Harriet Kitzman1, David L Olds2, Michael D Knudtson3, Robert Cole1, Elizabeth Anson1, Joyce A Smith1, Diana Fishbein4, Ralph DiClemente5, Gina Wingood6, Angela M Caliendo7, Christian Hopfer8, Ted Miller9, Gabriella Conti10. 1. School of Nursing, University of Rochester, Rochester, New York. 2. Departments of Pediatrics and david.olds@cuanschutz.edu. 3. Departments of Pediatrics and. 4. Edna Bennett Pierce Prevention Research Center, Pennsylvania State University, State College, Pennsylvania. 5. College of Global Public Health, New York University, New York, New York. 6. Mailman School of Public Health, Columbia University, New York, New York. 7. Warren Alpert Medical School, Brown University, Providence, Rhode Island. 8. Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, Colorado. 9. Pacific Institute for Research and Evaluation and School of Public Health, Curtin University, Beltsville, Maryland; and. 10. Departments of Economics and Social Science, University College London, London, United Kingdom.
Abstract
OBJECTIVES: Given earlier effects found in randomized clinical trials of the Nurse-Family Partnership, we examined whether this program would improve 18-year-old first-born youths' cognition, academic achievement, and behavior and whether effects on cognitive-related outcomes would be greater for youth born to mothers with limited psychological resources (LPR) and on arrests and convictions among females. METHODS: We enrolled 742 pregnant, low-income women with no previous live births and randomly assigned them to receive either free transportation for prenatal care plus child development screening and referral (control; n = 514) or prenatal and infant home nurse visit (NV) plus transportation and screening (n = 228). Assessments were completed on 629 18-year-old first-born offspring to evaluate these primary outcomes: (1) cognitive-related abilities (nonverbal intelligence, receptive language, and math achievement) and (2) behavioral health (internalizing behavioral problems, substance use and abuse, sexually transmitted infections, HIV risk, arrests, convictions, and gang membership). RESULTS: Compared with control-group counterparts, NV youth born to mothers with LPR had better receptive language (effect size = 0.24; 95% confidence interval [CI]: 0.00 to 0.47; P = .05), math achievement (effect size = 0.38; 95% CI: 0.14 to 0.61; P = .002), and a number of secondary cognitive-related outcomes. NV females, as a trend, had fewer convictions (incidence ratio = 0.47; 95% CI: 0.20 to 1.11; P = .08). There were no intervention effects on other behaviors. CONCLUSIONS: The program improved the cognitive-related skills of 18-year-olds born to mothers with LPR and, as a trend, reduced female convictions but produced no other effects on youth behavioral health.
RCT Entities:
OBJECTIVES: Given earlier effects found in randomized clinical trials of the Nurse-Family Partnership, we examined whether this program would improve 18-year-old first-born youths' cognition, academic achievement, and behavior and whether effects on cognitive-related outcomes would be greater for youth born to mothers with limited psychological resources (LPR) and on arrests and convictions among females. METHODS: We enrolled 742 pregnant, low-income women with no previous live births and randomly assigned them to receive either free transportation for prenatal care plus child development screening and referral (control; n = 514) or prenatal and infant home nurse visit (NV) plus transportation and screening (n = 228). Assessments were completed on 629 18-year-old first-born offspring to evaluate these primary outcomes: (1) cognitive-related abilities (nonverbal intelligence, receptive language, and math achievement) and (2) behavioral health (internalizing behavioral problems, substance use and abuse, sexually transmitted infections, HIV risk, arrests, convictions, and gang membership). RESULTS: Compared with control-group counterparts, NV youth born to mothers with LPR had better receptive language (effect size = 0.24; 95% confidence interval [CI]: 0.00 to 0.47; P = .05), math achievement (effect size = 0.38; 95% CI: 0.14 to 0.61; P = .002), and a number of secondary cognitive-related outcomes. NV females, as a trend, had fewer convictions (incidence ratio = 0.47; 95% CI: 0.20 to 1.11; P = .08). There were no intervention effects on other behaviors. CONCLUSIONS: The program improved the cognitive-related skills of 18-year-olds born to mothers with LPR and, as a trend, reduced female convictions but produced no other effects on youth behavioral health.
Authors: D L Olds; J Eckenrode; C R Henderson; H Kitzman; J Powers; R Cole; K Sidora; P Morris; L M Pettitt; D Luckey Journal: JAMA Date: 1997-08-27 Impact factor: 56.272
Authors: Margaret L Holland; Yinglin Xia; Harriet J Kitzman; Ann M Dozier; David L Olds Journal: Am J Public Health Date: 2014-08-14 Impact factor: 9.308
Authors: D Olds; C R Henderson; R Cole; J Eckenrode; H Kitzman; D Luckey; L Pettitt; K Sidora; P Morris; J Powers Journal: JAMA Date: 1998-10-14 Impact factor: 56.272
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