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3 - The Nurse-Family Partnership: From Trials to Practice

Published online by Cambridge University Press:  05 June 2012

By
David L. Olds
Edited by
Arthur J. Reynolds ,
Arthur J. Rolnick ,
Michelle M. Englund  and
Judy A. Temple
Arthur J. Reynolds
Affiliation:
University of Minnesota
Arthur J. Rolnick
Affiliation:
Federal Reserve Bank of Minneapolis
Michelle M. Englund
Affiliation:
University of Minnesota
Judy A. Temple
Affiliation:
University of Minnesota
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Summary

INTRODUCTION

Many of the most intractable problems that young children and parents face in our society today are uniquely associated with adverse maternal health-related behaviors during pregnancy, dysfunctional infant caregiving, and stressful environmental conditions that interfere with parental and family functioning. These problems include infant mortality, preterm delivery, low birthweight, and neurodevelopmental impairments in young children resulting from poor conditions for pregnancy, child abuse and neglect, accidental childhood injuries, youth violence, closely spaced pregnancy, and thwarted economic self-sufficiency of parents. In a series of randomized trials conducted in (a) Elmira, New York, begun in 1977 in a semirural area with a primarily White sample; (b) Memphis, Tennessee, begun in 1987 with a primarily Black sample; and (c) Denver, Colorado, begun in 1994 with a sample that included a large portion of Hispanics, our team has been examining the impact of a program of prenatal and early childhood home visitation by nurses on improving parental behaviors and environmental conditions early in the life cycle in an effort to prevent these maternal and child health problems. These trials have enabled us to examine the extent to which the effects of the program are consistent across these different populations, settings, and time periods. The Denver trial was designed to determine the extent to which lay community health visitors might be able to produce the same beneficial effects as nurses when trained in the same program model.

Type
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Childhood Programs and Practices in the First Decade of Life
A Human Capital Integration
 , pp. 49 - 75
Publisher: Cambridge University Press
Print publication year: 2010

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