NCT03079752

Brief Summary

The Nurse-Family Partnership, a program of prenatal and infancy home visiting by nurses, has been examined in a series of 3 randomized trials since 1977. It has received considerable attention in the scientific and public policy communities for its replicated effects on a variety of maternal and child health outcomes across these 3 trials, including prenatal health, childhood injuries, rates of subsequent pregnancies, inter-birth intervals, as well as its long-term effects on maternal life-course, criminal behavior, and 15-year-olds' criminal and antisocial behavior in the first trial of the program conducted in Elmira, New York.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
629

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Mar 1994

Longer than P75 for not_applicable

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 18, 1994

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 12, 1996

Completed
1.6 years until next milestone

Study Completion

Last participant's last visit for all outcomes

April 30, 1998

Completed
18.9 years until next milestone

First Submitted

Initial submission to the registry

March 8, 2017

Completed
6 days until next milestone

First Posted

Study publicly available on registry

March 14, 2017

Completed
Last Updated

March 15, 2017

Status Verified

March 1, 2017

Enrollment Period

2.5 years

First QC Date

March 8, 2017

Last Update Submit

March 13, 2017

Conditions

Outcome Measures

Primary Outcomes (9)

  • Timing of Subsequent Births - Mothers

    Interval in days between birth date of first child and first subsequent child (self-reported)

    15 years following birth of first child

  • Months Received Aid to Families with Dependent Children (AFDC) - Mothers

    Number of months mother received AFDC (self-reported)

    15-year interval following birth of first child

  • Number of Months Employed - Mothers

    Number of months employed (self-reported)

    15-year interval following birth of first child

  • Substance Abuse - Mothers

    Count of behavioral impairments due to use of substances (self-reported)

    15-year period following birth of first child

  • Arrests - Mothers

    Count of arrests (self-reported)

    15-year interval following birth of first child

  • Child Maltreatment Reports - Mothers

    Count of substantiated reports of child abuse and neglect in which mother was perpetrator (review of records)

    15-year interval following birth of first child

  • Running Away from Home - Children

    Count of times ran away from home - self-report

    15-year interval following birth of first child

  • Person in Need of Supervision (PIN) - Children

    Self report of ever having been adjudicated as a PIN

    15-year period following their birth

  • Arrests - Children

    Count of Arrests - self-report

    15-year period following birth

Study Arms (4)

Developmental Screening

ACTIVE COMPARATOR

Participants received sensory and developmental screening and referral for further evaluation and treatment of suspected problems at 12 and 24 months of age.

Behavioral: Developmental Screening

Screening plus Transportation

ACTIVE COMPARATOR

Participants received sensory and developmental screening and referral for further evaluation and treatment of suspected problems at 12 and 24 months of age; their mothers received free transportation for regular prenatal and well-child care (through child age two).

Behavioral: Developmental ScreeningBehavioral: Screening plus Transportation

Screening, Transport, Prenatal Visits

ACTIVE COMPARATOR

Participants received sensory and developmental screening and referral for further evaluation and treatment of suspected problems at 12 and 24 months of age; their mothers received free transportation for regular prenatal and well-child care (through child age two), plus nurse home visiting during pregnancy.

Behavioral: Developmental ScreeningBehavioral: Screening plus TransportationBehavioral: Screening, Transport, Prenatal Visits

Screen, Transport, Prenatal/Inf Visits

EXPERIMENTAL

Participants received regular sensory and developmental screening and referral for further evaluation and treatment of suspected problems at 12 and 24 months of age; their mothers received free transportation for regular prenatal and well-child care (through child age two), plus nurse home visiting during pregnancy and through child age two.

Behavioral: Developmental ScreeningBehavioral: Screening plus TransportationBehavioral: Screening, Transport, Prenatal VisitsBehavioral: Screen, Transport, Prenatal/Inf Visits

Interventions

Child participants were screened for sensory and developmental problems and referred for further evaluation and treatment of suspected problems at 12 and 24 months of age

Developmental ScreeningScreen, Transport, Prenatal/Inf VisitsScreening plus TransportationScreening, Transport, Prenatal Visits

Child participants were screened for sensory and developmental problems and referred for further evaluation and treatment for suspected problems at 12 and 24 months of age; their mothers were provided with free transportation for prenatal and well-child care through child age 2.

Screen, Transport, Prenatal/Inf VisitsScreening plus TransportationScreening, Transport, Prenatal Visits

Child participants were screened for sensory and developmental problems and referred for further evaluation and treatment for suspected problems at 12 and 24 months of age; their mothers were provided with free transportation for prenatal and well-child care through child age 2, and were provided an average of 9 home visits by nurses during pregnancy.

Screen, Transport, Prenatal/Inf VisitsScreening, Transport, Prenatal Visits

Child participants were screened for sensory and developmental problems and referred for further evaluation and treatment for suspected problems at 12 and 24 months of age; their mothers were provided with free transportation for prenatal and well-child care through child age 2, and were provided an average of 9 home visits by nurses during pregnancy and 23 during the child's first two years of life.

Screen, Transport, Prenatal/Inf Visits

Eligibility Criteria

Age15 Years+
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (2)

  • Olds DL, Eckenrode J, Henderson CR Jr, Kitzman H, Powers J, Cole R, Sidora K, Morris P, Pettitt LM, Luckey D. Long-term effects of home visitation on maternal life course and child abuse and neglect. Fifteen-year follow-up of a randomized trial. JAMA. 1997 Aug 27;278(8):637-43.

  • Olds D, Henderson CR Jr, Cole R, Eckenrode J, Kitzman H, Luckey D, Pettitt L, Sidora K, Morris P, Powers J. Long-term effects of nurse home visitation on children's criminal and antisocial behavior: 15-year follow-up of a randomized controlled trial. JAMA. 1998 Oct 14;280(14):1238-44. doi: 10.1001/jama.280.14.1238.

MeSH Terms

Conditions

Behavior

Interventions

Mass ScreeningTransportationParturition

Intervention Hierarchy (Ancestors)

Diagnostic Techniques and ProceduresDiagnosisHealth SurveysSurveys and QuestionnairesData CollectionEpidemiologic MethodsInvestigative TechniquesDiagnostic ServicesPreventive Health ServicesHealth ServicesHealth Care Facilities Workforce and ServicesHealth Care Evaluation MechanismsQuality of Health CareHealth Care Quality, Access, and EvaluationPublic HealthEnvironment and Public HealthPublic Health PracticeTechnology, Industry, and AgriculturePregnancyReproductionReproductive Physiological PhenomenaReproductive and Urinary Physiological Phenomena

Study Officials

  • David Olds, MD

    University of Colorado, Denver

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
Assessors were not given access to the participants' original treatment assignments
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 8, 2017

First Posted

March 14, 2017

Study Start

March 18, 1994

Primary Completion

September 12, 1996

Study Completion

April 30, 1998

Last Updated

March 15, 2017

Record last verified: 2017-03

Data Sharing

IPD Sharing
Will share

The investigators are in the process of archiving the primary data published for this trial with the University of Michigan Consortium for Political and Social Research.