Northwell Health Visits: A Family Connects Pilot Implementation at Northwell Health
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 840
- 试验地点
- 2
- 主要终点
- Mother Emergency Room Presentation Rates
研究概览
简要总结
Northwell Health Visits (NHV) is a three year pilot replication of the evidence-based model, Family Connects, which is a brief universal Nurse Practitioner home visiting program for new mothers and their infants. We seek to compare outcomes among mothers and infants enrolled in the NHV enhanced intervention arm, those enrolled in the NHV screening-only arm, and those in the control arm. NHV will follow a three- armed randomized control trial design.
详细描述
Northwell Health Visits (NHV) is based on Family Connects (formerly Durham Connects), which is a short-term, universal, inexpensive postnatal nurse home visiting program designed to provide brief parenting intervention and to connect families with community resources based on individualized assessments of family needs. The intervention was found to reduce the number of infant emergency medical care episodes and rates of anxiety in mothers, as well as increase community connection, positive parenting behaviors, participation in higher quality out-of-home child care when implemented in Durham, so we are looking to replicate these outcomes. We are adapting the model to serve the local population that is served by Northwell Health - Katz Women's Hospital at Long Island Jewish (LIJ) Medical Center, to see if increasing services in and around discharge is more useful for mothers and infants, and improves outcomes for infants. The focus is of early intervention (education and support by Nurse Practitioner), and connection to community agencies, in order to: reduce healthcare costs, decrease the rate of mothers and infants Potentially Preventable Emergency Room Visits (PPVs), adhere to well-baby care and mother's postpartum care schedules, improve family functioning, strengthen family partnerships and well-being, reduce necessary reports to child protective services, improve mental and physical health outcomes of mothers and infants within the first six months of life.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Double (Investigator, Outcomes Assessor)
盲法说明
Principal Investigator, Co-Investigator and Outcomes Assessors are Masked
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Infant Born at Katz Women's Hospital at Long Island Jewish (LIJ) Medical Center
- •Mother Age 18 years or older
- •Mother who has delivered a single live born normal infant, vaginally or by cesarean section
- •Mother Primary Language Spoken is English
排除标准
- •Loss of Pregnancy
- •Fetal demise
- •No health insurance
- •Infant in neonatal intensive care unit
结局指标
主要结局
Mother Emergency Room Presentation Rates
时间窗: Program enrollment until 24 months postnatal.
As reported in hospital administrative records and self report.
Mother Hospital Admissions
时间窗: Program enrollment until 24 months postnatal.
As reported in hospital administrative records and self report.
Child Emergency Room Presentation Rates
时间窗: Program enrollment until 24 months of Child Age.
As reported in hospital administrative records and reported by parent.
Child Hospital Admissions
时间窗: Program enrollment until 24 months postnatal.
As reported in hospital administrative records and reported by parent.
次要结局
- Family Connections to Community Services/Resources(Program enrollment until 7 months postnatal.)
- Mother parenting behaviors(Program enrollment until 24 months postnatal.)
- Mother Mental Health - Anxiety Rates(Program enrollment until 24 months postnatal.)
- Child Postnatal Well-Care Compliance Rates(Program enrollment until 24 months postnatal.)
- Mother Postnatal Well-Care Compliance Rates(Program enrollment until 24 months postnatal.)
- Mother alcohol and other drug abuse(Program enrollment until 24 months postnatal.)
- Family Violence(Program enrollment until 24 months postnatal.)
- Mother Mental Health - Depression Rates(Program enrollment until 24 months postnatal.)