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Home visits by paraprofessionals did not improve maternal and child health

https://doi.org/10.1136/ebn.6.1.9

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    Olds DL, Robinson J, O’Brien R, et al.Home visiting by paraprofessionals and by nurses: a randomized, controlled trial.Pediatrics2002 ;110:486–96OpenUrlAbstract/FREE Full Text

    QUESTION: Do home visits by paraprofessionals (lay visitors/peer support or community workers) trained in a programme model that is effective when delivered by nurses, improve maternal and child health?

    Design

    Randomised (allocation concealed), blinded (data collectors), controlled trial with follow up to 24 months postpartum.

    Setting

    21 antepartum clinics in Denver, Colorado, USA.

    Participants

    735 pregnant women (mean age 20 y) who had no previous live births and either qualified for Medicaid or had no health insurance. Follow up was >80% for maternal interviews at 6, 12, 21, and 24 months postpartum; and 83% for child assessment at 21 months of age.

    Intervention

    Participants were allocated to prenatal and postpartum (≤24 mo) home visitation by paraprofessionals (PHV group, n=245) or professional nurses (NHV group, n=235), or …

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    Footnotes

    • For correspondence: Dr D L Olds, Prevention Research Center for Family and Child Health, University of Colorado Health Sciences Center, Denver, CO, USA. olds.david{at}tchden.org

    • Sources of funding: The Colorado Trust; Department of Health and Human Services; and National Institute of Mental Health.