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dc.contributor.authorSawyer, A.C.P.-
dc.contributor.authorKaim, A.L.E.-
dc.contributor.authorMittinity, M.-
dc.contributor.authorJeffs, D.-
dc.contributor.authorLynch, J.W.-
dc.contributor.authorSawyer, M.G.-
dc.identifier.citationJournal of Paediatrics and Child Health, 2019; 55(9):1091-1098-
dc.descriptionFirst published: 21 December 2018-
dc.description.abstractAIM: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.-
dc.description.statementofresponsibilityAlyssa CP Sawyer, Amy LE Kaim, Murthy N Mittinity, Debra Jeffs, John W Lynch, Michael G Sawyer-
dc.publisherWiley Online Library-
dc.rights© 2018 Paediatrics and Child Health Division (The Royal Australasian College of Physicians)-
dc.subjectearly childhood-
dc.subjectnurse home visiting-
dc.subjectprogramme evaluation-
dc.titleEffectiveness of a 2-year post-natal nurse home-visiting programme when children are aged 5 years: results from a natural experiment-
dc.typeJournal article-
dc.identifier.orcidSawyer, A.C.P. [0000-0002-8609-7231]-
dc.identifier.orcidKaim, A.L.E. [0000-0002-5488-3334]-
dc.identifier.orcidLynch, J.W. [0000-0003-2781-7902]-
dc.identifier.orcidSawyer, M.G. [0000-0002-7834-0561]-
Appears in Collections:Aurora harvest 4
Paediatrics publications

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