Effects of Home Visits by Paraprofessionals and by Nurses: Age 4 Follow-Up Results of a Randomized Trial

Olds, David L.; Robinson, JoAnn; Pettitt, Lisa M.; Luckey, Dennis W.; Holmberg, John; Ng, Rosanna K.; Isacks, Kathy; Sheff, Karen; Henderson, Charles

doi:10.1542/peds.2004-0961

Cited by 410 publications

(405 citation statements)

References 39 publications

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“…Social support is a concept that is perhaps less familiar to physicians. However, randomized trials of the provision of social support to new parents have shown lasting positive impacts for children, at least when done by nurses [49][50][51]. At this point, it seems reasonable to recommend an opportunistic approach of awareness, screening as much as possible, and intervening where leverage is available, based on physician, patient, and local resources.…”

Section: Discussionmentioning

confidence: 99%

Child Injury Risks are Close to Home: Parent Psychosocial Factors Associated with Child Safety

Rhodes

Iwashyna

2007

Matern Child Health J

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Objective: In several populations, maternal depression has been associated with reduced child safety. In an urban pediatric Emergency Department, we examined the relationship between parental depression, social support, and domestic conflict and child safety behaviors.Methods: We studied consecutive patients in an Emergency Department. Trained interviewers used a structured instrument to assess patient, primary caregiver, and household demographics, socio-economic status, psychosocial factors, child safety behaviors (whether a gun was in the home, poisons were locked, a functioning smoke detector was present, and use of carseats or seatbelts), and whether the home was smokefree. 1,116 patients provided adequate data.Results: Depression was associated with a modest and not statistically significant reduction in child safety behaviors in this population. Lack of social support and the presence of domestic conflict were robustly, independently, and statistically significantly associated with less safe homes. Domestic conflict was associated with more smoking in the home.Conclusion: In our population, child safety was associated less with depression and more with parental lack of social support and domestic conflict. These can be assessed in a Emergency Department and may be amenable to intervention. Abstract Objective: In several populations, maternal depression has been associated with reduced child safety. In an urban pediatric Emergency Department, we examined the relationship between parental depression, social support, and domestic conflict and child safety behaviors.Methods: We studied consecutive patients in an Emergency Department. Trained interviewers used a structured instrument to assess patient, primary caregiver, and household demographics, socio-economic status, psychosocial factors, child safety behaviors (whether a gun was in the home, poisons were locked, a functioning smoke detector was present, and use of carseats or seatbelts), and whether the home was smoke-free. 1,116 patients provided adequate data.Results: Depression was associated with a modest and not statistically significant reduction in child safety behaviors in this population. Lack of social support and the presence of domestic conflict were robustly, independently, and statistically significantly associated with less safe homes. Domestic conflict was associated with more smoking in the home.Conclusion: In our population, child safety was associated less with depression and more with parental lack of social support and domestic conflict. These can be assessed in a Emergency Department and may be amenable to intervention.

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Section: Discussionmentioning

confidence: 99%

Child Injury Risks are Close to Home: Parent Psychosocial Factors Associated with Child Safety

Rhodes

Iwashyna

2007

Matern Child Health J

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“…• Increase parents' sensitivity to their children, reduce negativity towards children, improve parents' emotional abilities, expressiveness, responsiveness and sensitivity in interactions and nurturing behaviors, help parents be less intrusive and better able to support children's independence (Brooks-Gunn, Berlin, and Fuligni 2000;Cooper et al 2002;Heinicke et al 2001;Olds et al 2004). …”

Section: Evidence That Parenting Programs Work When Implemented Wellmentioning

confidence: 99%

Parenting Education in Indonesia: Review and Recommendations to Strengthen Programs and Systems

Tomlinson¹,

Andina²

2015

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“…62,63 Similarly, in the other 2 trials (Memphis and Denver), the NFP program did not reduce the children's DBD symptoms during childhood. 64,65,71 …”

Section: Preventive Experiments For Dbdsmentioning

confidence: 99%

Childhood Disruptive Behaviour Disorders: Review of Their Origin, Development, and Prevention

Petitclerc

Tremblay

2009

Can J Psychiatry

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Objective:To review preventive studies of disruptive behaviour disorders (DBDs) in light of recent empirical knowledge on their development. Method:We draw on the results of longitudinal studies of children starting in infancy to examine the onset, development, and risk factors for DBD symptoms. We review randomized controlled trials of preventive interventions provided to families before the child is aged 3 years, with reported outcome measures of DBD symptoms at follow-up. Results:Children who present high levels of DBD symptoms start to do so in the first 2 years of life and have risk factors that can be identified in the mother during pregnancy or even earlier, and shortly after the child's birth. Most preventive experiments have started relatively late after birth and have targeted parenting, with weak effects on children's DBDs. Preventive experiments that have provided intensive intervention to at-risk mothers starting during pregnancy have shown important effects in reducing key risk factors and some of the most severe consequences of DBDs. However, even those experiments have not succeeded in preventing childhood DBDs in the home and school contexts. Conclusions:We suggest adopting a sequential, multitarget, intergenerational, experimental approach both to increase our knowledge about causal mechanisms and to increase our effectiveness in curbing DBDs and their serious lifelong consequences.Can J Psychiatry. 2009;54(4):222-231. Clinical Implications· Potentially alterable risk factors for child DBDs are identifiable in the mothers before, during, or shortly after pregnancy. · Serious consequences of DBDs can be prevented when interventions start during pregnancy and target multiple risk factors. Limitations· More experimental preventive interventions are needed during pregnancy and early childhood to understand causal mechanisms and effective interventions. · Experiments need to focus on the interplay between genes and environment, especially environmental effects on gene expression.

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Effects of Home Visits by Paraprofessionals and by Nurses: Age 4 Follow-Up Results of a Randomized Trial

Cited by 410 publications

References 39 publications

Child Injury Risks are Close to Home: Parent Psychosocial Factors Associated with Child Safety

Child Injury Risks are Close to Home: Parent Psychosocial Factors Associated with Child Safety

Parenting Education in Indonesia: Review and Recommendations to Strengthen Programs and Systems

Childhood Disruptive Behaviour Disorders: Review of Their Origin, Development, and Prevention

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