Role of home visiting in improving parenting and health in families at risk of abuse and neglect: results of a multicentre randomised controlled trial and economic evaluation

Objectives: To evaluate the effectiveness and cost effectiveness of an intensive home visiting programme in improving outcomes for vulnerable families. Design: Multicentre randomised controlled trial in which eligible women were allocated to receive home visiting (n = 67) or standard services (n = 6...

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Bibliographic Details
Published in:Archives of disease in childhood 2007-03, Vol.92 (3), p.229-233
Main Authors: Barlow, Jane, Davis, Hilton, McIntosh, Emma, Jarrett, Patricia, Mockford, Carole, Stewart-Brown, Sarah
Format: Article
Language:English
Subjects:
Adolescent
Adult
Analysis of covariance
Biological and medical sciences
Child
Child abuse
Child Abuse - prevention & control
Child Welfare
Children & youth
Community Health Nursing - economics
Community Health Nursing - standards
Company business management
Cost benefit analysis
Data Analysis
Educational Development
Families & family life
Female
General aspects
Home visits
House Calls - economics
Humans
Infant
Infants
Management
Maternal Health Services - economics
Maternal Health Services - standards
Medical sciences
Mental disorders
Mental Health
Miscellaneous
Mother-Child Relations
Multivariate Analysis
Original
Parenting
Parents & parenting
Postpartum depression
Pregnancy
Prevention
Prevention and actions
Prognosis
Public health. Hygiene
Public health. Hygiene-occupational medicine
Questionnaires
randomised controlled trial
RCT
Risk Factors
Self Concept
Self Efficacy
Self esteem
Social Support
Variables
Young Children
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Summary:Objectives: To evaluate the effectiveness and cost effectiveness of an intensive home visiting programme in improving outcomes for vulnerable families. Design: Multicentre randomised controlled trial in which eligible women were allocated to receive home visiting (n = 67) or standard services (n = 64). Incremental cost analysis. Setting: 40 general practitioner practices across 2 counties in the UK. Participants: 131 vulnerable pregnant women. Intervention: Selected health visitors were trained in the Family Partnership Model to provide a weekly home visiting service from 6 months antenatally to 12 months postnatally. Main outcome measures: Mother–child interaction, maternal psychological health attitudes and behaviour, infant functioning and development, and risk of neglect or abuse. Results: At 12 months, differences favouring the home-visited group were observed on an independent assessment of maternal sensitivity (p
ISSN:0003-9888
1468-2044
DOI:10.1136/adc.2006.095117