Navigation Links
Home visiting program for first-time moms may be struggling to reduce serious injuries to children
Date:12/12/2012

New research from PolicyLab at The Children's Hospital of Philadelphia shows that one of the nation's largest programs providing home visitation support for at-risk mothers and children may not be as successful in reducing early childhood injuries as it was in earlier evaluations. The researchers evaluated the Nurse-Family Partnership (NFP) over seven years of widespread implementation in Pennsylvania and found that children served by the program had no fewer injuries than children in comparable families not enrolled in the programand in some less serious cases, had higher injury rates. The results of the study are published in the current issue of Maternal Child Health Journal.

"A lot of evidence for the home visitation program had shown positive outcomes for mothers and children within the targeted geographic areas of randomized clinical trials," said David Rubin, MD, MSCE, co-director of PolicyLab and one of the study's authors. "Our research has previously reported on continued effectiveness for some of these outcomes as the service area grew larger, such as reducing rapid-succession second pregnancies and smoking among mothers. However, regrettably, this study failed to demonstrate the program's previous success in preventing child injuries."

The current peer-reviewed evaluation found that nearly one-third of the families served by NFP in Pennsylvania had emergency room visits for injuries to children from birth through the second birthday, a rate 12% greater than for families not enrolled in the program.

"We should not be surprised that there have been some bumps in the road as we increase the scale of home visiting programs. This research highlights the need to continue evaluating these programs after they have been implemented in communities," said the study's lead researcher Meredith Matone, MHS." Evaluation should focus on identifying local barriers that may be undermining a program's success. By identifying these barriers, we can foster smarter programs that are better equipped to serve families in diverse communities."

"This study points to an important lesson as states expand home visiting," said Libby Doggett, director of Pew's Home Visiting Campaign. "It's critical that programs monitor and evaluate, and use that data to constantly improve the services they provide."

The study authors stress that as programs like NFP achieve increased public funding, policymakers and program managers must allocate sufficient resources for effective program evaluation and quality improvement initiatives to ensure that programs respond quickly to challenges at the local level.

"This kind of study has its limitations, which the authors note in their paper. However, the PolicyLab findings were sufficiently important for us to take action to improve our implementation of the NFP as it is spread to new communities throughout the country," said NFP President and CEO Thomas R. Jenkins Jr. "The findings from PolicyLab's study over the past year have led us to add new training for nurses to enhance their effect on reducing serious childhood injuries among the families they serve. This adds to our ongoing continuous quality improvement work using thorough data collection and analysis. "


'/>"/>
Contact: Dana Mortensen
mortensen@email.chop.edu
267-426-6092
Children's Hospital of Philadelphia
Source:Eurekalert

Related medicine news :

1. Screening programs detect cases of undiagnosed rheumatic heart disease in low-resource countries
2. Ivy Neurological Sciences Internship program funded at TGen
3. Brief training program improves resident physicians empathy with patients
4. Southeast program to fight diabetes awarded nearly $10 million by HHS
5. Program to coordinate regional systems to speed heart attack care
6. Fewer prostate cancer surgery complications found in teaching hospitals with fellowship programs
7. UC San Diego Superfund Research Program receives $15 million grant renewal
8. UCLA launches first face transplantation program in western US
9. Rutgers leads effort to replicate care management programs in 4 U.S. cities
10. Steffi Nossen School of Dance Gears Up for Summer with Exciting Programming for All Ages
11. Coronary rehabilitation programs in Europe are underused
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/27/2016)... ... ... TherapySites, the leading website and online marketing ... Association. This new relationship allows TherapySites to continue to extend their online ... and promotional offers. , "TCA is extremely excited about this new partnership, as ...
(Date:6/27/2016)... ... June 27, 2016 , ... TopConsumerReviews.com recently awarded their highest five-star rating to ... of individuals in the United States and Canada wear eyeglasses. Once considered to be ... vision and make a fashion statement. Even celebrities use glasses as a way of ...
(Date:6/26/2016)... ... ... Pixel Film Studios Released ProSlice Levels, a Media Slicing Effect Plugin ... whole new perspective by using the title layers in ProSlice Levels to split-up ... Levels contains over 30 Different presets to choose from. FCPX users can ...
(Date:6/26/2016)... ... June 26, 2016 , ... Many women are ... with endometriosis. These women need a treatment plan to not only alleviate symptoms ... can help for preservation of fertility and ultimately achieving a pregnancy. The specialists ...
(Date:6/25/2016)... ... ... temporary closing of Bruton Memorial Library on June 21 due to a possible lice infestation, ... aspect of head lice: the parasite’s ability to live away from a human host, and ... necessary one in the event that lice have simply gotten out of control. , As ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , June 23, 2016 Roche (SIX: ... 510(k) clearance for its Elecsys BRAHMS PCT (procalcitonin) assay ... sepsis or septic shock. With this clearance, Roche is ... a fully integrated solution for sepsis risk assessment and ... with bacterial infection and PCT levels in blood can ...
(Date:6/23/2016)... , June 23, 2016 Bracket , ... launch its next generation clinical outcomes platform, Bracket eCOA (SM) ... held on June 26 – 30, 2016 in ... first electronic Clinical Outcome Assessment product of its kind to ... #715. Bracket eCOA 6.0 is a flexible platform ...
(Date:6/23/2016)... LONDON , June 23, 2016 ... environments  Oticon , industry leaders in ... the launch of Oticon Opn ™, the world,s ... world of possibilities for IoT devices.      ... Opn, Oticon introduces a number of ,world firsts,: ...
Breaking Medicine Technology: