Improving children's health and development in British Columbia through nurse home visiting: a randomized controlled trial protocol.
Improving children's health and development in British Columbia through nurse home visiting: a randomized controlled trial protocol.
复制标题
DOI：
10.1186/s12913-016-1594-0
复制
发表时间：
2016-08-04
影响因子：
2.8
通讯作者：
British Columbia Healthy Connections Project Scientific Team
中科院分区：
文献类型：
--
作者：
Catherine NL;Gonzalez A;Boyle M;Sheehan D;Jack SM;Hougham KA;McCandless L;MacMillan HL;Waddell C;British Columbia Healthy Connections Project Scientific Team
护士家庭伙伴关系是一个护士之家访问计划，旨在改善年轻母亲及其子女的生活。该方案的重点是第一次为人父母并处于社会经济不利地位的妇女。护士探视在怀孕早期就开始了，一直持续到孩子两岁。该计划在美国已被证明是有效的-改善儿童的心理健康和发展以及产妇福利，并显示出长期的成本效益。但不知道在公共服务不同的加拿大是否会获得同样的好处。因此，不列颠哥伦比亚省的健康联系项目包括一项随机对照试验，评估护士-家庭伙伴关系与现有（通常）服务相比在改善儿童心理健康和早期发展以及母亲生活环境方面的有效性。该试验的主要目的是：减少2岁儿童的伤害（主要结果指标）;减少产前尼古丁和酒精的使用;改善2岁儿童的认知和语言发育和行为;并减少产后24个月的后续怀孕。潜在的解释因素，如产妇的心理健康（包括自我效能）也正在评估，因为是该方案的影响，对亲密伴侣的暴力行为的曝光。为了为今后的经济评估提供信息，还在收集关于获得和使用保健和社会服务的数据。在妊娠28周之前招募合格和同意的参与者（N = 1040），然后单独随机接受现有服务（对照组）或护士-家庭伙伴关系加现有服务（干预组）。护士-家庭伙伴关系是按照忠诚准则提供的。数据是在以下时间进行的面对面和电话访谈中收集的：基线;妊娠34-36周;产后2个月、10个月、18个月和24个月。将通过与省级数据集的链接获得更多数据。征聘工作于2013年10月开始，将持续约三年。这项试验将提供重要的信息，概括性的护士家庭伙伴关系，加拿大的情况。研究结果将发表在同行评审期刊上，并通过正在进行的广泛公共卫生合作与政策制定者和从业者分享。于2013年7月18日在ClinicalTrials.gov上注册，标识符：NCT 01672060。
Nurse-Family Partnership is a nurse home visitation program that aims to improve the lives of young mothers and their children. The program focuses on women who are parenting for the first time and experiencing socioeconomic disadvantage. Nurse visits start as early in pregnancy as possible and continue until the child reaches age two years. The program has proven effective in the United States – improving children’s mental health and development and maternal wellbeing, and showing long-term cost-effectiveness. But it is not known whether the same benefits will be obtained in Canada, where public services differ. The British Columbia Healthy Connections Project therefore involves a randomized controlled trial evaluating Nurse-Family Partnership’s effectiveness compared with existing (usual) services in improving children’s mental health and early development and mother’s life circumstances. The trial’s main aims are to: reduce childhood injuries by age two years (primary outcome indicator); reduce prenatal nicotine and alcohol use; improve child cognitive and language development and behaviour at age two years; and reduce subsequent pregnancies by 24 months postpartum. Potential explanatory factors such as maternal mental health (including self-efficacy) are also being assessed, as is the program’s impact on exposure to intimate-partner violence. To inform future economic evaluation, data are also being collected on health and social service access and use. Eligible and consenting participants (N = 1040) are being recruited prior to 28 weeks gestation then individually randomized to receive existing services (comparison group) or Nurse-Family Partnership plus existing services (intervention group). Nurse-Family Partnership is being delivered following fidelity guidelines. Data are being collected during in person and telephone interviews at: baseline; 34–36 weeks gestation; and two, 10, 18 and 24 months postpartum. Additional data will be obtained via linkages from provincial datasets. Recruitment commenced in October 2013 and will continue for approximately three years. This trial will provide important information about the generalizability of Nurse-Family Partnership to the Canadian context. Findings will be published in peer-reviewed journals and shared with policymakers and practitioners through extensive public health collaborations already underway. Registered July 18, 2013 with ClinicalTrials.gov Identifier: NCT01672060.