The Library
First steps : study protocol for a randomized controlled trial of the effectiveness of the Group Family Nurse Partnership (gFNP) program compared to routine care in improving outcomes for high-risk mothers and their children and preventing abuse
Tools
Barnes, Jacqueline, Aistrop, Dipti, Allen, Elizabeth, Barlow, Jane, Elbourne, Diana, Macdonald, Geraldine M., Melhuish, Edward C., Petrou, Stavros, Pink, Joshua, Snowdon, Claire, Spiby, Helen, Stuart, Jane and Sturgess, Joanna (2013) First steps : study protocol for a randomized controlled trial of the effectiveness of the Group Family Nurse Partnership (gFNP) program compared to routine care in improving outcomes for high-risk mothers and their children and preventing abuse. Trials, Volume 14 (Number 1). p. 285. doi:10.1186/1745-6215-14-285 ISSN 1745-6215.
|
Text
WRAP_Barlow_1745-6215-14-285.pdf - Published Version Available under License Creative Commons Attribution 2.0.. Download (427Kb) | Preview |
Official URL: http://dx.doi.org/10.1186/1745-6215-14-285
Abstract
Background: Evidence from the USA suggests that the home-based Family Nurse Partnership program (FNP), extending from early pregnancy until infants are 24 months, can reduce the risk of child abuse and neglect throughout childhood. FNP is now widely available in the UK. A new variant, Group Family Nurse Partnership (gFNP) offers similar content but in a group context and for a shorter time, until infants are 12 months old. Each group comprises 8 to 12 women with similar expected delivery dates and their partners. Its implementation has been established but there is no evidence of its effectiveness.
Methods/Design: The study comprises a multi-site randomized controlled trial designed to identify the benefits of gFNP compared to standard care. Participants (not eligible for FNP) must be either aged < 20 years at their last menstrual period (LMP) with one or more previous live births, or aged 20 to 24 at LMP with low educational qualifications and no previous live births. ‘Low educational qualifications’ is defined as not having both Maths and English Language GCSE at grade C or higher or, if they have both, no more than four in total at grade C or higher. Exclusions are: under 20 years and previously received home-based FNP and, in either age group, severe psychotic mental illness or not able to communicate in English. Consenting women are randomly allocated (minimized by site and maternal age group) when between 10 and 16 weeks pregnant to either to the 44 session gFNP program or to standard care after the collection of baseline information. Researchers are blind to group assignment.
The primary outcomes at 12 months are child abuse potential based on the revised Adult-Adolescent Parenting Inventory and parent/infant interaction coded using the CARE Index based on a video-taped interaction. Secondary outcomes are maternal depression, parenting stress, health related quality of life, social support, and use of services.
Discussion: This is the first study of the effectiveness of gFNP in the UK. Results should inform decision-making about its delivery alongside universal services, potentially enabling a wider range of families to benefit from the FNP curriculum and approach to supporting parenting.
Item Type: | Journal Article | ||||
---|---|---|---|---|---|
Subjects: | H Social Sciences > HQ The family. Marriage. Woman R Medicine > RT Nursing |
||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||
Library of Congress Subject Headings (LCSH): | Nurse practitioners, Family nursing, Family medicine, Child health services, Child health services -- Effect of managed care on, Abused children -- Services for | ||||
Journal or Publication Title: | Trials | ||||
Publisher: | Biomed Central | ||||
ISSN: | 1745-6215 | ||||
Official Date: | 8 September 2013 | ||||
Dates: |
|
||||
Volume: | Volume 14 | ||||
Number: | Number 1 | ||||
Page Range: | p. 285 | ||||
DOI: | 10.1186/1745-6215-14-285 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Open Access (Creative Commons) | ||||
Date of first compliant deposit: | 26 December 2015 | ||||
Date of first compliant Open Access: | 26 December 2015 | ||||
Funder: | National Institute for Health Research (Great Britain) (NIHR), Sheffield Children's NHS Foundation Trust (SCNHSFT) | ||||
Grant number: | 11/3002/02 (NIHR) |
Request changes or add full text files to a record
Repository staff actions (login required)
View Item |
Downloads
Downloads per month over past year