Evidence map›Paper›PMID 32430455›Full record

ArticleBMJ open2020

Evaluating the real-world implementation of the Family Nurse Partnership in England: protocol for a data linkage study.

Francesca L Cavallaro, Ruth Gilbert, Linda Wijlaars, Eilis Kennedy, Ailsa Swarbrick, Jan van der Meulen, Katie Harron

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Francesca L CavallaroGreat Ormond Street Institute of Child Health, University College London, London, UK.ORCID 0000-0002-9641-8780
Ruth GilbertGreat Ormond Street Institute of Child Health, University College London, London, UK.
Linda WijlaarsGreat Ormond Street Institute of Child Health, University College London, London, UK.ORCID 0000-0003-1222-2922
Eilis KennedyChildren, Young Adults and Families Directorate, Tavistock and Portman NHS Foundation Trust, London, UK.
Ailsa SwarbrickFamily Nurse Partnership National Unit, Tavistock and Portman NHS Foundation Trust, London, UK.
Jan van der MeulenDepartment of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK.
Katie HarronGreat Ormond Street Institute of Child Health, University College London, London, UK k.harron@ucl.ac.uk.ORCID 0000-0002-3418-2856
Great Ormond Street Hospital · GBThe Tavistock and Portman NHS Foundation Trust · GBLondon School of Hygiene & Tropical Medicine · GB

Funding

Department of Health 17/99/19Medical Research CouncilWellcome TrustWellcome Trust 212953/Z/18/Z
6 · The paper itself

Abstract

introductionAlmost 20 000 babies are born to teenage mothers each year in England, with poorer outcomes for mothers and babies than among older mothers. A nurse home visitation programme in the USA was found to improve a wide range of outcomes for young mothers and their children. However, a randomised controlled trial in England found no effect on short-term primary outcomes, although cognitive development up to age 2 showed improvement. Our study will use linked routinely collected health, education and social care data to evaluate the real-world effects of the Family Nurse Partnership (FNP) on child outcomes up to age 7, with a focus on identifying whether the FNP works better for particular groups of families, thereby informing programme targeting and resource allocation. METHODS AND ANALYSIS: We will construct a retrospective cohort of all women aged 13-24 years giving birth in English NHS hospitals between 2010 and 2017, linking information on mothers and children from FNP programme data, Hospital Episodes Statistics and the National Pupil Database. To assess the effectiveness of FNP, we will compare outcomes for eligible mothers ever and never enrolled in FNP, and their children, using two analysis strategies to adjust for measured confounding: propensity score matching and analyses adjusting for maternal characteristics up to enrolment/28 weeks gestation. Outcomes of interest include early childhood development, childhood unplanned hospital admissions for injury or maltreatment-related diagnoses and children in care. Subgroup analyses will determine whether the effect of FNP varied according to maternal characteristics (eg, age and education). ETHICS AND DISSEMINATION: The Nottingham Research Ethics Committee approved this study. Mothers participating in FNP were supportive of our planned research. Results will inform policy-makers for targeting home visiting programmes. Methodological findings on the accuracy and reliability of cross-sectoral data linkage will be of interest to researchers.

Indexed as

Information Storage and RetrievalState MedicineAdolescentAdultChildChild, PreschoolEnglandFemaleHumansInfantPregnancyRandomized Controlled Trials as TopicReproducibility of ResultsRetrospective StudiesYoung Adultchild protectioncommunity child healthhealth informaticspublic health

Identifiers

PMID32430455
PMCPMC7239518
OpenAlexW3027404049

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.