Women's Reasons for Attrition from a Nurse Home Visiting Program
Open accessAbstract
Objective To describe mothers' reasons for leaving a home visiting program early.Design Qualitative descriptive study using semistructured interviews of mothers who dropped out of the Nurse-Family Partnership (NFP) and two focus groups with nurses and nurse supervisors at an NFP site.Setting A New York State site of a NFP home visitation program for low-income new mothers designed to improve the physical and emotional care of children.Participants Participants included 21 mothers, 8 nurses, and 3 nurse-supervisors.Methods Semistructured interviews and focus groups were used to collect data, which were analyzed using content analysis.Results The program was not perceived to fit a mother's needs when she was overwhelmed with other responsibilities, the nurse did not meet her expectations, the content was not of interest, or the mother did not desire visits after the infant was born. Nurses and mothers described the need for mothers to have organizational and communication skills, such as keeping track of appointments, calling to reschedule, articulating needs, and asking for assistance. Disruptive external influences included nurse turnover and unstable living situations, including frequent moves and crowded housing. Each of these types of barriers had potential to interact with the others, creating complex combinations of challenges to retention.Conclusion NFP retention might be improved by reframing program relevance to individual mothers and increasing maternal organizational and communication skill development.
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In the Nurse Family Partnership program, only 35% to 40% of families remained engaged throughout the entire program.
“For example, in the Nurse Family Partnership program, implemented across various regions of the United States and internationally, only 35% to 40% of families remained engaged throughout the entire program [22].”
From Motherhood in adolescence: a qualitative study of the lived experience of participants in a perinatal home-visiting intervention (2026) · cites this paper as [22]
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The qualitative content analysis process
Elo, S., & Kyngäs, H. (2008) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2007.04569.x · Cited by 22,617 · see citing works
Olds, D. L. (1997) · JAMA · doi:10.1001/jama.1997.03550080047038 · Cited by 1,372 · see citing works
Preventing Child Abuse and Neglect: A Randomized Trial of Nurse Home Visitation
Olds, D. L., Henderson, C. R., Chamberlin, R., & Tatelbaum, R. (1986) · Pediatrics · doi:10.1542/peds.78.1.65 · Cited by 947 · see citing works
Family experience of barriers to treatment and premature termination from child therapy.
Kazdin, A. E., Holland, L., & Crowley, M. J. P. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.65.3.453 · Cited by 721 · see citing works
Olds, D. L., Henderson, C., Tatelbaum, R. C., & Chamberlin, R. W. (1986) · PEDIATRICS · doi:10.1542/peds.77.1.16 · Cited by 593 · see citing works
Family experience of barriers to treatment and premature termination from child therapy.
Kazdin, A. E., Holland, L., & Crowley, M. J. P. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.65.3.453 · Cited by 548 · see citing works
Surén, P., Roth, C., Bresnahan, M., Haugen, M., Hornig, M., Hirtz, D., Lie, K. K., Lipkin, W. I., Magnus, P., Reichborn-Kjennerud, T., et al. (2013) · JAMA · doi:10.1001/jama.2012.155925 · Cited by 537 · see citing works
Prenatal and infancy home visiting by nurses: From randomized trials to community replication
Olds, D. L. (2002) · Prevention Science · doi:10.1023/a:1019990432161 · Cited by 490 · see citing works
Nock, M. K., & Ferriter, C. (2005) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-005-4753-0 · Cited by 454 · see citing works
Olds, D. L. (1997) · JAMA · doi:10.1001/jama.278.8.637 · Cited by 391 · see citing works
Enduring Effects of Prenatal and Infancy Home Visiting by Nurses on Children
Kitzman, H. J., Olds, D. L., Cole, R. E., Hanks, C. A., Anson, E. A., Arcoleo, K. J., Luckey, D. W., Knudtson, M. D., Henderson, C., & Holmberg, J. R. (2010) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpediatrics.2010.76 · Cited by 246 · see citing works
Self-citationGross, D. A., Julion, W. A., & Fogg, L. (2001) · Family Relations · doi:10.1111/j.1741-3729.2001.00246.x · Cited by 213 · see citing works
Kitzman, H. J., Olds, D. L., Sidora, K., Henderson, C., Hanks, C. A., Cole, R., Luckey, D. W., Bondy, J., Cole, K., & Glazner, J. A. (2000) · PubMed · doi:10.1001/jama.283.15.1983 · Cited by 209 · see citing works
Self-citationRaikes, H. H., Green, B. L., Atwater, J. B., Kisker, E. E., Constantine, J. M., & Chazan‐Cohen, R. (2006) · Early Childhood Research Quarterly · doi:10.1016/j.ecresq.2006.01.006 · Cited by 199 · see citing works
Effect of Prenatal and Infancy Nurse Home Visitation on Government Spending
Olds, D. L., Henderson, C., Phelps, C. E., Kitzman, H. J., & Hanks, C. A. (1993) · Medical Care · doi:10.1097/00005650-199302000-00006 · Cited by 183 · see citing works
Self-citationMeasuring participation in a prevention trial with parents of young children
Garvey, C., Julion, W. A., Fogg, L., Kratovil, A. L., & Gross, D. A. (2006) · Research in Nursing & Health · doi:10.1002/nur.20127 · Cited by 179 · see citing works
Predictors of Client Engagement and Attrition in Home-Based Child Maltreatment Prevention Services
Damashek, A. L., Doughty, D. E., Ware, L. M., & Silovsky, J. F. (2010) · Child Maltreatment · doi:10.1177/1077559510388507 · Cited by 142 · see citing works
Mixed Methods Analysis of Participant Attrition in the Nurse-Family Partnership
O’Brien, R. A., Moritz, P., Luckey, D. W., McClatchey, M. W., Ingoldsby, E. M., & Olds, D. L. (2012) · Prevention Science · doi:10.1007/s11121-012-0287-0 · Cited by 123 · see citing works
Predictors of Early Engagement in Home Visitation
Ammerman, R. T., Stevens, J. H., Putnam, F. W., et al. (2006) · Journal of Family Violence · doi:10.1007/s10896-005-9009-8 · Cited by 76 · see citing works
Olds, D. L., Pettitt, L. M., Robinson, J. L., Henderson, C., Eckenrode, J. J., Kitzman, H. J., Cole, B., & Powers, J. L. (1998) · Journal of Community Psychology · doi:10.1002/(sici)1520-6629(199801)26:1 · Cited by 69 · see citing works
Self-citationIngoldsby, E. M., Baca, P., McClatchey, M. W., Luckey, D. W., Ramsey, M., Loch, J. M., Lewis, J., Blackaby, T. S., Petrini, M. B., Smith, B. J., et al. (2013) · Prevention Science · doi:10.1007/s11121-013-0410-x · Cited by 49 · see citing works
Attride-Stirling, J., Davis, H., Farrell, L., Groark, C., & Day, C. (2004) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104504043918 · Cited by 43 · see citing works
Wagner, M. M., Spiker, D., Gerlach-Downie, S., et al. (2000) · Cited by 26 · see citing works
Eckenrode, J., Campa, M., Luckey, D. W., Henderson, C. R., Cole, R., Kitzman, H., Anson, E., Sidora-Arcoleo, K., Powers, J., & Olds, D. (2010) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpediatrics.2009.240 · Cited by 17 · see citing works
Self-citationO’Brien, R. A., & Baca, R. P. (1997) · Journal of Community Psychology · doi:10.1002/(sici)1520-6629(199701)25:1 · Cited by 13 · see citing works
Flagged first, then by citations
Research works printed but not linked: 3
- Kitzman HJ Cole R Yoos HL Olds DL Challenges experienced by home visitors: A qualitative study of program implementation Journal of Community Psychology 1997 25 95 109
- Korfmacher J Kitzman HJ Olds DL Intervention processes as predictors of outcomes in a preventive home-visitation program Journal of Community Psychology 1998 26 49 64
- Olds DL Korfmacher J Maternal psychological characteristics as influences on home visitation contact Journal of Community Psychology 1998 26 23 36
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Chou, D. T., Neto, E. A., Fracolli, L. A., Fatori, D., Becker, N., Caye, A., Soares, V. N., Osorio, A. A. C., Guimarães-Fernandes, F., Polanczyk, G. V., et al. (2026) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-026-01039-y
“For example, in the Nurse Family Partnership program, implemented across various regions of the United States and internationally, only 35% to 40% of families remained engaged throughout the entire program [22].”
- Authors
- Holland, M. L., Christensen, J. J., Shone, L. P., Kearney, M. H., & Kitzman, H. J.
- Affiliations
- Yale University (US)
- University of Rochester Medicine (US)
- Corresponding author
- Holland, Margaret L.
- Venue
- Journal of Obstetric, Gynecologic & Neonatal Nursing
- Publisher
- Elsevier BV
- Published
- 2014-01
- Volume
- 43
- Issue
- 1
- Pages
- 61-70
- ISSN
- 0090-0311 (ISSN-L)
- 0884-2175
- PMC
- PMC4560239
- OpenAlex
- W2130161868
- Cited by
- 58
- References
- 25
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 7 · 2023: 2 · 2022: 5 · 2021: 5 · 2020: 5 · 2019: 7 · 2018: 6 · 2017: 7 · 2016: 3 · 2015: 1 · 2014: 3
- FWCI
- 4.20
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Obstetric, Gynecologic & Neonatal Nursing (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- University of Rochester
- Israel National Road Safety Authority (T32 PE12002)
- Topics
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
- Keywords
- Nurse-Family Partnership, program attrition, participant retention, home visits, low-income mothers, nurse-mother relationship, nurse turnover, housing instability, barriers to retention, maternal needs
- MeSH terms
- Adolescent, Adult, Female, Home Care Services, Humans, Infant, Mothers, Nurse-Patient Relations, Nurses, Postnatal Care, Treatment Refusal, Focus Groups, Needs Assessment, Qualitative Research, Refusal to Participate, Home Health Nursing
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