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英国针对首次生育的青少年母亲的家庭护士伙伴关系家访计划的有效性和成本效益:“基石”随机对照试验方案

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.

作者信息

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

出版信息

BMC Pediatr. 2013 Aug 6;13:114. doi: 10.1186/1471-2431-13-114.

DOI:10.1186/1471-2431-13-114
PMID:23919573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3750355/
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 outcomes 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 policy makers, 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

Trial registration number: ISRCTN23019866.

摘要

背景

护士家庭伙伴关系计划在美国制定,在一些社会贫困地区向怀孕的年轻母亲提供。相关的家庭护士伙伴关系计划于2006年由英国卫生部引入英格兰,目的是改善年轻初产妇及其子女的健康、福祉和社会状况。

方法/设计:这项多中心个体随机对照试验将从英国英格兰的18个初级保健信托机构招募1600名参与者。该试验将评估家庭护士伙伴关系计划和常规护理与仅常规护理相比,对妊娠24周前招募的19岁及以下未生育孕妇的有效性,随访至孩子两岁生日。将在基线、妊娠34 - 36周、出生后6、12、18和24个月从参与者处收集数据。常规临床数据将从产科、初级保健和医院病历统计中收集。试验将报告四个主要结果:出生体重;产前吸烟情况;孩子出生后两年内的急诊就诊和/或住院情况;首次分娩后两年内的再次怀孕情况。

讨论

这项试验将评估英格兰家庭护士伙伴关系的有效性和成本效益。研究结果将为政策制定者、卫生专业人员和潜在受益者提供关于妊娠和幼儿计划结果的证据,涉及三个领域(妊娠与分娩、儿童健康与发育、父母生活历程与自给自足),直至孩子两岁生日。

试验注册

试验注册号:ISRCTN23019866。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22de/3750355/0eb9d617c994/1471-2431-13-114-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22de/3750355/0eb9d617c994/1471-2431-13-114-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22de/3750355/0eb9d617c994/1471-2431-13-114-1.jpg

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