Can Home Visitation Improve the Health of Women and Children at Environmental Risk?
1 From the University of Rochester, Rochester, New York
We reviewed randomized trials of prenatal and infancy home-visitation programs for socially disadvantaged women and children. Some home-visitation programs were effective in improving women's health-related behaviors during pregnancy, the birth weight and length of gestation of babies born to smokers and young adolescents, parents' interaction with their children, and children's developmental status; reducing the incidence of child abuse and neglect, childhood behavioral problems, emergency department visits and hospitalizations for injury, and unintended subsequent pregnancies; and increasing mothers' participation in the work force. The more effective programs employed nurses who began visiting during pregnancy, who visited frequently and long enough to establish a therapeutic alliance with families, and who addressed the systems of behavioral and psychosocial factors that influence maternal and child outcomes. They also targeted families at greater risk for health problems by virtue of the parents' poverty and lack of personal and social resources.
Key Words: home visits • maternal-child health • birth weight • development • abuse
Submitted on February 12, 1990
Accepted on March 21, 1990
CiteULike 
Connotea 
Del.icio.us 
Digg 
Facebook 
Reddit 
Technorati 
Twitter What's this?
This article has been cited by other articles:
|
|
 |
|
  N. Axford Conducting Needs Assessments in Children's Services Br. J. Soc. Work, August 1, 2008; (2008) bcn103v2. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Larson, S. A. Russ, J. J. Crall, and N. Halfon Influence of Multiple Social Risks on Children's Health Pediatrics, February 1, 2008; 121(2): 337 - 344. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Barlow, E. Varipatis-Baker, K. Speakman, G. Ginsburg, I. Friberg, N. Goklish, B. Cowboy, P. Fields, R. Hastings, W. Pan, et al. Home-visiting intervention to improve child care among american Indian adolescent mothers: a randomized trial. Arch Pediatr Adolesc Med, November 1, 2006; 160(11): 1101 - 1107. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W J King, J C LeBlanc, N J Barrowman, T P Klassen, A-C Bernard-Bonnin, Y Robitaille, M Tenenbein, and I B Pless Long term effects of a home visit to prevent childhood injury: three year follow up of a randomized trial Inj. Prev., April 1, 2005; 11(2): 106 - 109. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. L. Olds, J. Robinson, L. Pettitt, D. W. Luckey, J. Holmberg, R. K. Ng, K. Isacks, K. Sheff, and C. R. Henderson Jr Effects of Home Visits by Paraprofessionals and by Nurses: Age 4 Follow-Up Results of a Randomized Trial Pediatrics, December 1, 2004; 114(6): 1560 - 1568. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. C. Robinson and S. A. Rosenberg Child Welfare Referrals to Part C Journal of Early Intervention, July 1, 2004; 26(4): 284 - 291. [Abstract] [PDF]
|
|
|
|
 |
|
 B. Donohue Coexisting Child Neglect and Drug Abuse in Young Mothers: Specific Recommendations for Treatment Based on a Review of the Outcome Literature Behav Modif, March 1, 2004; 28(2): 206 - 233. [Abstract] [PDF]
|
|
|
|
|
|
N. B. Guterman, E. Anisfeld, M. McCord, D. Olds, L. Pettitt, S. Hiatt, J. Holmberg, J. Robinson, R. O'Brien, and J. Korfmacher Home Visiting Pediatrics, June 1, 2003; 111(6): 1491 - 1494. [Full Text] [PDF]
|
|
|
|
 |
|
 K. SIMS and T. LUSTER Factors Related to Early Subsequent Pregnancies and Second Births among Adolescent Mothers in a Family Support Program Journal of Family Issues, November 1, 2002; 23(8): 1006 - 1031. [Abstract] [PDF]
|
|
|
|
|
|
D. L. Olds, J. Robinson, R. O'Brien, D. W. Luckey, L. M. Pettitt, C. R. Henderson Jr, R. K. Ng, K. L. Sheff, J. Korfmacher, S. Hiatt, et al. Home Visiting by Paraprofessionals and by Nurses: A Randomized, Controlled Trial Pediatrics, September 1, 2002; 110(3): 486 - 496. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. A. Rosenberg, C. Robinson, and G. E. Fryer Evaluation of Paraprofessional Home Visiting Services for Children with Special Needs and Their Families Topics in Early Childhood Special Education, January 1, 2002; 22(3): 158 - 168. [Abstract] [PDF]
|
|
|
|
|
|
W. J. King, T. P. Klassen, J. LeBlanc, A.-C. Bernard-Bonnin, Y. Robitaille, B. Pham, D. Coyle, M. Tenenbein, and I. B. Pless The Effectiveness of a Home Visit to Prevent Childhood Injury Pediatrics, August 1, 2001; 108(2): 382 - 388. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. Letourneau, J. Drummond, D. Fleming, G. Kysela, L. McDonald, and M. Stewart Supporting Parents: Can Intervention Improve Parent-Child Relationships? Journal of Family Nursing, May 1, 2001; 7(2): 159 - 187. [Abstract] [PDF]
|
|
|
|
 |
|
 H. L. MacMillan Preventive health care, 2000 update: prevention of child maltreatment Can. Med. Assoc. J., November 1, 2000; 163(11): 1451 - 1458. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. P. Lanphear, C. Howard, S. Eberly, P. Auinger, J. Kolassa, M. Weitzman, S. J. Schaffer, and K. Alexander Primary Prevention of Childhood Lead Exposure: A Randomized Trial of Dust Control Pediatrics, April 1, 1999; 103(4): 772 - 777. [Abstract] [Full Text]
|
|
|
|
|
|
P. F Agran, D. G Winn, C. L Anderson, and C. Del Valle Family, social, and cultural factors in pedestrian injuries among Hispanic children Inj. Prev., September 1, 1998; 4(3): 188 - 193. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Committee on Fetus and Newborn Hospital Discharge of the High-Risk Neonate---Proposed Guidelines Pediatrics, August 1, 1998; 102(2): 411 - 417. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. MacMillan Home visitation improved some maternal and child outcomes Evid. Based Ment. Health, May 1, 1998; 1(2): 52 - 52. [Full Text]
|
|
|
|
|
|
H. MacMillan Home visits by nurses reduced child abuse and neglect Evid. Based Ment. Health, May 1, 1998; 1(2): 53 - 53. [Full Text]
|
|
|
|
 |
|
 D. L. Olds, J. Eckenrode, C. R. Henderson Jr, H. Kitzman, J. Powers, R. Cole, K. Sidora, P. Morris, L. M. Pettitt, and D. Luckey Long-term Effects of Home Visitation on Maternal Life Course and Child Abuse and Neglect: Fifteen-Year Follow-up of a Randomized Trial JAMA, August 27, 1997; 278(8): 637 - 643. [Abstract] [PDF]
|
|
|
|
|
|
H. Kitzman, D. L. Olds, C. R. Henderson Jr, C. Hanks, R. Cole, R. Tatelbaum, K. M. McConnochie, K. Sidora, D. W. Luckey, D. Shaver, et al. Effect of Prenatal and Infancy Home Visitation by Nurses on Pregnancy Outcomes, Childhood Injuries, and Repeated Childbearing: A Randomized Controlled Trial JAMA, August 27, 1997; 278(8): 644 - 652. [Abstract] [PDF]
|
|
|
|
|
|
J. R. Smith and J. Brooks-Gunn Correlates and Consequences of Harsh Discipline for Young Children Arch Pediatr Adolesc Med, August 1, 1997; 151(8): 777 - 786. [Abstract] [PDF]
|
|
|
|
|
|
C. Stevens-Simon, J. I. Dolgan, L. Kelly, and D. Singer The Effect of Monetary Incentives and Peer Support Groups on Repeat Adolescent Pregnancies A Randomized Trial of the Dollar-a-Day Program JAMA, March 26, 1997; 277(12): 977 - 982. [Abstract] [PDF]
|
|
|
|
|
|
C. D. Siegel, P. Graves, K. Maloney, J. M. Norris, B. N. Calonge, and D. Lezotte Mortality From Intentional and Unintentional Injury Among Infants of Young Mothers in Colorado, 1986 to 1992 Arch Pediatr Adolesc Med, October 1, 1996; 150(10): 1077 - 1083. [Abstract] [PDF]
|
|
|
|
|
|
P. A. Margolis, C. M. Lannon, R. Stevens, C. Harlan, W. C. Bordley, T. Carey, L. Leininger, L. L. Keyes, and J. L. Earp Linking Clinical and Public Health Approaches to Improve Access to Health Care for Socially Disadvantaged Mothers and Children: A Feasibility Study Arch Pediatr Adolesc Med, August 1, 1996; 150(8): 815 - 821. [Abstract] [PDF]
|
|
|
|
 |
|
 L. S. Wissow Child Abuse and Neglect N. Engl. J. Med., May 25, 1995; 332(21): 1425 - 1431. [Full Text] [PDF]
|
|
|
|
|
|
P. A. Margolis, T. Carey, C. M. Lannon, J. L. Earp, and L. Leininger The Rest of the Access-to-Care Puzzle: Addressing Structural and Personal Barriers to Health Care for Socially Disadvantaged Children Arch Pediatr Adolesc Med, May 1, 1995; 149(5): 541 - 545. [Abstract] [PDF]
|
|
|
|
 |
|
 K. J. Kemper, A. S. Carlin, and J. Buntain-Ricklefs Screening for Maternal Experiences of Physical Abuse During Childhood Clinical Pediatrics, June 1, 1994; 33(6): 333 - 339. [Abstract] [PDF]
|
|
|
|
|
|
E. McEvoy Specht and C. C. Bourguet Predictors of Nonattendance at the First Newborn Health Supervision Visit Clinical Pediatrics, May 1, 1994; 33(5): 273 - 279. [Abstract] [PDF]
|
|
|
|
|
|
C. Stevens-Simon and S. Reichert Sexual Abuse, Adolescent Pregnancy, and Child Abuse: A Developmental Approach to an Intergenerational Cycle Arch Pediatr Adolesc Med, January 1, 1994; 148(1): 23 - 27. [Abstract] [PDF]
|
|
|
|
 |
|
 D. A. WOLFE Prevention of Child Neglect: Emerging Issues Criminal Justice and Behavior, March 1, 1993; 20(1): 90 - 111. [Abstract]
|
|
|
|
|
|
D. L. Olds Home Visitation for Pregnant Women and Parents of Young Children Arch Pediatr Adolesc Med, June 1, 1992; 146(6): 704 - 708. [Abstract] [PDF]
|
|
