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|Title:||Effectiveness of a 2-year post-natal nurse home-visiting programme when children are aged 5 years: results from a natural experiment|
|Citation:||Journal of Paediatrics and Child Health, 2019; 55(9):1091-1098|
|Publisher:||Wiley Online Library|
|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)|
|Appears in Collections:||Paediatrics publications|
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