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Randomized Controlled Trial
. 2013 Aug 6:13:114.
doi: 10.1186/1471-2431-13-114.

The effectiveness and cost-effectiveness of the Family Nurse Partnership home visiting programme for first time teenage mothers in England: a protocol for the Building Blocks randomised controlled trial

Randomized Controlled Trial

The effectiveness and cost-effectiveness of the Family Nurse Partnership home visiting programme for first time teenage mothers in England: a protocol for the Building Blocks randomised controlled trial

Eleri Owen-Jones et al. BMC Pediatr. .

Abstract

Background: The Nurse Family Partnership programme was developed in the USA where it is made available to pregnant young mothers in some socially deprived geographic areas. The related Family Nurse Partnership programme was introduced in England by the Department of Health in 2006 with the aim of improving outcomes for the health, wellbeing and social circumstances of young first-time mothers and their children.

Methods / design: This multi-centre individually randomised controlled trial will recruit 1600 participants from 18 Primary Care Trusts in England, United Kingdom. The trial will evaluate the effectiveness of Family Nurse Partnership programme and usual care versus usual care for nulliparous pregnant women aged 19 or under, recruited by 24 weeks gestation and followed until the child's second birthday. Data will be collected from participants at baseline, 34-36 weeks gestation, 6, 12, 18 and 24 months following birth. Routine clinical data will be collected from maternity, primary care and hospital episodes statistics. Four primary outcomes are to be reported from the trial: birth weight; prenatal tobacco use; child emergency attendances and/or admissions within two years of birth; second pregnancy within two years of first birth.

Discussion: This trial will evaluate the effectiveness and cost effectiveness of the Family Nurse Partnership in England. The findings will provide evidence on pregnancy and early childhood programme outcomes for policy makers, health professionals and potential recipients in three domains (pregnancy and birth, child health and development, and parental life course and self-sufficiency) up to the child's second birthday.

Trial registration: Trial registration number: ISRCTN23019866.

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Figures

Figure 1
Figure 1
Participant flow diagram and data collection.

References

    1. Kuh D, Hardy R, Langenberg C, Richards M, Wadsworth MEJ. Mortality in adults aged 26-54 years related to socioeconomic conditions in childhood and adulthood: post war birth cohort study. Br Med J. 2002;325(7372):1076–1080. doi: 10.1136/bmj.325.7372.1076. - DOI - PMC - PubMed
    1. Power C, Matthews S. Origins of health inequalities in a national population sample. Lancet. 1997;350(9091):1584–1589. doi: 10.1016/S0140-6736(97)07474-6. - DOI - PubMed
    1. Lissau I, Sorensen TIA. Parental neglect during childhood and increased risk of obesity in young adulthood. Lancet. 1994;343(8893):324–327. doi: 10.1016/S0140-6736(94)91163-0. - DOI - PubMed
    1. Galobardes B, Lynch JW, Smith GD. Childhood socioeconomic circumstances and cause-specific mortality in adulthood: systematic review and interpretation. Epidemiol Rev. 2004;26:7–21. doi: 10.1093/epirev/mxh008. - DOI - PubMed
    1. Evans GW, English K. The environment of poverty: multiple stressor exposure, psychophysiological stress, and socioemotional adjustment. Child Dev. 2002;73(4):1238–1248. doi: 10.1111/1467-8624.00469. - DOI - PubMed

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