Please use this identifier to cite or link to this item:
Scopus Web of Science® Altmetric
Type: Journal article
Title: Effectiveness of a 2-year post-natal nurse home-visiting programme when children are aged 5 years: results from a natural experiment
Author: Sawyer, A.C.P.
Kaim, A.L.E.
Mittinity, M.
Jeffs, D.
Lynch, J.W.
Sawyer, M.G.
Citation: Journal of Paediatrics and Child Health, 2019; 55(9):1091-1098
Publisher: Wiley Online Library
Issue Date: 2019
ISSN: 1034-4810
Statement of
Alyssa CP Sawyer, Amy LE Kaim, Murthy N Mittinity, Debra Jeffs, John W Lynch, Michael G Sawyer
Abstract: AIM:To evaluate the effect of a 2-year post-natal nurse home visiting (NHV) programme delivered in routine clinical practice to socially disadvantaged mothers on children's development at 5 years. METHODS:The study was a natural experiment resulting from progressive rollout of NHV (2008-2012). Children of three groups of mothers, all eligible for NHV, were compared: (i) mothers receiving NHV in a metropolitan region (n = 197); (ii) mothers in a rural region prior to NHV being available (n = 94); and (iii) mothers receiving NHV in the rural region after it became available (n = 84). Outcomes were evaluated using the Child Behaviour Checklist, Child-Parent Relationships Scale, Behaviour Inventory of Executive Functioning and Australian Early Development Index. RESULTS:Analyses were conducted using augmented inverse probability weighting accounting for differences in the groups' baseline characteristics. While some differences were observed in the range of 8-12% between the intervention and comparison groups (albeit with wide confidence intervals, e.g. 31% less likely to 4% more likely to be experiencing poor outcomes). For the majority of outcomes, however, there were no differences observed between the intervention and comparison groups. CONCLUSIONS:Post-natal NHV provided as a part of routine service delivery did not improve children's outcomes at 5 years. It may be that in the Australian context a NHV intervention, as offered in this study, does not provide additional benefits over standard care.
Keywords: early childhood
nurse home visiting
programme evaluation
Description: First published: 21 December 2018
Rights: © 2018 Paediatrics and Child Health Division (The Royal Australasian College of Physicians)
DOI: 10.1111/jpc.14348
Grant ID:
Appears in Collections:Aurora harvest 4
Paediatrics publications

Files in This Item:
There are no files associated with this item.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.