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Randomized Controlled Trial
. 2008 Dec 29;8:424.
doi: 10.1186/1471-2458-8-424.

Miller Early Childhood Sustained Home-visiting (MECSH) Trial: Design, Method and Sample Description

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Free PMC article
Randomized Controlled Trial

Miller Early Childhood Sustained Home-visiting (MECSH) Trial: Design, Method and Sample Description

Lynn Kemp et al. BMC Public Health. .
Free PMC article

Abstract

Background: Home visiting programs comprising intensive and sustained visits by professionals (usually nurses) over the first two years of life show promise in promoting child health and family functioning, and ameliorating disadvantage. Australian evidence of the effectiveness of sustained nurse home visiting in early childhood is limited. This paper describes the method and cohort characteristics of the first Australian study of sustained home visiting commencing antenatally and continuing to child-age two years for at-risk mothers in a disadvantaged community (the Miller Early Childhood Sustained Home-visiting trial).

Methods and design: Mothers reporting risks for poorer parenting outcomes residing in an area of socioeconomic disadvantage were recruited between February 2003 and March 2005. Mothers randomised to the intervention group received a standardised program of nurse home visiting. Interviews and observations covering child, maternal, family and environmental issues were undertaken with mothers antenatally and at 1, 12 and 24 months postpartum. Standardised tests of child development and maternal-child interaction were undertaken at 18 and 30 months postpartum. Information from hospital and community heath records was also obtained.

Discussion: A total of 338 women were identified and invited to participate, and 208 were recruited to the study. Rates of active follow-up were 86% at 12 months, 74% at 24 months and 63% at 30 months postpartum. Participation in particular data points ranged from 66% at 1 month to 51% at 24 months postpartum. Rates of active follow-up and data point participation were not significantly different for the intervention or comparison group at any data point. Mothers who presented for antenatal care prior to 20 weeks pregnant, those with household income from full-time employment and those who reported being abused themselves as a child were more likely to be retained in the study. The Miller Early Childhood Sustained Home-visiting trial will provide Australian evidence of the effectiveness of sustained nurse home visiting for children at risk of poorer health and developmental outcomes.

Trial registration: ACTRN12608000473369.

Figures

Figure 1
Figure 1
Measurements.
Figure 2
Figure 2
Flow diagram of trial of sustained nurse home visiting. * Followed up includes all women who were being actively followed up at that time point, that is those who completed the previous data point, that data point and those completing any subsequent data point. Participated includes only those who completed that data point.
Figure 3
Figure 3
Rate of active follow-up by main source of household income at time of study recruitment.
Figure 4
Figure 4
Rate of active follow-up by weeks gestation at presentation for antenatal care.
Figure 5
Figure 5
Rate of active follow-up by mother report of abused as a child at time of study recruitment.

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References

    1. Turrell G, Oldenburg B, McGuffog I, Dent R. Socioeconomic Determinants of Health: Towards a National Research Program and a Policy and Intervention Agenda. Brisbane: Queensland University of Technology School of Public Health Centre for Public Health Research; 1999.
    1. Edwards B. Views of the village: parents' perceptions of their neighbourhoods [Growing Up in Australia: the Longitudinal Study of Australian Children (LSAC)] Family Matters. 2006. pp. 26–33.
    1. McCain M, Mustard JF. Reversing the Real Brain Drain: Early Years Study: Final Report. Toronto: Ontario Children's Secretariat; 1999.
    1. Armstrong KL, Fraser JA, Dadds MR, Morris J. Promoting secure attachment, maternal mood and child health in a vulnerable population: a randomized controlled trial. J Paediatr Child Health. 2000;36:555–562. doi: 10.1046/j.1440-1754.2000.00591.x. - DOI - PubMed
    1. MacLeod J, Nelson G. Programs for the promotion of family wellness and the prevention of child maltreatment: a meta-analytic review. Child Abuse Negl. 2000;24:1127–1149. doi: 10.1016/S0145-2134(00)00178-2. - DOI - PubMed

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