Unknown

Dataset Information

0

Prenatal and Infancy Nurse Home Visiting Effects on Mothers: 18-Year Follow-up of a Randomized Trial.


ABSTRACT: Prenatal and infancy home-visiting by nurses is promoted as a means of improving maternal life-course, but evidence of long-term effects is limited. We hypothesized that nurse-visitation would lead to long-term reductions in public-benefit costs, maternal substance abuse and depression, and that cost-savings would be greater for mothers with initially higher psychological resources. We conducted an 18-year follow-up of 618 out of 742 low-income, primarily African-American mothers with no previous live births enrolled in an randomized clinical trial of prenatal and infancy home visiting by nurses. We compared nurse-visited and control-group women for public-benefit costs, rates of substance abuse and depression, and examined possible mediators of intervention effects. Nurse-visited women, compared with controls, incurred $17 310 less in public benefit costs (P = .03), an effect more pronounced for women with higher psychological resources ($28 847, P = .01). These savings compare with program costs of $12 578. There were no program effects on substance abuseor depression. Nurse-visited women were more likely to be married from child age 2 through 18 (19.2% vs 14.8%, P = .04), and those with higher psychological resources had 4.64 fewer cumulative years rearing subsequent children after the birth of the first child (P = .03). Pregnancy planning was a significant mediator of program effects on public benefit costs. Through child age 18, the program reduced public-benefit costs, an effect more pronounced for mothers with higher psychological resources and mediated by subsequent pregnancy planning. There were no effects on maternal substance abuse and depression.

SUBMITTER: Olds DL 

PROVIDER: S-EPMC6889935 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

altmetric image

Publications

Prenatal and Infancy Nurse Home Visiting Effects on Mothers: 18-Year Follow-up of a Randomized Trial.

Olds David L DL   Kitzman Harriet H   Anson Elizabeth E   Smith Joyce A JA   Knudtson Michael D MD   Miller Ted T   Cole Robert R   Hopfer Christian C   Conti Gabriella G  

Pediatrics 20191120 6


<h4>Background</h4>Prenatal and infancy home-visiting by nurses is promoted as a means of improving maternal life-course, but evidence of long-term effects is limited. We hypothesized that nurse-visitation would lead to long-term reductions in public-benefit costs, maternal substance abuse and depression, and that cost-savings would be greater for mothers with initially higher psychological resources.<h4>Methods</h4>We conducted an 18-year follow-up of 618 out of 742 low-income, primarily Africa  ...[more]

Similar Datasets

| S-EPMC6889968 | biostudies-literature
| S-EPMC9704648 | biostudies-literature
| S-EPMC4225617 | biostudies-literature
| S-EPMC10797459 | biostudies-literature
| S-EPMC9790429 | biostudies-literature
| S-EPMC10091528 | biostudies-literature
| S-EPMC9352077 | biostudies-literature
| S-EPMC10895511 | biostudies-literature
| S-EPMC7035261 | biostudies-literature
| S-EPMC7595754 | biostudies-literature