Role of home visiting in improving parenting and health in families at risk of abuse and neglect: results of a multicentre randomised controlled trial and economic evaluation

Barlow, Jane; Davis, Hilton; McIntosh, Emma; Jarrett, Patricia; Mockford, Carole; Stewart-Brown, Sarah
March 2007
Archives of Disease in Childhood;Mar2007, Vol. 92 Issue 3, p229
Academic Journal
Objectives: To evaluate the effectiveness and cost effectiveness of an intensive home visiting programme in improving outcomes for vulnerable families. Design: Multicentre randomised controlled trial in which eligible women were allocated to receive home visiting (n = 67) or standard services (n = 64). Incremental cost analysis. Setting: 40 general practitioner practices across 2 counties in the UK. Participants: 131 vulnerable pregnant women. Intervention: Selected health visitors were trained in the Family Partnership Model to provide a weekly home visiting service from 6 months antenatally to 12 months postnatally. Main outcome measures: Mother-child interaction, maternal psychological health attitudes and behaviour, infant functioning and development, and risk of neglect or abuse. Results: At 12 months, differences favouring the home-visited group were observed on an independent assessment of maternal sensitivity (p<0.04) and infant cooperativeness (p<0.02). No differences were identified on any other measures. A non-significant increase in the likelihood of intervention group infants being the subject of child protection proceedings, or being removed from the home, and one death in the control group were found. The mean incremental cost per infant of the home visiting intervention was £3246 (bootstrapped 95% CI for the difference £1645–4803). Conclusion: This intervention may have the potential to improve parenting and increase the identification of infants at risk of abuse and neglect in vulnerable families. Further investigation is needed, along with long-term follow-up to assess possible sleeper effects.


Related Articles

  • Adapting and retesting evidence-based child maltreatment prevention programs: a case study in Canada. Mikton, Christopher // Health Promotion & Chronic Disease Prevention in Canada: Researc;Oct/Nov2015, Vol. 35 Issue 8/9, p168 

    The article presents a case study on the effectiveness of the Nurse-Family Partnership (NFP), a nurse home-visit program developed in the U.S., in addressing the problem of child maltreatment in Canada. The results of three randomized controlled trials on the effectiveness and cross-cultural...

  • The Nurse--Family Partnership: evidence-based public health in response to child maltreatment. Tonmyr, Lil // Health Promotion & Chronic Disease Prevention in Canada: Researc;Oct/Nov2015, Vol. 35 Issue 8/9, p141 

    An introduction is presented in which the editor discusses various reports within the issue on topics including the prevention of child maltreatment in Canada, the effectiveness of the Nurse-Family Partnership nurse home-visit program and the community care providers' perspectives on the program.

  • `Big Mother' Wants Your Kids. Elvin, John // Insight on the News;08/02/99, Vol. 15 Issue 28, p35 

    Discusses home visitations conducted by the Prevent Child Abuse America. Aim of the home visitations; Ways to combat resistance to home visitations; Activities of adherents of federal control of children.

  • Multidimensional Preventive Home Visit Programs for Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Huss, Anke; Stuck, Andreas E.; Rubenstein, Laurence Z.; Egger, Matthias; Clough-Gorr, Kerri M. // Journals of Gerontology Series A: Biological Sciences & Medical ;Mar2008, Vol. 63 Issue 3, p298 

    Background. Multidimensional preventive home visit programs aim at maintaining health and autonomy of older adults and preventing disability and subsequent nursing home admission, but results of randomized controlled trials (RCTs) have been inconsistent. Our objective was to systematically...

  • Patient and provider perspectives on home telecare: preliminary results from a randomized controlled trial. Mair, F. S.; Goldstein, P.; May, C.; Angus, R.; Shiels, C.; Hibbert, D.; O'Connor, J.; Boland, A.; Roberts, C.; Haycox, A.; Capewell, S. // Journal of Telemedicine & Telecare;Aug2005 Supplement 1, Vol. 11, p95 

    A randomized controlled trial of home telecare for the management of acute exacerbations of chronic obstructive pulmonary disease has been undertaken in the north-west of England. A videophone was used that communicates via the ordinary telephone network. The intervention period for each...

  • Effects of home visits by home nurses to elderly people with health problems: design of a randomised clinical trial in the Netherlands [ISRCTN92017183]. Nicolaides-Bouman, Ans; Van Rossum, Erik; Kempen, Gertrudis I. J. M.; Knipschild, Paul // BMC Health Services Research;2004, Vol. 4, p35 

    Background: Preventive home visits to elderly people by public health nurses aim to maintain or improve the functional status of elderly and reduce the use of institutional care services. A number of trials that investigated the effects of home visits show positive results, but others do not....

  • Feasibility and results of a randomised pilot-study of pre-discharge occupational therapy home visits. Lannin&, Natasha Anne; Clemson, Lindy; McCluskey, Annie; Chung-Wei Christine Lin; Cameron, Ian D.; Barras, Sarah // BMC Health Services Research;2007, Vol. 7, p42 

    Background: Pre-discharge home visits aim to maximise independence in the community. These visits involve assessment of a person in their own home prior to discharge from hospital, typically by an occupational therapist. The therapist may provide equipment, adapt the home environment and/or...

  • Research and Early Childhood: The Home Start Project. Scott, Ralph // Child Welfare;Feb74, Vol. 53 Issue 2, p112 

    An experiment in early intervention to promote learning in deprived children provided enrichment on a multidiscipline basis. Postprogram tests shed light on the nature of gains. The research was supported in part by grants from the Department of Health, Education and Welfare...

  • Preventing child maltreatment: An evidence-based update. Gonzalez, A.; MacMillan, H. L. // Journal of Postgraduate Medicine;Oct-Dec2008, Vol. 54 Issue 4, p280 

    Child maltreatment is a significant public health problem associated with a broad range of negative outcomes in children and adolescents that can extend into adulthood. This review summarizes information about programs aimed at the prevention of child maltreatment evaluated by controlled trials,...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics