Miller Early Childhood Sustained Home-visiting (MECSH) trial: design, method and sample description.

BMC Public Health
Lynn KempVirginia Schmied

Abstract

Home visiting programs comprising intensive and sustained visits by professionals (usually nurses) over the first two years of life show promise in promoting child health and family functioning, and ameliorating disadvantage. Australian evidence of the effectiveness of sustained nurse home visiting in early childhood is limited. This paper describes the method and cohort characteristics of the first Australian study of sustained home visiting commencing antenatally and continuing to child-age two years for at-risk mothers in a disadvantaged community (the Miller Early Childhood Sustained Home-visiting trial). Mothers reporting risks for poorer parenting outcomes residing in an area of socioeconomic disadvantage were recruited between February 2003 and March 2005. Mothers randomised to the intervention group received a standardised program of nurse home visiting. Interviews and observations covering child, maternal, family and environmental issues were undertaken with mothers antenatally and at 1, 12 and 24 months postpartum. Standardised tests of child development and maternal-child interaction were undertaken at 18 and 30 months postpartum. Information from hospital and community heath records was also obtained. A total of 338...Continue Reading

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Jul 21, 2010·Australian and New Zealand Journal of Public Health·Elizabeth CominoJenny Knight
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Nov 24, 2021·Public Health Nursing·Mehrnoush Bonakdar TehraniKelly Baird

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