The Prenatal/Early Infancy Project: An Adolescent Follow-up
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 629
- 主要终点
- Timing of Subsequent Births - Mothers
研究概览
简要总结
The Nurse-Family Partnership, a program of prenatal and infancy home visiting by nurses, has been examined in a series of 3 randomized trials since 1977. It has received considerable attention in the scientific and public policy communities for its replicated effects on a variety of maternal and child health outcomes across these 3 trials, including prenatal health, childhood injuries, rates of subsequent pregnancies, inter-birth intervals, as well as its long-term effects on maternal life-course, criminal behavior, and 15-year-olds' criminal and antisocial behavior in the first trial of the program conducted in Elmira, New York.
详细描述
Although this program produced positive effects on maternal and child health from pregnancy through the child's fourth year of life, its long-term effects remain unexamined. The current study was conducted to determine the extent to which the beneficial effects of the program set in motion early in the life cycle altered the life-course trajectories of the mothers and the children's adaptive functioning through the first child's 15th birthday. This study examines the long-term effects of the program on two domains of maternal functioning: 1) maternal life course (subsequent children, use of welfare, employment, substance abuse, and encounters with the criminal justice system); and 2) perpetration of child abuse and neglect; and two domains of the children's behavior: 1) their functioning in schools, and 2) their criminal and antisocial behavior. The investigators hypothesized that the program effects in these domains of maternal and child functioning, as in earlier phases of the study, would be greater for families in which the mothers experienced a larger number of chronic stressors and had fewer resources to manage the challenges of living in poverty and being a parent.
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 (Outcomes Assessor)
盲法说明
Assessors were not given access to the participants' original treatment assignments
入排标准
- 年龄范围
- 15 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Must be offspring of mothers who enrolled in Elmira randomized clinical trial of the Nurse-Family Partnership (known as the Prenatal Early Infancy Project) -
排除标准
- 未提供
研究组 & 干预措施
Developmental Screening
Participants received sensory and developmental screening and referral for further evaluation and treatment of suspected problems at 12 and 24 months of age.
干预措施: Developmental Screening (Behavioral)
Screening plus Transportation
Participants received sensory and developmental screening and referral for further evaluation and treatment of suspected problems at 12 and 24 months of age; their mothers received free transportation for regular prenatal and well-child care (through child age two).
干预措施: Developmental Screening (Behavioral)
Screening plus Transportation
Participants received sensory and developmental screening and referral for further evaluation and treatment of suspected problems at 12 and 24 months of age; their mothers received free transportation for regular prenatal and well-child care (through child age two).
干预措施: Screening plus Transportation (Behavioral)
Screening, Transport, Prenatal Visits
Participants received sensory and developmental screening and referral for further evaluation and treatment of suspected problems at 12 and 24 months of age; their mothers received free transportation for regular prenatal and well-child care (through child age two), plus nurse home visiting during pregnancy.
干预措施: Developmental Screening (Behavioral)
Screening, Transport, Prenatal Visits
Participants received sensory and developmental screening and referral for further evaluation and treatment of suspected problems at 12 and 24 months of age; their mothers received free transportation for regular prenatal and well-child care (through child age two), plus nurse home visiting during pregnancy.
干预措施: Screening plus Transportation (Behavioral)
Screening, Transport, Prenatal Visits
Participants received sensory and developmental screening and referral for further evaluation and treatment of suspected problems at 12 and 24 months of age; their mothers received free transportation for regular prenatal and well-child care (through child age two), plus nurse home visiting during pregnancy.
干预措施: Screening, Transport, Prenatal Visits (Behavioral)
Screen, Transport, Prenatal/Inf Visits
Participants received regular sensory and developmental screening and referral for further evaluation and treatment of suspected problems at 12 and 24 months of age; their mothers received free transportation for regular prenatal and well-child care (through child age two), plus nurse home visiting during pregnancy and through child age two.
干预措施: Developmental Screening (Behavioral)
Screen, Transport, Prenatal/Inf Visits
Participants received regular sensory and developmental screening and referral for further evaluation and treatment of suspected problems at 12 and 24 months of age; their mothers received free transportation for regular prenatal and well-child care (through child age two), plus nurse home visiting during pregnancy and through child age two.
干预措施: Screening plus Transportation (Behavioral)
Screen, Transport, Prenatal/Inf Visits
Participants received regular sensory and developmental screening and referral for further evaluation and treatment of suspected problems at 12 and 24 months of age; their mothers received free transportation for regular prenatal and well-child care (through child age two), plus nurse home visiting during pregnancy and through child age two.
干预措施: Screening, Transport, Prenatal Visits (Behavioral)
Screen, Transport, Prenatal/Inf Visits
Participants received regular sensory and developmental screening and referral for further evaluation and treatment of suspected problems at 12 and 24 months of age; their mothers received free transportation for regular prenatal and well-child care (through child age two), plus nurse home visiting during pregnancy and through child age two.
干预措施: Screen, Transport, Prenatal/Inf Visits (Behavioral)
结局指标
主要结局
Timing of Subsequent Births - Mothers
时间窗: 15 years following birth of first child
Interval in days between birth date of first child and first subsequent child (self-reported)
Months Received Aid to Families with Dependent Children (AFDC) - Mothers
时间窗: 15-year interval following birth of first child
Number of months mother received AFDC (self-reported)
Number of Months Employed - Mothers
时间窗: 15-year interval following birth of first child
Number of months employed (self-reported)
Substance Abuse - Mothers
时间窗: 15-year period following birth of first child
Count of behavioral impairments due to use of substances (self-reported)
Arrests - Mothers
时间窗: 15-year interval following birth of first child
Count of arrests (self-reported)
Child Maltreatment Reports - Mothers
时间窗: 15-year interval following birth of first child
Count of substantiated reports of child abuse and neglect in which mother was perpetrator (review of records)
Running Away from Home - Children
时间窗: 15-year interval following birth of first child
Count of times ran away from home - self-report
Person in Need of Supervision (PIN) - Children
时间窗: 15-year period following their birth
Self report of ever having been adjudicated as a PIN
Arrests - Children
时间窗: 15-year period following birth
Count of Arrests - self-report
次要结局
未报告次要终点