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https://hdl.handle.net/2440/119317
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Type: | Journal article |
Title: | Effectiveness of a 2-year post-natal nurse home-visiting programme when children are aged 5 years: results from a natural experiment |
Author: | Sawyer, A.C.P. Kaim, A.L.E. Mittinity, M. Jeffs, D. Lynch, J.W. Sawyer, M.G. |
Citation: | Journal of Paediatrics and Child Health, 2019; 55(9):1091-1098 |
Publisher: | Wiley Online Library |
Issue Date: | 2019 |
ISSN: | 1034-4810 1440-1754 |
Statement of Responsibility: | Alyssa CP Sawyer, Amy LE Kaim, Murthy N Mittinity, Debra Jeffs, John W Lynch, Michael G Sawyer |
Abstract: | AIM:To evaluate the effect of a 2-year post-natal nurse home visiting (NHV) programme delivered in routine clinical practice to socially disadvantaged mothers on children's development at 5 years. METHODS:The study was a natural experiment resulting from progressive rollout of NHV (2008-2012). Children of three groups of mothers, all eligible for NHV, were compared: (i) mothers receiving NHV in a metropolitan region (n = 197); (ii) mothers in a rural region prior to NHV being available (n = 94); and (iii) mothers receiving NHV in the rural region after it became available (n = 84). Outcomes were evaluated using the Child Behaviour Checklist, Child-Parent Relationships Scale, Behaviour Inventory of Executive Functioning and Australian Early Development Index. RESULTS:Analyses were conducted using augmented inverse probability weighting accounting for differences in the groups' baseline characteristics. While some differences were observed in the range of 8-12% between the intervention and comparison groups (albeit with wide confidence intervals, e.g. 31% less likely to 4% more likely to be experiencing poor outcomes). For the majority of outcomes, however, there were no differences observed between the intervention and comparison groups. CONCLUSIONS:Post-natal NHV provided as a part of routine service delivery did not improve children's outcomes at 5 years. It may be that in the Australian context a NHV intervention, as offered in this study, does not provide additional benefits over standard care. |
Keywords: | early childhood mother nurse home visiting programme evaluation |
Description: | First published: 21 December 2018 |
Rights: | © 2018 Paediatrics and Child Health Division (The Royal Australasian College of Physicians) |
DOI: | 10.1111/jpc.14348 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/478115 |
Published version: | http://dx.doi.org/10.1111/jpc.14348 |
Appears in Collections: | Aurora harvest 4 Paediatrics publications |
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