The Prevention of Child Maltreatment Through the Nurse Family Partnership Program: Mediating Effects in a Long-Term Follow-Up Study

We examine maternal life-course mediators of the impact of a nurse home visitation program on reducing child maltreatment among participants in the Elmira trial of the Nurse Family Partnership program from the first child’s birth through age 15. For women having experienced low to moderate levels of domestic violence, program effects on the number of confirmed maltreatment reports were mediated by reductions in numbers of subsequent children born to mothers and their reported use of public assistance. Together, the two mediators explained nearly one half of the total effect of nurse home visiting on child maltreatment. The long-term success of this program on reducing child maltreatment can be explained, at least in part, by its positive effect on pregnancy planning and economic self-sufficiency.

[1]  A. Reynolds,et al.  Generative Mechanisms in Early Childhood Interventions: A Confirmatory Research Framework for Prevention , 2016, Prevention Science.

[2]  T. Miller.  Projected Outcomes of Nurse-Family Partnership Home Visitation During 1996–2013, USA , 2015, Prevention Science.

[3]  Youth Board on Children,et al.  New Directions in Child Abuse and Neglect Research , 2014 .

[4]  T. P. Thornberry,et al.  Breaking the cycle of maltreatment: the role of safe, stable, and nurturing relationships. , 2013, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[5]  David P MacKinnon,et al.  RMediation: An R package for mediation analysis confidence intervals , 2011, Behavior research methods.

[6]  Patricia Del Grosso,et al.  Home Visiting Evidence of Effectiveness Review: Executive Summary. Washington, DC: U.S. Department of Health and Human Services, Administration for Children and Families, Office of Planning, Research and Evaluation , 2010 .

[7]  K. Dumont,et al.  Effects of Healthy Families New York on the promotion of maternal parenting competencies and the prevention of harsh parenting. , 2010, Child abuse & neglect.

[8]  J. Brooks-Gunn,et al.  The Role of Home-Visiting Programs in Preventing Child Abuse and Neglect , 2009, The Future of children.

[9]  D. Olds,et al.  Nurse home visitation and the prevention of child maltreatment: Impact on the timing of official reports , 2009, Development and Psychopathology.

[10]  C. Wathen,et al.  Interventions to prevent child maltreatment and associated impairment , 2009, The Lancet.

[11]  D. Fergusson,et al.  Burden and consequences of child maltreatment in high-income countries , 2008, The Lancet.

[12]  Kristopher J Preacher,et al.  Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models , 2008, Behavior research methods.

[13]  Eunju Lee,et al.  Healthy Families New York (HFNY) randomized trial: effects on early child abuse and neglect. , 2008, Child abuse & neglect.

[14]  C. Rohde,et al.  Impact of a statewide home visiting program to prevent child abuse. , 2007, Child abuse & neglect.

[15]  Kristopher J Preacher,et al.  Addressing Moderated Mediation Hypotheses: Theory, Methods, and Prescriptions , 2007, Multivariate behavioral research.

[16]  D. Olds,et al.  Programs for parents of infants and toddlers: recent evidence from randomized trials. , 2007, Journal of child psychology and psychiatry, and allied disciplines.

[17]  D. Fergusson,et al.  Randomized Trial of the Early Start Program of Home Visitation: Parent and Family Outcomes , 2006, Pediatrics.

[18]  D. Fergusson,et al.  Randomized Trial of the Early Start Program of Home Visitation , 2005, Pediatrics.

[19]  Robert F. Boruch,et al.  Standards of Evidence: Criteria for Efficacy, Effectiveness and Dissemination , 2005, Prevention Science.

[20]  P. Corso,et al.  The effectiveness of early childhood home visitation in preventing violence: a systematic review. , 2005, American journal of preventive medicine.

[21]  Joann L. Robinson,et al.  Effects of Home Visits by Paraprofessionals and by Nurses: Age 4 Follow-Up Results of a Randomized Trial , 2004, Pediatrics.

[22]  M. Appelbaum,et al.  Is home visiting an effective strategy? A meta-analytic review of home visiting programs for families with young children. , 2004, Child development.

[23]  L. Fuddy,et al.  Randomized trial of a statewide home visiting program: impact in preventing child abuse and neglect. , 2004, Child abuse & neglect.

[24]  M. Chaffin.  Is it time to rethink Healthy Start/Healthy Families? , 2004, Child abuse & neglect.

[25]  C. Henderson,et al.  Preventing child abuse and neglect with a program of nurse home visitation: the limiting effects of domestic violence. , 2000, JAMA.

[26]  C. Henderson,et al.  Enduring effects of nurse home visitation on maternal life course: a 3-year follow-up of a randomized trial. , 2000, JAMA.

[27]  C. Henderson,et al.  Long-term effects of nurse home visitation on children's criminal and antisocial behavior: 15-year follow-up of a randomized controlled trial. , 1998, JAMA.

[28]  C. Henderson,et al.  Long-term effects of home visitation on maternal life course and child abuse and neglect. Fifteen-year follow-up of a randomized trial. , 1997, JAMA.

[29]  C. Henderson,et al.  Effect of prenatal and infancy home visitation by nurses on pregnancy outcomes, childhood injuries, and repeated childbearing. A randomized controlled trial. , 1997, JAMA.

[30]  R. Maynard,et al.  Contraceptive Use and Repeat Pregnancies Among Welfare-Dependent Teenage Mothers , 1994 .

[31]  C. Henderson,et al.  Does prenatal and infancy nurse home visitation have enduring effects on qualities of parental caregiving and child health at 25 to 50 months of life? , 1994, Pediatrics.

[32]  J. Belsky,et al.  Etiology of child maltreatment: a developmental-ecological analysis. , 1993, Psychological bulletin.

[33]  D. Mackinnon,et al.  Estimating Mediated Effects in Prevention Studies , 1993 .

[34]  D. Cicchetti,et al.  Toward an ecological/transactional model of community violence and child maltreatment: consequences for children's development. , 1993, Psychiatry.

[35]  Lee Smith.  Adolescent mothers in later life , 1988 .

[36]  C. Henderson,et al.  Improving the life-course development of socially disadvantaged mothers: a randomized trial of nurse home visitation. , 1988, American journal of public health.

[37]  C. Henderson,et al.  Preventing child abuse and neglect: a randomized trial of nurse home visitation. , 1986, Pediatrics.

[38]  J. Belsky,et al.  The determinants of parenting: a process model. , 1984, Child development.

[39]  Murray A. Straus,et al.  Measuring intrafamily conflict and violence: The Conflict Tactics (CT) Scales. , 1979 .

[40]  A. Sedlak,et al.  Fourth National Incidence Study of Child Abuse and Neglect (NIS-4) , 2010 .

[41]  A. Reynolds.  Research on early childhood interventions in the confirmatory mode , 2004 .

[42]  R. Behrman,et al.  Home visiting: recent program evaluations--analysis and recommendations. , 1999, The Future of children.

[43]  M. Wagner,et al.  The Parents as Teachers program: results from two demonstrations. , 1999, The Future of children.

[44]  Joann L. Robinson,et al.  THEORETICAL FOUNDATIONS OF A PROGRAM OF HOME VISITATION FOR PREGNANT WOMEN AND PARENTS OF YOUNG CHILDREN , 1997 .

[45]  F. Lorenz,et al.  Social network and marital support as mediators and moderators of the impact of stress and depression on parental behavior , 1993 .

[46]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.

[47]  J. Garbarino.  The ecology of human development: Experiments by nature and design: by Urie Bronfenbrenner Cambridge, Mass.: Harvard University Press, 1979, 330 + p. , 1980 .

[48]  A. Bandura.  Self-Efficacy: The Exercise of Control , 1977 .