The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.
Implementation and randomized controlled trial evaluation of universal postnatal nurse home visiting.
Open accessAbstract
OBJECTIVES: We evaluated whether a brief, universal, postnatal nurse home-visiting intervention can be implemented with high penetration and fidelity, prevent emergency health care services, and promote positive parenting by infant age 6 months. METHODS: Durham Connects is a manualized 4- to 7-session program to assess family needs and connect parents with community resources to improve infant health and well-being. All 4777 resident births in Durham, North Carolina, between July 1, 2009, and December 31, 2010, were randomly assigned to intervention and control conditions. A random, representative subset of 549 families received blinded interviews for impact evaluation. RESULTS: Of all families, 80% initiated participation; adherence was 84%. Hospital records indicated that Durham Connects infants had 59% fewer infant emergency medical care episodes than did control infants. Durham Connects mothers reported fewer infant emergency care episodes and more community connections, more positive parenting behaviors, participation in higher quality out-of-home child care, and lower rates of anxiety than control mothers. Blinded observers reported higher quality home environments for Durham Connects than for control families. CONCLUSIONS: A brief universal home-visiting program implemented with high penetration and fidelity can lower costly emergency medical care and improve family outcomes.
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Metadata
- Authors
- Dodge, K. A., Goodman, W. B., Murphy, R. A., O’Donnell, K., Sato, J., & Guptill, S.
- Affiliations
- Duke University (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2014-02
- Volume
- 104
- Issue
- S1
- Pages
- S136-S143
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC4011097
- OpenAlex
- W2135184989
- Cited by
- 181
- References
- 27
- Citations by year
- 2026: 7 · 2025: 12 · 2024: 12 · 2023: 10 · 2022: 40 · 2021: 19 · 2020: 12 · 2019: 18 · 2018: 16 · 2017: 7 · 2016: 12 · 2015: 2 · 2014: 8
- FWCI
- 16.22
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DukeSpace (Duke University) (submittedVersion)
- Funders
- Duke Endowment
- National Institute on Drug Abuse (K05 DA-15226, P30DA023026, K05DA015226)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD069981)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- positive parenting, out-of-home child care, maternal anxiety, home environment quality, implementation fidelity, low-income households, infant health
- MeSH terms
- Adult, Emergency Medical Services, Female, Humans, Infant, Infant Welfare, Male, Postnatal Care, Surveys and Questionnaires, Program Evaluation, Parenting, Program Development, Home Health Nursing
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