Nurse Family Partnership for Women With Previous Live Births

Launched by UNIVERSITY OF COLORADO, DENVER · May 23, 2023

Keywords

ClinConnect Summary

This clinical trial is studying a program called the Nurse Family Partnership (NFP) to see how it can help mothers who have had previous live births. The main goal is to find out if this program can improve the health of these mothers and their children during pregnancy and after birth. This study will also look at how the NFP affects older siblings in the family, especially focusing on their emotional and cognitive development. Researchers want to understand if the home visits by nurses can make a positive difference in the lives of both the new baby and their siblings.

To participate in this trial, women must be pregnant at 32 weeks or less and have had a live birth before. They should also be covered by Medicaid or be eligible for it, and face at least one challenge, such as being under 19 years old, having a low education level, or using tobacco or marijuana. Participants can expect support from nurses who will visit them at home, helping them with their health and the development of their children. It’s important to note that this program is designed to be helpful and supportive, especially for families facing difficult situations. If you or someone you know fits these criteria and is interested, this study could provide valuable resources and assistance.

Gender

FEMALE

Eligibility criteria

• Inclusion Criteria:
• • 1. pregnant at 32 weeks EGA or less
• • 2. history of previous live birth
• • 3. covered by Medicaid or Medicaid-eligible
• • 4. at least one of the following risks or adversities -age 19 or younger, no high school degree or equivalent, homeless (using a standardized definition), previous birth with low birth weight or prematurity, previous pregnancy with severe morbidity based on Centers for Disease Control definition, current pregnancy within 18 months of previous pregnancy, currently using tobacco or marijuana, history of substance use disorder, and self-identification as Black/African American (as a marker of facing the adversity of structural racism).
• Exclusion Criteria:
• • 1. unable converse and demonstrate adequate understanding to provide consent for study participation in English or Spanish
• • 2. are already enrolled in a home-visiting intervention with this pregnancy
• • 3. have previously been enrolled in NFP
• • 4. under the age of 16 years. Note that we propose to exclude those who don't speak English or Spanish from our study because the community served by the two NFP delivery sites participating in our study is mostly English-speaking with some Spanish-speaking. However, those who don't speak English or Spanish are not excluded from participation in NFP, and NFP routinely provides services to all eligible families regardless of language spoken using bilingual/multilingual nurses when available or using interpretation services. NFP materials for nurses to use with families, known as 'facilitators', are available in several languages. In the rare circumstance that a pregnant woman is excluded from participating in our study based on language, they will not be excluded from receiving NFP.