.g., treatment center)?
排除标准
- •Planning to have the child adopted
- •Planning to leave the NFP catchment area (for three months or longer)
结局指标
主要结局
Average number of childhood injuries
时间窗: 2, 10, 18 and 24 months postpartum
The average number of physician/health care provider encounters per child for injuries (intentional or unintentional), measured in community/outpatient, emergency room (ER) and hospital settings, from birth through 24 months postpartum
次要结局
- Child development(24 months postpartum)
- Child mental health(24 months postpartum)
- Prenatal substance use(Baseline (before 28 weeks gestation), 34-36 weeks gestation)
- Maternal life course(2, 10, 18 and 24 months postpartum)
研究者
Dr. Charlotte Waddell
University Professor
Simon Fraser University