Evid Based Nurs 9:13 doi:10.1136/ebn.9.1.13
  • Treatment

Nurse home visits did not differ from standard care for prevention of recurrent child abuse

 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?



randomised controlled trial.




blinded (data collectors and outcome assessors).

GraphicFollow up period:

2 years of intervention followed up by 1 year of observation.


2 CPAs in Hamilton, Ontario, Canada.


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.


89 families were allocated to standard services arranged by the CPA plus …

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