Nurse Home Visiting Program for Development, Child

Phase-Based Estimates
1
Effectiveness
1
Safety
UMaryland, Baltimore, MD
Nurse Home Visiting Program - Other
Eligibility
Any Age
Female
Eligible conditions
Development, Child

Study Summary

This study is evaluating whether a brief nurse home visiting program can improve child development.

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Treatment Effectiveness

Effectiveness Estimate

1 of 3

Study Objectives

This trial is evaluating whether Nurse Home Visiting Program will improve 20 primary outcomes, 5 secondary outcomes, and 2 other outcomes in patients with Development, Child. Measurement will happen over the course of up to five and a half years post-psychosocial interview (which occurs at infant age 6 months).

Month 6
home quality as assessed using H.O.M.E.
home safety as assessed using H.O.M.E.
infant wellbeing assessed using study-specific structured interview on infant health status
maternal wellbeing as assessed using The Social Provisions Scale
maternal wellbeing as assessed using study-specific structured interview on health status
maternal wellbeing as assessed using the Adult Attachment (AAS)
maternal wellbeing as assessed using the Adverse Childhood Experiences (ACEs)
maternal wellbeing as assessed using the Edinburgh Postpartum Depression Scale
maternal wellbeing as assessed using the Generalized Anxiety Disorder (GAD-7)
maternal wellbeing as assessed using the Parenting Stress Index
mother's supportive parenting as assessed using H.O.M.E.
neighborhood quality as assessed using The Neighborhood Collective Efficacy
study-specific structured maternal report interview on family use of community resources
study-specific structured maternal report interview on father's supportive parenting
study-specific structured maternal report interview on infant emergency room use
study-specific structured maternal report interview on infant immunizations
study-specific structured maternal report interview on infant well-baby visits
study-specific structured maternal report interview on number of infant overnight hospital stays
study-specific structured maternal report interview on quality of child care using the EXCELS measure
study-specific structured maternal report interview on the number of community resources family uses
study-specific structured maternal report interview on transportation
up to five and a half years post-psychosocial interview
data collection from records of early educational achievement: kindergarten readiness scores, exploratory
data collection from records of early educational achievement: rates of kindergarten attendance, exploratory
data collection from records of rates of official investigations for child maltreatment
Month 6
data collection from records on family use of community resources
data collection from records on infant emergency room use
Month 6
data collection from records on infant overnight hospital stays

Trial Safety

Safety Estimate

1 of 3

Trial Design

2 Treatment Groups

Control
Nurse Home Visiting Group

This trial requires 277 total participants across 2 different treatment groups

This trial involves 2 different treatments. Nurse Home Visiting Program is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Nurse Home Visiting Group
Other
This group will be offered services from the nurse home visiting program.
ControlNo treatment in the control group

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: up to five and a half years post-psychosocial interview
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly up to five and a half years post-psychosocial interview for reporting.

Who is running the study

Principal Investigator
L. B.
Prof. Lisa Berlin, Associate Professor
University of Maryland, Baltimore

Closest Location

UMaryland - Baltimore, MD

Eligibility Criteria

This trial is for female patients of any age. There are 3 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
Mother and Infant are Baltimore City Residents
Mother gave birth to infant at Sinai Hospital in Baltimore, MD beginning approximately July 15, 2019
Mother speaks English

Patient Q&A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

How many people get development, child a year in the United States?

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These population-based data do not directly estimate the number of live births or babies born/deaths/live births in the US annually or over time. The data do point out that this is a significant burden for the country; in fact, it is the largest public health expenditure in the United States. It is difficult to understand the impact of maternal and child death burdens on the public good if the estimates of maternal mortality are underestimated in the literature.

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What is development, child?

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Parents of children with developmental delay reported a variety of concerns about their child's development. Clinicians need to evaluate the mother and father of children with developmental deficit with respect to the child's needs and their own perceptions of the child's deficits.

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What are the signs of development, child?

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An infant or young child may present with an abnormal activity level, or difficulties with feeding, or crying loudly and being shy. An infant may have a higher-than-average number of medical visits; an infant/young child is likely to have more siblings or to carry a bacterial illness (e.g., ear infections) in the family.

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What are common treatments for development, child?

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The most common intervention involves the administration and monitoring of medications for conditions such as ADHD. Other common interventions include psychotherapy and treatment services such as the support groups and community mental health centers, and other health care providers.

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What causes development, child?

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Development is influenced by an assortment of biological and environmental factors. Genetic mutations alone can lead to development issues, and exposure to some pollutants alters brain development; however, other environmental factors (i.e., maternal stress) also affect brain development.

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Can development, child be cured?

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This is a critical question, since some of the children affected by AIDS were not infected during pregnancy. The children who were infected while still in their fetal stage, have a poor cognitive and motor development and they tend to have a more severe symptoms. These children represent, to our knowledge, the largest population with a poor prognosis of development affected by AIDS worldwide.

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Does nurse home visiting program improve quality of life for those with development, child?

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This home visitation program provided increased support to families and improved quality of life of the developmental, child. Our intervention provided additional support to families and increased child-family interaction frequency (within 1–2 years of enrollment in the health program.

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Has nurse home visiting program proven to be more effective than a placebo?

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Home visits by nurses in a group B setting was shown to be more effective than a control group. It will probably be necessary to conduct further study to examine effectiveness of nurses visits in a more resource constrained setting.

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Have there been other clinical trials involving nurse home visiting program?

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A home visiting program, provided by an experienced, specially trained, and dedicated nurse, can be an effective and cost-effective method for follow-up of patients with chronic health problems. Home visits are better than usual care. It can also improve patient's quality of life as well as the quality of life of caregivers of the patients. It may affect the healthcare system in several ways, for example, patient's health status in the chronic condition may improve significantly when a patient is provided with more information about his or her condition by nurses during home visits. Home visits that entail health education can contribute to the development of patient's knowledge of their conditions and enhance the ability of the patient and his or her family to manage chronic conditions.

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Does development, child run in families?

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In a recent study, findings have implications for the design and interpretation of child development research; however, we do not claim that child development patterns are identical to development, child. In addition, our results should not imply that parental reports of child development are necessarily reliable. Given their limited sample size, it remains a matter for future studies of child development to test for associations with child development.

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Is nurse home visiting program safe for people?

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There was very modest evidence that home visiting is safe and does not increase risk of injury, but there was no evidence of this in any of the main studies that were included. The strongest trial, which used a more rigorous system of standardisation of procedures, was statistically significantly larger than others and it suggested that home visiting is safe, with no safety concerns. A systematic review of other programs using similar approaches concluded similarly. There is no strong and consistent evidence that home visiting improves the quality of care.

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What are the common side effects of nurse home visiting program?

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Results from a recent clinical trial of the present study suggest that home visiting program can be a safe treatment for premature and high-risk neonates.

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