Risk Reduction Behavior Clinical Trial
Official title:
Age 6 Test of Home Visits by Nurses vs Paraprofessionals
To examine the impact of prenatal and infancy home visiting by paraprofessionals and by nurses from child age 2 through 6.
This project supports an age-six assessment of 669 children and their families who were
enrolled in a randomized trail that compared prenatal and infancy home visiting by nurses
versus paraprofessionals. Both groups of visitors in each study employed essentially the
same program model. The program model has proven to be effective using nurses when focused
on European-American and African Americans in earlier trails conducted over the past 20
years. Paraprofessional visitors in the current trail share many of the social
characteristics of the families they visited. The current study also allows us to examine
the extent to which these different visitor types produce effects with Mexican Americans
that are similar to those achieved with European-Americans and African Americans in previous
trails of this program using nurse home visitors. The sample is composed of low-income women
who had no previous live births and who were substantially ethnic minorities (46 percent
Mexican American, 16 percent African American, and 3 percent Native American/Asian),
unmarried (87 percent), and less than 19 years of age (58 percent) at the time of
registration during pregnancy.
In earlier phases of assessment, the nurse-visitor program was found to reduce women's use
of tobacco during pregnancy; to improve the home environments and quality of care that
mothers provided to their children; to improve the language and mental development of
children born to mothers with low psychological resources (where psychological resources
were defined as high rates of mental disorder symptoms, limited intellectual functioning,
and little belief in their control over their life circumstances); and to improve maternal
life-course, as reflected in fewer subsequent pregnancies and increases in employment. The
paraprofessional program produced smaller, mostly non-significant and inconsistent effects
while the program was in operation, but recent evidence from a 4-year follow up of the
sample now suggests that paraprofessional program effects on parental caregiving and child
development may be increasing as the children mature. The current proposal seeks support to
determine whether the beneficial effects of the nurse home visiting program endure through
the children's completion of kindergarten at age six, and whether beneficial effects emerge
at this later time period for families visited by paraprofessionals.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Outcomes Assessor), Primary Purpose: Prevention
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT02007681 -
What is in Fact the Contribution of Reducing Time Spent in Sedentary Behaviors on Daily Energy Expenditure? A Doubly Labeled Water Study
|
N/A | |
Completed |
NCT01395095 -
OPTImal CArdiac REhabilitation (OPTICARE) Following Acute Coronary Syndromes
|
N/A | |
Active, not recruiting |
NCT00443586 -
Follow-up Evaluation of Home Nurse Visitation Program for Socially Disadvantaged Women and Their Children
|
N/A | |
Completed |
NCT00438165 -
Age 12 Follow-up of Early Preventive Intervention (Memphis)
|
N/A | |
Completed |
NCT04164277 -
FirstStep2Health Intervention
|
N/A | |
Completed |
NCT04526873 -
Encouraging Annual Wellness Visits Among ACO Beneficiaries
|
N/A | |
Completed |
NCT03196024 -
Corazon de la Familia (Heart of the Family)
|
N/A | |
Completed |
NCT03287622 -
Evaluation of an Interactive Opioid Risk Education Program (STOMP) for Parents
|
N/A | |
Not yet recruiting |
NCT01461798 -
Assessment of the Efficacy of Plant Stanol Esters in Reducing Cholesterol, Medellin 2011
|
N/A | |
Withdrawn |
NCT01169922 -
HIV Prevention With Adolescents: Neurocognitive Deficits and Treatment Response
|
N/A | |
Completed |
NCT04853394 -
Tajik Migrant Health Education Study
|
N/A | |
Completed |
NCT01291589 -
HIV Prevention in Very High Risk Men Who Have Sex With Men
|
Phase 1 | |
Completed |
NCT02311400 -
Self-Affirmation, Emotion, and Alcohol Consumption
|
||
Completed |
NCT03863353 -
Scenario Tailored Opioid Messaging Program (STOMP) to Improve Risk Understanding in Young Adults
|
N/A | |
Not yet recruiting |
NCT05732714 -
Long Term Cardiovascular Disease Event Risk for Patients Undergoing Major Non-Cardiac Surgery
|
||
Not yet recruiting |
NCT02648555 -
A Lifestyle Intervention to Improve in Vitro Fertilization Results
|
N/A | |
Completed |
NCT00443638 -
Longitudinal Follow Up of Subjects Enrolled in Randomized Trial of Prenatal and Infancy Home Visitation
|
N/A | |
Completed |
NCT00906321 -
Facilitating Web-based Patient Decision Support: Decision About Medication to Lower Breast Cancer Risk
|
N/A | |
Active, not recruiting |
NCT04230928 -
Giving a Low Carbohydrate Diet to Overcome Hypertension
|
N/A | |
Recruiting |
NCT05286879 -
Addressing Risk Through Community Treatment for Infectious Disease and Opioid Use Disorder Now (ACTION) Among Justice-involved Populations
|
N/A |