The Prenatal/Early Infancy Project: An Adolescent Follow-up
- Conditions
- Behavior, Adaptive
- Interventions
- Behavioral: Developmental ScreeningBehavioral: Screening plus TransportationBehavioral: Screening, Transport, Prenatal VisitsBehavioral: Screen, Transport, Prenatal/Inf Visits
- Registration Number
- NCT03079752
- Lead Sponsor
- University of Colorado, Denver
- Brief Summary
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.
- Detailed Description
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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 629
Must be offspring of mothers who enrolled in Elmira randomized clinical trial of the Nurse-Family Partnership (known as the Prenatal Early Infancy Project) -
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Developmental Screening 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. Screen, Transport, Prenatal/Inf Visits 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. Screening plus Transportation 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; their mothers received free transportation for regular prenatal and well-child care (through child age two). Screen, Transport, Prenatal/Inf Visits Screening plus Transportation 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. Screen, Transport, Prenatal/Inf Visits Screening, Transport, Prenatal 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. Screening, Transport, Prenatal Visits 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; their mothers received free transportation for regular prenatal and well-child care (through child age two), plus nurse home visiting during pregnancy. Screening, Transport, Prenatal Visits 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. Screening plus Transportation 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). Screening, Transport, Prenatal Visits 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), plus nurse home visiting during pregnancy. Screen, Transport, Prenatal/Inf Visits Developmental Screening 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.
- Primary Outcome Measures
Name Time Method Timing of Subsequent Births - Mothers 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 15-year interval following birth of first child Number of months mother received AFDC (self-reported)
Number of Months Employed - Mothers 15-year interval following birth of first child Number of months employed (self-reported)
Substance Abuse - Mothers 15-year period following birth of first child Count of behavioral impairments due to use of substances (self-reported)
Arrests - Mothers 15-year interval following birth of first child Count of arrests (self-reported)
Child Maltreatment Reports - Mothers 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 15-year interval following birth of first child Count of times ran away from home - self-report
Person in Need of Supervision (PIN) - Children 15-year period following their birth Self report of ever having been adjudicated as a PIN
Arrests - Children 15-year period following birth Count of Arrests - self-report
- Secondary Outcome Measures
Name Time Method