Evidence map›Paper›PMID 36198485›Full record

ArticleJournal of epidemiology and community health2022

Characteristics of enrolment in an intensive home-visiting programme among eligible first-time adolescent mothers in England: a linked administrative data cohort study.

Francesca L Cavallaro, Ruth Gilbert, Linda Pmm Wijlaars, Eilis Kennedy, Emma Howarth, Sally Kendall, Jan van der Meulen, Maria Andreea Calin, Lynne Reed, Katie Harron

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of epidemiology and community health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
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

10 authors at 6 institutions in 2 countries.

Francesca L CavallaroPopulation Policy and Practice, UCL Great Ormond Street Institute of Child Health, London, UK f.cavallaro@ucl.ac.uk.ORCID 0000-0002-9641-8780
Ruth GilbertPopulation Policy and Practice, UCL Great Ormond Street Institute of Child Health, London, UK.
Linda Pmm WijlaarsPopulation Policy and Practice, UCL Great Ormond Street Institute of Child Health, London, UK.ORCID 0000-0003-1222-2922
Eilis KennedyChildren, Young Adults and Families Directorate, Tavistock and Portman NHS Foundation Trust, London, UK.
Emma HowarthSchool of Psychology, University of East London, London, UK.
Sally KendallCentre for Health Services Studies, University of Kent, Canterbury, UK.
Jan van der MeulenDepartment of Health Services Research & Policy, London School of Hygiene and Tropical Medicine, Faculty of Public Health and Policy, London, UK.
Maria Andreea CalinFamily Nurse Partnership and Intensive Parenting National Unit, Office for Health Improvement and Disparities, London, UK.
Lynne ReedFamily Nurse Partnership and Intensive Parenting National Unit, Office for Health Improvement and Disparities, London, UK.
Katie HarronPopulation Policy and Practice, UCL Great Ormond Street Institute of Child Health, London, UK.
Great Ormond Street Hospital · GBHealthcare Quality Improvement Partnership · GBRoyal College of Surgeons of England · GBThe Tavistock and Portman NHS Foundation Trust · GBUniversity of East London · GBUniversity of Kent · GB

Funding

Wellcome Trust 212953/Z/18/Z
6 · The paper itself

Abstract

backgroundIntensive home visiting for adolescent mothers may help reduce health disparities. Given limited resources, such interventions need to be effectively targeted. We evaluated which mothers were enrolled in the Family Nurse Partnership (FNP), an intensive home-visiting service for first-time young mothers commissioned in >130 local authorities in England since 2007.

methodsWe created a population-based cohort of first-time mothers aged 13-19 years giving birth in English National Health Service hospitals between 1 April 2010 and 31 March 2017, using administrative hospital data linked with FNP programme, educational and social care data. Mothers living in a local authority with an active FNP site were eligible. We described variation in enrolment rates across sites, and identified maternal and FNP site characteristics associated with enrolment.

resultsOf 110 520 eligible mothers, 25 680 (23.2% (95% CI: 23.0% to 23.5%)) were enrolled. Enrolment rates varied substantially across 122 sites (range: 11%-68%), and areas with greater numbers of first-time adolescent mothers achieved lower enrolment rates. Mothers aged 13-15 years were most likely to be enrolled (52%). However, only 26% of adolescent mothers with markers of vulnerability (including living in the most deprived areas and ever having been looked after as a child) were enrolled.

conclusionA substantial proportion of first-time adolescent mothers with vulnerability markers were not enrolled in FNP. Variation in enrolment across sites indicates insufficient commissioning of places that is not proportional to level of need, with mothers in areas with large numbers of other adolescent mothers least likely to receive support.

Indexed as

Adolescent MothersState MedicineAdolescentChildCohort StudiesEnglandFemaleHumansMothersPregnancyADOLESCENTCHILD HEALTHPUBLIC HEALTH

Identifiers

PMID36198485
PMCPMC9664100
OpenAlexW4302013529

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.