Quasi-Experimental Pilot Study of Intervention to Increase Participant Retention and Completed Home Visits in the Nurse–Family Partnership

We evaluated an intervention to increase participant retention and engagement in community practice settings of the Nurse–Family Partnership (NFP), an evidence-based program of nurse home visiting for low-income, first-time parents. Using a quasi-experimental design (6 intervention and 11 control si...

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Veröffentlicht in:Prevention science 2013-12, Vol.14 (6), p.525-534
Hauptverfasser: Ingoldsby, Erin M., Baca, Pilar, McClatchey, Maureen W., Luckey, Dennis W., Ramsey, Mildred O., Loch, Joan M., Lewis, Jan, Blackaby, Terrie S., Petrini, Mary B., Smith, Bobbie J., McHale, Mollie, Perhacs, Marianne, Olds, David L.
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container_end_page 534
container_issue 6
container_start_page 525
container_title Prevention science
container_volume 14
creator Ingoldsby, Erin M.
Baca, Pilar
McClatchey, Maureen W.
Luckey, Dennis W.
Ramsey, Mildred O.
Loch, Joan M.
Lewis, Jan
Blackaby, Terrie S.
Petrini, Mary B.
Smith, Bobbie J.
McHale, Mollie
Perhacs, Marianne
Olds, David L.
description We evaluated an intervention to increase participant retention and engagement in community practice settings of the Nurse–Family Partnership (NFP), an evidence-based program of nurse home visiting for low-income, first-time parents. Using a quasi-experimental design (6 intervention and 11 control sites that delivered the NFP), we compared intervention and control sites on retention and number of completed home visits during a 10-month period after the intervention was initiated. Nurses at the five intervention sites were guided in tailoring the frequency, duration, and content of the visits to participants’ needs. NFP nurses at the control sites delivered the program as usual. At the intervention sites, participant retention and completed home visits increased from the pre-intervention to intervention periods, while at the control sites, these outcomes decreased from the pre-intervention to intervention periods, leading to a significant intervention–control difference in change in participant retention (hazard ratio, 0.42; p  = 0.015) and a 1.4 visit difference in change in completed home visits ( p  
doi_str_mv 10.1007/s11121-013-0410-x
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Using a quasi-experimental design (6 intervention and 11 control sites that delivered the NFP), we compared intervention and control sites on retention and number of completed home visits during a 10-month period after the intervention was initiated. Nurses at the five intervention sites were guided in tailoring the frequency, duration, and content of the visits to participants’ needs. NFP nurses at the control sites delivered the program as usual. At the intervention sites, participant retention and completed home visits increased from the pre-intervention to intervention periods, while at the control sites, these outcomes decreased from the pre-intervention to intervention periods, leading to a significant intervention–control difference in change in participant retention (hazard ratio, 0.42; p  = 0.015) and a 1.4 visit difference in change in completed home visits ( p  &lt; 0.001, ES = 0.36). We conclude that training nurse home visitors to promote adaptation of program dosage and content to meet families’ needs shows promise as a way to improve participant retention and completed home visits.</description><identifier>ISSN: 1389-4986</identifier><identifier>EISSN: 1573-6695</identifier><identifier>DOI: 10.1007/s11121-013-0410-x</identifier><identifier>PMID: 23832657</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Biological and medical sciences ; Child and School Psychology ; Childrens health ; Families &amp; family life ; Female ; General aspects ; Health participants ; Health Psychology ; Health services ; Home ; House Calls ; Humans ; Infancy ; Intervention ; Maternal &amp; child health ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Nurse-Patient Relations ; Nurses ; Parents ; Pilot Projects ; Planification. Prevention (methods). Intervention. 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We conclude that training nurse home visitors to promote adaptation of program dosage and content to meet families’ needs shows promise as a way to improve participant retention and completed home visits.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Child and School Psychology</subject><subject>Childrens health</subject><subject>Families &amp; family life</subject><subject>Female</subject><subject>General aspects</subject><subject>Health participants</subject><subject>Health Psychology</subject><subject>Health services</subject><subject>Home</subject><subject>House Calls</subject><subject>Humans</subject><subject>Infancy</subject><subject>Intervention</subject><subject>Maternal &amp; child health</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Nurse-Patient Relations</subject><subject>Nurses</subject><subject>Parents</subject><subject>Pilot Projects</subject><subject>Planification. 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Using a quasi-experimental design (6 intervention and 11 control sites that delivered the NFP), we compared intervention and control sites on retention and number of completed home visits during a 10-month period after the intervention was initiated. Nurses at the five intervention sites were guided in tailoring the frequency, duration, and content of the visits to participants’ needs. NFP nurses at the control sites delivered the program as usual. At the intervention sites, participant retention and completed home visits increased from the pre-intervention to intervention periods, while at the control sites, these outcomes decreased from the pre-intervention to intervention periods, leading to a significant intervention–control difference in change in participant retention (hazard ratio, 0.42; p  = 0.015) and a 1.4 visit difference in change in completed home visits ( p  &lt; 0.001, ES = 0.36). We conclude that training nurse home visitors to promote adaptation of program dosage and content to meet families’ needs shows promise as a way to improve participant retention and completed home visits.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>23832657</pmid><doi>10.1007/s11121-013-0410-x</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Biological and medical sciences
Child and School Psychology
Childrens health
Families & family life
Female
General aspects
Health participants
Health Psychology
Health services
Home
House Calls
Humans
Infancy
Intervention
Maternal & child health
Medical sciences
Medicine
Medicine & Public Health
Nurse-Patient Relations
Nurses
Parents
Pilot Projects
Planification. Prevention (methods). Intervention. Evaluation
Pregnancy
Prevention
Professional-Family Relations
Public Health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Retention
Womens health
Young Adult
title Quasi-Experimental Pilot Study of Intervention to Increase Participant Retention and Completed Home Visits in the Nurse–Family Partnership
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