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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Commentary

Realizing the Potential of Nurse Home Visiting

Kelsey A. Egan, Ziming Xuan and Michael Silverstein
Pediatrics February 2021, 147 (2) e2020032565; DOI: https://doi.org/10.1542/peds.2020-032565
Kelsey A. Egan
aDivision of General Pediatrics, Department of Pediatrics, Boston Medical Center and Boston University School of Medicine, Boston, Massachusetts; and
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Ziming Xuan
bDepartment of Community Health Sciences, Boston University School of Public Health, Boston, Massachusetts
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Michael Silverstein
aDivision of General Pediatrics, Department of Pediatrics, Boston Medical Center and Boston University School of Medicine, Boston, Massachusetts; and
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  • Abbreviation:
    NHV —
    nurse home visiting
  • In this issue of Pediatrics, Goldfeld et al1 report maternal mental health outcomes after 3 years of follow-up from a randomized controlled trial of right@home, a nurse home visiting (NHV) program in Australia. The trial enrolled 722 pregnant women experiencing ≥2 risk factors for adversity, such as young age, limited social support, low income, and low educational attainment, and randomly assigned them to right@home (25 nurse home visits beginning antenatally) or usual care. After 2 years (when primary outcomes were to be collected), right@home produced benefits in parent care, parent responsivity, and home learning environment.2 In the current study, the authors followed participant families to 3 years and compared maternal mental health outcomes across 255 right@home women and 240 controls. In this analysis, right@home mothers reported better mental health according to the Depression Anxiety Stress Scales, with effect sizes of 0.25 (95% confidence interval: 0.08–0.32) for depression and 0.20 (95% confidence interval: 0.05–0.30) for anxiety.1

    Methodologically, the study has significant strengths, most notably, a rigorous multisite design. The results, however, should be interpreted with caution, the primary reason being that the maternal mental health outcomes at 3 years do not appear to …

    Address correspondence to Kelsey A. Egan, MD, Department of Pediatrics, Boston Medical Center, 801 Albany St, Boston, MA 02119. E-mail: kelsey.egan{at}bmc.org

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    Pediatrics
    Vol. 147, Issue 2
    1 Feb 2021
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    Realizing the Potential of Nurse Home Visiting
    Kelsey A. Egan, Ziming Xuan, Michael Silverstein
    Pediatrics Feb 2021, 147 (2) e2020032565; DOI: 10.1542/peds.2020-032565

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    Realizing the Potential of Nurse Home Visiting
    Kelsey A. Egan, Ziming Xuan, Michael Silverstein
    Pediatrics Feb 2021, 147 (2) e2020032565; DOI: 10.1542/peds.2020-032565
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