The effectiveness and cost-effectiveness of the Family Nurse Partnership home visiting programme for first time teenage mothers in England: a protocol for the Building Blocks randomised controlled trial

Eleri Owen-Jones, Marie-Jet Bekkers, Christopher C Butler, Rebecca Cannings-john, Sue Channon, Kerenza Hood, John W Gregory, Alison Kemp, Joyce Kenkre, Belen Corbacho Martin, Alan A Montgomery, Gwenllian Moody, Kate Pickett, Gerry Richardson, Zoe Roberts, Sarah Ronaldson, Julia Sanders, Eugena Stamuli, David Torgerson, Michael Robling

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The Nurse Family Partnership programme was developed in the USA where it is made available to pregnant young mothers in some socially deprived geographic areas. The related Family Nurse Partnership programme was introduced in England by the Department of Health in 2006 with the aim of improving out comes for the health, wellbeing and social circumstances of young first-time mothers and their children.Methods / design: This multi-centre individually randomised controlled trial will recruit 1600 participants from 18 Primary Care Trusts in England, United Kingdom. The trial will evaluate the effectiveness of Family Nurse Partnership programme and usual care versus usual care for nulliparous pregnant women aged 19 or under, recruited by 24 weeks gestation and followed until the child's second birthday. Data will be collected from participants at baseline, 34-36 weeks gestation, 6, 12, 18 and 24 months following birth. Routine clinical data will be collected from maternity, primary care and hospital episodes statistics. Four primary outcomes are to be reported from the trial:birth weight; prenatal tobacco use; child emergency attendances and/or admissions within two years of birth;second pregnancy within two years of first birth.Discussion: This trial will evaluate the effectiveness and cost effectiveness of the Family Nurse Partnership in England. The findings will provide evidence on pregnancy and early childhood programme outcomes for policymakers, health professionals and potential recipients in three domains (pregnancy and birth, child health and development, and parental life course and self-sufficiency) up to the child's second birthday.

Trial registration number: ISRCTN23019866
Original languageEnglish
Pages (from-to)1 - 13
Number of pages12
JournalBMC Pediatrics
Volume13
DOIs
Publication statusE-pub ahead of print - 1 Jan 2013

Keywords

  • pregnancy in adolescence
  • prenatal care
  • maternal health
  • smoking cessation
  • family nurse partnership

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