Nurse-Family Partnership
Where the program was applied
Country of application
Description

This is a home visitation program for low-income, first-time mothers designed to improve family functioning. Nurse–Family Partnership (NFP) provides low-income, first-time mothers of any age with home-visitation services from public health nurses. The program addresses substance abuse and other behaviors that contribute to family poverty, subsequent pregnancies, poor maternal and infant outcomes, suboptimal childcare, and limited opportunities for the children.

Impact evaluations

One study showed that mothers who were visited had longer intervals between the births of their first and second children, enrolled their children less in nurseries or similar, suffered less domestic violence, and their children were more prone to early learning, language development, executive functions, and behavioral adaptation [1].
Another study showed that children who were monitored during adolescence were less likely to use cigarettes, alcohol, or cannabis; reported fewer internalization problems; and had higher school grade point averages and higher scores on reading and math tests. No differences were observed in relation to externalizing problems or attention and behavior problems in general [2].
Another longitudinal follow-up, which monitored families for 15 years, showed that mothers visited by nurses had fewer reports of neglecting or abusing their children when compared to the mothers in the control group, who did not receive the intervention. Children participating in the program reported fewer episodes of child abuse and neglect [3].

Bibliographic reference

[1] Olds, D. L., Robinson, J., Pettitt, L., Luckey, D. W., Holmberg, J., Ng, R. K., Isacks, K., Sheff, K. & Henderson, C. R. (2004). Effects of home visits by paraprofessionals and by nurses: Age 4 follow-up results of a randomized trial. Pediatrics, 114(6), 1560–1568. https://doi.org/10.1542/peds.2004-0961

[2] Kitzman, H. J., Olds, D. L., Cole, R. E., Hanks, C. A., Anson, E. A., Arcoleo, K. J., Luckey, D. W., Knudtson, M. D., Henderson, C. R. & Holmberg, J. R. (2010). Enduring effects of prenatal and infancy home visiting by nurses on children: Follow-up of a randomized trial among children at age 12 years. Archives of Pediatrics & Adolescent Medicine, 164(5), 412–418. https://doi.org/10.1001/archpediatrics.2010.76

[3] Eckenrode, J., Campa, M., Luckey, D. W., Henderson, C. R., Cole, R., Kitzman, H., Anson, E., Sidora-Arcoleo, K., Powers, J. & Olds, D. (2010). Long-term effects of prenatal and infancy nurse home visitation on the life course of youths: 19-year follow-up of a randomized trial. Archives of Pediatrics & Adolescent Medicine, 164(1), 9–15. https://doi.org/10.1001/archpediatrics.2009.240