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

https://doi.org/10.1136/ebn.8.3.75

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    Olds DL, Robinson J, Pettitt L, et al. Effects of home visits by paraprofessionals and by nurses: age 4 follow-up results of a randomized trial. Pediatrics 2004;114:1560–8.OpenUrlAbstract/FREE Full Text

    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?

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    concealed.

    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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    Footnotes

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

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