RT Journal Article
SR Electronic
T1 ‘right@home’: a randomised controlled trial of sustained nurse home visiting from pregnancy to child age 2 years, versus usual care, to improve parent care, parent responsivity and the home learning environment at 2 years
JF BMJ Open
JO BMJ Open
FD British Medical Journal Publishing Group
SP e013307
DO 10.1136/bmjopen-2016-013307
VO 7
IS 3
A1 Sharon Goldfeld
A1 Anna Price
A1 Hannah Bryson
A1 Tracey Bruce
A1 Fiona Mensah
A1 Francesca Orsini
A1 Lisa Gold
A1 Harriet Hiscock
A1 Charlene Smith
A1 Lara Bishop
A1 Dianne Jackson
A1 Lynn Kemp
YR 2017
UL http://bmjopen.bmj.com/content/7/3/e013307.abstract
AB Introduction By the time children start school, inequities in learning, development and health outcomes are already evident. Sustained nurse home visiting (SNHV) offers a potential platform for families experiencing adversity, who often have limited access to services. While SNHV programmes have been growing in popularity in Australia and internationally, it is not known whether they can improve children's learning and development when offered via the Australian service system. The right@home trial aims to investigate the effectiveness of an SNHV programme, offered to women from pregnancy to child age 2 years, in improving parent care of and responsivity to the child, and the home learning environment.Methods and analysis Pregnant Australian women (n=722) are identified after completing a screening survey of 10 factors known to predict children's learning and development (eg, young pregnancy, poor mental or physical health, lack of support). Consenting women—surveyed while attending clinics at 10 hospitals in Victoria and Tasmania—are enrolled if they report having 2 or more risk factors. The intervention comprises 25 home visits from pregnancy to 2 years, focusing on parent care of the child, responsivity to the child and providing a good quality home learning environment. The standard, universal, Australian child and family health service provides the comparator (control). Primary outcome measures include a combination of parent-reported and objective assessments of children's sleep, safety, nutrition, parenting styles and the home learning environment, including the Home Observation of the Environment Inventory and items adapted from the Longitudinal Study of Australian Children.Ethics and dissemination This study is approved by the Royal Children's Hospital Human Research Ethics Committees (HREC 32296) and site-specific HRECs. The investigators and sponsor will communicate the trial results to stakeholders, participants, healthcare professionals, the public and other relevant groups via presentations and publications.Trial registration number ISRCTN89962120, pre-results.