Randomized controlled trial and economic evaluation of nurse-led group support for young mothers during pregnancy and the first year postpartum versus usual care

Trials
Jacqueline BarnesDiana Elbourne

Abstract

Child maltreatment is a significant public health problem. Group Family Nurse Partnership (gFNP) is a new intervention for young, expectant mothers implemented successfully in pilot studies. This study was designed to determine the effectiveness and cost-effectiveness of gFNP in reducing risk factors for maltreatment with a potentially vulnerable population. A multi-site, randomized controlled, parallel-arm trial and prospective economic evaluation was conducted, with allocation via remote randomization (minimization by site, maternal age group) to gFNP or usual care. Participants were expectant mothers aged below 20 years with at least one live birth, or aged 20-24 years with no live births and with low educational qualifications. Data from maternal interviews at baseline and when infants were 2, 6 and 12 months, and video-recording at 12 months, were collected by researchers blind to allocation. Cost information came from weekly logs completed by gFNP family nurses and other service delivery data reported by participants. Primary outcomes measured at 12 months were parenting attitudes (Adult-Adolescent Parenting Index, AAPI-2) and maternal sensitivity (CARE Index). The economic evaluation was conducted from a UK NHS and perso...Continue Reading

References

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Aug 2, 2007·Obstetrics and Gynecology·Jeannette R IckovicsSharon Schindler Rising
May 10, 2008·Maternal and Child Health Journal·Bethany RobertsonLaura A Darnell
Oct 1, 2008·BMJ : British Medical Journal·Peter CraigUNKNOWN Medical Research Council Guidance
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Aug 8, 2012·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Ben van HoutA Simon Pickard

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Citations

Jul 11, 2020·Development and Psychopathology·Christine FirkBeate Herpertz-Dahlmann
Sep 11, 2020·New Directions for Child and Adolescent Development·Marinus H van IJzendoorn, Marian J Bakermans-Kranenburg

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Software Mentioned

gFNP
Stata

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