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Randomised controlled trial
Children benefit up to the age of 12 years old from prenatal and infancy home visiting by nurses; with reduced substance use, improved academic performance and reduced mental health problems
  1. Kathleen F Norr
  1. University of Illinois at Chicago, Chicago, Illinois, USA
  1. Correspondence to Kathleen F Norr
    845 South Damen Avenue, Chicago, IL 60612-7350, USA; knorr{at}uic.ed

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Research supporting nurse–family partnership

This report of positive impacts on mental health and academic achievement of children at age 12 is the most recent publication from a highly significant programme of maternal-child health research. The intervention focused on improving pregnancy outcomes, child health and development and economic self-reliance through semistructured nurse home visits to socioeconomically disadvantaged first-time mothers from mid-pregnancy through 2 years after birth. Randomised trials in three US cities had similar positive short- and long-term impacts for mothers and children, with stronger positive impacts for the most disadvantaged group. Based on ecological theory, attachment theory and self-efficacy, these positive results strongly support these enduring conceptual frameworks as guides for intervention. Despite minor methodological issues expected in any extended longitudinal study, in my judgement these issues do not detract from the consistent and strong findings. This is one of only a handful …

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