Grantee: Nurse-Family Partnership
Study Type: RCT
Principal Investigator: Margaret A. McConnell – Harvard T.H. Chan School of Public Health, Abdul Latif Jameel Poverty Action Lab (J-PAL); Slawa Rokicki – Harvard T.H. Chan School of Public Health, Rutgers School of Public Health; Samuel Ayers – Harvard Graduate School of Education; Farah Allouch – Tulane School of Public Health and Tropical Medicine; Nicolas Perreault, Michelle W. Martin – Harvard T.H. Chan School of Public Health; Rebecca A. Gourevitch – Harvard Medical School; R. Annetta Zhou – RAND Corporation; Chloe Zera – Beth Israel Deaconess Medical Center, Harvard Medical School; Michele R. Hacker – Harvard Medical School, Beth Israel Deaconess Medical Center, Harvard T.H. Chan School of Public Health; Alyna Chien – Harvard Medical School, Boston Children’s Hospital; Mary Ann Bates – Abdul Latif Jameel Poverty Action Lab (J-PAL), Harvard Graduate School of Education, Cradle-to-Career Data System, State of California; Katherine Baicker – Abdul Latif Jameel Poverty Action Lab (J-PAL), National Bureau of Economic Research (NBER), University of Chicago Harris School of Public Policy
Project Description: This is a randomized controlled trial of Nurse-Family Partnership, a nurse home visitation program for first-time mothers during their pregnancy and until their children’s second birthday. The study randomly assigned 5,670 Medicaid-eligible pregnant individuals to either receive the intervention or to a control group; this reports on adverse birth outcomes, birth spacing, and major child injury or neglect in the 24 months following the child’s birth. The study took place in South Carolina from 2016 through 2021.
Key Findings: The incidence of the composite adverse birth outcome was 26.9 percent in the intervention group and 26.1 percent in the control group (adjusted between-group difference of 0.5 percent [95 percent CI, −2.1 percent to 3.1 percent]). Outcomes for the intervention group were not significantly better for any of the maternal and newborn health primary or secondary outcomes in the overall sample or in either of the prespecified subgroups.
Study Citation: McConnell M. A., Rokicki S., Ayers S., Allouch F., Perreault N., Gourevitch R. A., Martin M. W., Zhou R. A., Zera C., Hacker M. R., Chien A., Bates M. A., Baicker K. Effect of an Intensive Nurse Home Visiting Program on Adverse Birth Outcomes in a Medicaid-Eligible Population: A Randomized Clinical Trial. JAMA. 2022 Jul 5; 328(1):27-37. doi: 10.1001/jama.2022.9703. PMID: 35788794; PMCID: PMC9257581.
Full report here.
The Key Findings above were reproduced from the published report and do not necessarily reflect interpretation of Overdeck Family Foundation staff.