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Home visits by paraprofessionals improved maternal mental health and mother-child interaction 2 years after visits ended

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Q Two years after completion of a home visiting intervention, do the improvements in maternal and child health expected from paraprofessional (lay visitors/peer support or community workers) home visits emerge? Do the benefits attributed to home visits from professional nurses endure?


Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:


Embedded ImageBlinding:

blinded (data collectors).

Embedded ImageFollow up period:

2 years of intervention followed up by a 2 year observational period.

Embedded ImageSetting:

Denver, Colorado, USA.

Embedded ImageParticipants:

735 pregnant women (mean age 20 y) who had no previous live births and either qualified for Medicaid or had no health insurance.

Embedded ImageIntervention:

Prenatal and postpartum paraprofessional home visits (PHV) (n = 245), nurse home visits (NHV) (n = 235), or a control condition (n = 255) until the child was 2 years of age. All participants received developmental screening and referral services …

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  • For correspondence: Dr D L Olds, University of Colorado Health Sciences Center, Denver, CO, USA.

  • Sources of funding: Colorado Trust and Department of Health and Human Services.