Article Olds Flashcards
All three of the trials focused on women who
had…
no previous live births
3 broad domains of proximal risks and protective factors
that the program was designed to affect:
-prenatal health related behaviors
-sensitive, competent care of the child
-early parental life-course (pregnancy
planning, parents’ completion of their educations,
finding work, and father involvement in the lives of
their children).
Program originally designed to influence:
-birth outcomes (obstetric complications, preterm
delivery, and low birthweight)
-child abuse, neglect,
and unintentional injuries
-child neurodevelopmental
impairment (perturbations in emotional, behavioral,
and cognitive development)
-later parental life-course (family economic self-sufficiency, welfare
dependence, maternal substance abuse).
What outcomes might this program affect years later?
antisocial behavior and substance abuse
The program is grounded in theories of:
human ecology (Bronfenbrenner, 1979, 1995) self-efficacy (Bandura, 1977) human attachment (Bowlby, 1969)
Frequency of Visitation
The recommended frequency of home visits
changed with the stages of pregnancy and was
adapted to the parents’ needs. When parents were
experiencing crises, the nurses were allowed to visit
more frequently.
what did the women selected for this study have?
at least one of:
(i) under 19 years of age
(ii) single parent status
(iii) low socioeconomic status.
who was hypothesized to benefit most from the program?
Women with few psychological
resources (defined in Memphis as having high
rates of mental-health symptoms, limited intellectual
functioning, as well as limited beliefs in their control
over their lives)
Overall, the
Elmira and Memphis trials demonstrate that the nurse
home visitation program achieved two of its most important
goals:
the reduction in dysfunctional care of
children and the improvement of maternal life course.
