caa a22 4500 606153233 CHVBK 20210128100552.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s11121-015-0563-x doi (NATIONALLICENCE)springer-10.1007/s11121-015-0563-x Cluster Randomized Controlled Trial of Intervention to Increase Participant Retention and Completed Home Visits in the Nurse-Family Partnership [Elektronische Daten] [David Olds, Pilar Baca, Maureen McClatchey, Erin Ingoldsby, Dennis Luckey, Michael Knudtson, Joan Loch, Mildred Ramsey] We conducted a cluster-based randomized controlled trial of an intervention designed to improve participant retention in community replication sites of the Nurse-Family Partnership (NFP). We registered 26 sites and randomized them into three groups: retention intervention (RI, N = 9), delayed RI (DRI, N = 6), or control (C, NFP as usual, N = 11). The RI consisted of training nurses to give more explicit control over the frequency of visits and content of the program to the parent participants. Two of the sites assigned to the RI, two assigned to the DRI, and two out of four nurses in one other site assigned to the DRI chose not to participate in the intervention. Primary analyses (intention to treat) contrasted changes in participant retention and completed visits (the primary outcomes) in the two intervention groups (RI and DRI) compared to control sites, focusing on differences in performance among baseline cohorts compared to cohorts enrolled during the first year during which the retention intervention was implemented. Compared to baseline, retention declined in the control sites over time but stayed the same in the RI and DRI sites (p value for interaction = 0.099). Compared to baseline, the number of completed home visits declined over time in the control sites but did not in the RI and DRI sites, producing a significant treatment difference in change in mean completed home visits over time (2.71 visits, SE = 1.164, p = 0.020). The intervention offset a decline over time in retention and completed home visits found in the control group during the time covered by this trial. Quantitative and qualitative evaluation of the intervention indicated that improvements are needed to promote its uptake. Society for Prevention Research, 2015 Home nationallicence Visits nationallicence Retention nationallicence Pregnancy nationallicence Infancy nationallicence NFP : Nurse-Family Partnership nationallicence RI : Retention intervention nationallicence DRI : Delayed retention intervention nationallicence MI : Motivational interviewing nationallicence Olds David Department of Pediatrics, School of Medicine, University of Colorado Denver, 13121 E. 17th Ave., Mail Stop #8410, 80045, Aurora, CO, USA aut Baca Pilar Department of Pediatrics, School of Medicine, University of Colorado Denver, 13121 E. 17th Ave., Mail Stop #8410, 80045, Aurora, CO, USA aut McClatchey Maureen Department of Biostatistics and Informatics, Colorado Public School of Health, University of Colorado Denver, 13121 E. 17th Ave., Mail Stop #8410, 80045, Aurora, CO, USA aut Ingoldsby Erin Omni Institute, Denver, Colorado, USA aut Luckey Dennis Department of Biostatistics and Informatics, Colorado Public School of Health, University of Colorado Denver, 13121 E. 17th Ave., Mail Stop #8410, 80045, Aurora, CO, USA aut Knudtson Michael Department of Pediatrics, School of Medicine, University of Colorado Denver, 13121 E. 17th Ave., Mail Stop #8410, 80045, Aurora, CO, USA aut Loch Joan Nurse Family Partnership National Service Office, 80203, Denver, CO, USA aut Ramsey Mildred Oklahoma State Department of Health, Oklahoma City, OK, USA aut Prevention Science Springer US; http://www.springer-ny.com 16/6(2015-08-01), 778-788 1389-4986 16:6<778 2015 16 11121 https://doi.org/10.1007/s11121-015-0563-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11121-015-0563-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Olds David Department of Pediatrics, School of Medicine, University of Colorado Denver, 13121 E. 17th Ave., Mail Stop #8410, 80045, Aurora, CO, USA aut NATIONALLICENCE 700 1- Baca Pilar Department of Pediatrics, School of Medicine, University of Colorado Denver, 13121 E. 17th Ave., Mail Stop #8410, 80045, Aurora, CO, USA aut NATIONALLICENCE 700 1- McClatchey Maureen Department of Biostatistics and Informatics, Colorado Public School of Health, University of Colorado Denver, 13121 E. 17th Ave., Mail Stop #8410, 80045, Aurora, CO, USA aut NATIONALLICENCE 700 1- Ingoldsby Erin Omni Institute, Denver, Colorado, USA aut NATIONALLICENCE 700 1- Luckey Dennis Department of Biostatistics and Informatics, Colorado Public School of Health, University of Colorado Denver, 13121 E. 17th Ave., Mail Stop #8410, 80045, Aurora, CO, USA aut NATIONALLICENCE 700 1- Knudtson Michael Department of Pediatrics, School of Medicine, University of Colorado Denver, 13121 E. 17th Ave., Mail Stop #8410, 80045, Aurora, CO, USA aut NATIONALLICENCE 700 1- Loch Joan Nurse Family Partnership National Service Office, 80203, Denver, CO, USA aut NATIONALLICENCE 700 1- Ramsey Mildred Oklahoma State Department of Health, Oklahoma City, OK, USA aut NATIONALLICENCE 773 0- Prevention Science Springer US; http://www.springer-ny.com 16/6(2015-08-01), 778-788 1389-4986 16:6<778 2015 16 11121