Results of the FIRST STEPS study: a randomised controlled trial and economic evaluation of the Group Family Nurse Partnership (gFNP) programme compared to routine care in improving outcomes for high-risk mothers and their children and preventing abuse

Barnes, Jacqueline and Stuart, Jane and Allen, Elizabeth and Petrou, Stavros and Sturgess, Joanna and Barlow, Jane and Macdonald, Geraldine and Spiby, Helen and Aistrop, Dipti and Melhuish, Edward and Kim, Sung Wook and Pink, Joshua and Datta, Jessica and Elbourne, Diane (2017) Results of the FIRST STEPS study: a randomised controlled trial and economic evaluation of the Group Family Nurse Partnership (gFNP) programme compared to routine care in improving outcomes for high-risk mothers and their children and preventing abuse. Public Health Research, 5 (9). ISSN 2050-439X

[img]
Preview
PDF - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
Download (4MB) | Preview

Abstract

Background: Family Nurse Partnership (FNP) is a home-based nurse home-visiting programme to support vulnerable parents. Group FNP (gFNP) has similar aims and materials and was demonstrated to be feasible in implementation evaluations.

Objectives: To determine whether gFNP, compared to usual care, could reduce risk factors for maltreatment in a vulnerable group and be cost effective.

Design: A multi-site randomised controlled parallel-group trial and prospective economic evaluation, with eligible women allocated (minimised by site and maternal age group) to gFNP or usual care.

Setting: Community locations in the UK.

Participants: Expectant mothers aged <20 with one or more previous live births, or 20–24 with no previous live births and with low educational qualifications, defined as neither Mathematics nor English Language General Certificate of Education (GCSE) at grade C or higher or, if both, no more than four GCSEs at grade C or higher.

Intervention: Groups offered from early pregnancy until infants are 12 months old with 44 sessions (14 pregnancy, 30 infancy), delivered to 8-12 women with similar expected delivery dates (EDDs; range 8-10 weeks) by two Family Nurses (FNs), one of whom has notified their intention to practise as a midwife.

Main outcome measures: Parenting was assessed by a self-report measure of parenting opinions, the revised Adolescent Adult Parenting Index (AAPI-2) and an objective measure of maternal sensitivity, the CARE index. Cost-effectiveness was primarily expressed in terms of incremental cost per quality -adjusted life year (QALY) gained.

Data sources: Interviews with participants at baseline and when infants were two, six and 12 months. Cost information from nurse weekly logs and other service delivery data.

Item Type: Article
Keywords: group support; parenting attitudes; maternal sensitivity; mental health
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences
Identification Number: 10.3310/phr05090
Depositing User: Eprints, Support
Date Deposited: 29 Nov 2017 15:05
Last Modified: 30 Nov 2017 19:03
URI: http://eprints.nottingham.ac.uk/id/eprint/48441

Actions (Archive Staff Only)

Edit View Edit View