Home visits by nurses to low-income pregnant women and parents of young children helped improve health and development outcomes for the children, according to results of a clinical trial published by JAMA Pediatrics.
The study of 735 low-income, mostly unmarried women and their first-born children was conducted by researchers from the University of Colorado School of Medicine, found positive cognitive and behavioral benefits for children ages six to nine. It was part of the Nurse-Family Partnership (NFP), an international program that is practiced in 43 states throughout the United States and in seven other societies outside.
Nurse-visited and para-visited children whose mothers had minimal psychological resources showed the following:
- Nine-year-olds showed fewer errors in visual attention/task switching, less internalizing problems, and less dysfunctional attention.
- Six-year-olds were less likely to be classified as having total emotional/behavioral problems
- Young children showed better receptive language and sustained attention averages over time.
The goals of the NFP are to improve pregnancy outcomes by helping women improve their health-related behavior, improve their children’s subsequent health and development by helping them provide competent care, and help women with pregnancy planning. The Denver trial tested the program model when delivered by paraprofessionals, who were required to have a high school education and no college preparation in the helping professions and who also shared many of the same social characteristics as the families they visited.
Source: University of Colorado Denver, December 9, 2013
New Horizons in Healthcare Home Visits explores two separate home visit interventions that are helping to reduce hospital readmissions and emergency room visits, while enhancing the patient experience. HIN’s 2013 Home Visits market survey found that 75 percent of respondents visit some percentage of patients or health plan members at home.