Evidence map›Paper›PMID 39762105›Full record

Trial reportBMJ open2025

Effects of nurse-home visiting on intimate partner violence and maternal income, mental health and self-efficacy by 24 months postpartum: a randomised controlled trial (British Columbia Healthy Connections Project).

Nicole L A Catherine, Harriet MacMillan, Susan Jack, Yufei Zheng, Hui Xie, Michael Boyle, Debbie Sheehan, Andrea Gonzalez, Amiram Gafni, Lil Tonmyr and 4 more

Registry-linked trialAbstract readRandomized Controlled TrialPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01672060 (A Scientific Evaluation of the Nurse-Family Partnership), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT01672060 nacompletednot on this map

A Scientific Evaluation of the Nurse-Family Partnership (NFP) Program in British Columbia

TypeinterventionalSponsorSimon Fraser UniversityRan2013 to 2022Enrolled739ConditionsEffectiveness of Nurse-Family Partnership (NFP) in BCArmsNurse-Family Partnership (NFP), Existing services
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

14 authors.

Nicole L A CatherineFaculty of Health Sciences, Simon Fraser University, Vancouver, British Columbia, Canada Nicole_catherine@sfu.ca.ORCID http://orcid.org/0000-0002-1190-4326
Harriet MacMillanPsychiatry and Behavioural Neurosciences, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Susan JackOfford Centre for Child Studies, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Yufei ZhengFaculty of Health Sciences, Simon Fraser University, Vancouver, British Columbia, Canada.ORCID http://orcid.org/0000-0002-3800-7676
Hui XieFaculty of Health Sciences, Simon Fraser University, Vancouver, British Columbia, Canada.
Michael BoylePsychiatry and Behavioural Neurosciences, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Debbie SheehanFaculty of Health Sciences, Simon Fraser University, Vancouver, British Columbia, Canada.
Andrea GonzalezPsychiatry and Behavioural Neurosciences, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.ORCID http://orcid.org/0000-0003-0087-830X
Amiram GafniHealth Research Methods, Evidence and Impact, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Lil TonmyrPublic Health Agency of Canada, Ottawa, Ontario, Canada.ORCID http://orcid.org/0000-0002-8722-7616
Ronald BarrThe University of British Columbia, Vancouver, British Columbia, Canada.
Lenora MarcellusUniversity of Victoria, Victoria, British Columbia, Canada.
Colleen VarcoeThe University of British Columbia, Vancouver, British Columbia, Canada.ORCID http://orcid.org/0000-0001-9090-2793
Charlotte WaddellFaculty of Health Sciences, Simon Fraser University, Vancouver, British Columbia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the impact of Nurse-Family Partnership (NFP), a home-visiting programme, on exploratory maternal outcomes in British Columbia (BC), Canada.

designPragmatic, parallel arm, randomised controlled trial conducted October 2013-November 2019. Random allocation of participants (1:1) to comparison (existing services) or NFP (plus existing services). Researchers were naïve to allocation.

setting26 local health areas across four of five BC regional health authorities.

participants739 young (<25 years), first-time mothers (enrolled <28 weeks gestation), experiencing socioeconomic disadvantage.

interventionPublic health nurses with NFP education offered home visits (up to 64) during pregnancy and until children's second birthday plus existing services on offer in BC. OUTCOME MEASURES: Prespecified exploratory outcomes included exposure to intimate partner violence (IPV), income (annual from employment) and not in education, employment or training (NEET) by 24 months postpartum, and psychological distress and self-efficacy across five time points (34-36 weeks gestation, 2, 10, 18 and 24 months postpartum).

resultsA total of 739 participants were randomised (368 NFP, 371 comparison) and analysed via an intention-to-treat analysis. At 24 months postpartum, for participants receiving NFP, a lower percentage reported IPV (group difference -7.14; 95% CI: -14.17, -0.10); incomes were larger ($1629.74, 95% CI: $5.20, $3254.28) after adjusting for baseline differences and no difference in percentage of NEET (-2.41, 95% CI: -10.11, 5.30). For participants receiving NFP, psychological distress was lower across time points (-1.59, 95% CI: -2.35 to -0.84); self-efficacy was greater at 34-36 weeks gestation (0.78, 95% CI: 0.34, 1.22), then decreasing and becoming insignificant by 24 months postpartum (0.29, 95% CI: -0.18, 0.75). No unanticipated serious adverse events were reported.

conclusionRelying on the maternal report, at 24 months postpartum, the NFP group had reduced IPV exposure and increased incomes. Benefits observed in late pregnancy were sustained to study end for psychological distress, but not self-efficacy. Longer-term follow-up is recommended.

trial registrationNCT01672060.

Indexed as

House CallsIncomeIntimate Partner ViolenceMental HealthPostpartum PeriodSelf EfficacyAdultBritish ColumbiaFemaleHumansMothersNurses, Community HealthPregnancyYoung AdultPostpartum WomenPrimary PreventionPUBLIC HEALTHRandomised Controlled Trial

Identifiers

PMID39762105
PMCPMC11749688

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.