Evidence map›Paper›PMID 36441705›Full record

Trial reportPloS one2022

Nurse home visiting to improve child and maternal outcomes: 5-year follow-up of an Australian randomised controlled trial.

Sharon Goldfeld, Hannah Bryson, Fiona Mensah, Anna Price, Lisa Gold, Francesca Orsini, Bridget Kenny, Susan Perlen, Shalika Bohingamu Mudiyanselage, Penelope Dakin and 3 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
5.0field-weighted citation impact, top 4% 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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  12. The social determinants of mental health and disorder: evidence, prevention and recommendations.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024
    Article
  13. Article
  14. The Impact of COVID-19 Related Distress on Antenatal Depression in Australia.International journal of environmental research and public health · 2023
    Article
  15. 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

13 authors at 4 institutions in 1 country.

Sharon GoldfeldCentre for Community Child Health, The Royal Children's Hospital, Parkville, VIC, Australia.ORCID 0000-0001-6520-7094
Hannah BrysonCentre for Community Child Health, The Royal Children's Hospital, Parkville, VIC, Australia.
Fiona MensahPopulation Health, Murdoch Children's Research Institute, Parkville, VIC, Australia.
Anna PriceCentre for Community Child Health, The Royal Children's Hospital, Parkville, VIC, Australia.
Lisa GoldSchool of Health and Social Development, Deakin University, Geelong, VIC, Australia.
Francesca OrsiniClinical Epidemiology and Biostatistics Unit, Murdoch Children's Research Institute, The Royal Children's Hospital, Parkville, VIC, Australia.
Bridget KennyCentre for Community Child Health, The Royal Children's Hospital, Parkville, VIC, Australia.
Susan PerlenCentre for Community Child Health, The Royal Children's Hospital, Parkville, VIC, Australia.
Shalika Bohingamu MudiyanselageSchool of Health and Social Development, Deakin University, Geelong, VIC, Australia.
Penelope DakinAustralian Research Alliance for Children and Youth, Canberra City, ACT, Australia.
Tracey BruceIngham Institute, Western Sydney University, Penrith, NSW, Australia.
Diana HarrisAustralian Research Alliance for Children and Youth, Canberra City, ACT, Australia.
Lynn KempIngham Institute, Western Sydney University, Penrith, NSW, Australia.
Royal Children's Hospital · AUDeakin University · AUIngham Institute · AUThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesNurse home visiting (NHV) is widely implemented to address inequities in child and maternal health. However, few studies have examined longer-term effectiveness or delivery within universal healthcare systems. We evaluated the benefits of an Australian NHV program ("right@home") in promoting children's language and learning, general and mental health, maternal mental health and wellbeing, parenting and family relationships, at child ages 4 and 5 years. SETTING AND

participantsRandomised controlled trial of NHV delivered via universal, child and family health services (the comparator). Pregnant women experiencing adversity (≥2 of 10 risk factors) were recruited from 10 antenatal clinics across 2 states (Victoria, Tasmania) in Australia.

interventionMothers in the intervention arm were offered 25 nurse home visits (mean 23·2 home visits [SD 7·4, range 1-43] received) of 60-90 minutes, commencing antenatally and continuing until children's second birthdays. PRIMARY AND SECONDARY OUTCOMES MEASURED: At 4 and 5 years, outcomes were assessed via parent interview and direct assessment of children's language and learning (receptive and expressive language, phonological awareness, attention, and executive function). Outcomes were compared between intervention and usual care arms (intention to treat) using adjusted regression with robust estimation to account for nurse/site. Missing data were addressed using multiple imputation and inverse probability weighting.

resultsOf 722 women enrolled in the trial, 225 of 363 (62%) intervention and 201 of 359 (56%) usual care women provided data at 5 years. Estimated group differences showed an overall pattern favouring the intervention. Statistical evidence of benefits was found across child and maternal mental health and wellbeing, parenting and family relationships with effect sizes ranging 0·01-0·27.

conclusionAn Australian NHV program promoted longer-term family functioning and wellbeing for women experiencing adversity. NHV can offer an important component of a proportionate universal system that delivers support and intervention relative to need.

trial registration2013-2016, registration ISRCTN89962120.

Indexed as

House CallsNurses, Community HealthChildChild, PreschoolFemaleFollow-Up StudiesHumansMaleParentingPregnancyVictoria

Identifiers

PMID36441705
PMCPMC9704648
OpenAlexW4310095827

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.