Treatment
Nurse home visits did not differ from standard care for prevention of recurrent child abuse
MacMillan HL, Thomas BH, Jamieson E, et al. Effectiveness of home visitation by public-health nurses in prevention of the recurrence of child physical abuse and neglect: a randomised controlled trial. Lancet 2005;365:1786–93.[CrossRef][Medline]
Q In families referred to child protection agencies (CPAs), does a programme of home visiting by public health nurses (PHNs) plus standard care prevent recurrence of child physical abuse or neglect more than standard care alone?
Key Words: child abuse • child neglect • home visitation
| The first 150 words of the full text of this article appear below. |
Design:
randomised controlled trial.
Allocation:
concealed.
Blinding:
blinded (data collectors and outcome assessors).
Follow up period:
2 years of intervention followed up by 1 year of observation.
Setting:
2 CPAs in Hamilton, Ontario, Canada.
Participants:
163 English speaking families (mean age of respondent 29 y, 95% women; mean age of index child 5 y) who had been referred to the CPA for an episode of child physical abuse or neglect that occurred in the past 3 months, and the index child was <13 years of age and still living with the family. Cases of abuse committed by a foster parent or involving sexual abuse were excluded.
Intervention:
89 families were allocated to standard services arranged by the CPA plus weekly home visits of 1.5 hours by a trained PHN for 6 months; biweekly visits for the next 6 months; and monthly visits for the next year. The home visiting programme
CIHR Strategic Training Postdoctoral Fellow (TUTOR-PHC)
School of Nursing, University of Ottawa
Ottawa, Ontario, Canada
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Child abuse
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Child and adolescent psychiatry (paedatrics)
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