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    Nurse Home Visiting and Maternal Mental Health: 3-Year Follow-Up of a Randomized Trial.

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    Author
    Goldfeld, S; Bryson, H; Mensah, F; Gold, L; Orsini, F; Perlen, S; Price, A; Hiscock, H; Grobler, A; Dakin, P; ...
    Date
    2021-02
    Source Title
    Pediatrics
    Publisher
    American Academy of Pediatrics (AAP)
    University of Melbourne Author/s
    Goldfeld, Sharon; Price, Anna
    Affiliation
    Paediatrics (RCH)
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Goldfeld, S., Bryson, H., Mensah, F., Gold, L., Orsini, F., Perlen, S., Price, A., Hiscock, H., Grobler, A., Dakin, P., Bruce, T., Harris, D. & Kemp, L. (2021). Nurse Home Visiting and Maternal Mental Health: 3-Year Follow-Up of a Randomized Trial.. Pediatrics, 147 (2), pp.e2020025361-e2020025361. https://doi.org/10.1542/peds.2020-025361.
    Access Status
    This item is embargoed and will be available on 2022-02-28
    URI
    http://hdl.handle.net/11343/258824
    DOI
    10.1542/peds.2020-025361
    Abstract
    BACKGROUND: Poor mental health is recognized as one of the greatest global burdens of disease. Maternal mental health is crucial for the optimal health of mothers and their children. We examined the effects of an Australian Nurse Home Visiting (NHV) program (right@home), offered to pregnant women experiencing adversity, on maternal mental health and well-being at child age 3 years. METHODS: A randomized controlled trial of NHV delivered via universal child and family health services (2013-2016). Pregnant women experiencing adversity (≥2 of 10 risk factors) were recruited from 10 antenatal clinics across 2 states. Intervention comprised 25 home visits until child age 2 years. The outcomes assessed 1-year postintervention completion were maternal self-report of mental health symptoms (Depression Anxiety Stress Scales) and positive aspects of mental health (personal well-being and self-efficacy). RESULTS: Of the 722 women enrolled in the trial, 255 of 363 (70%) intervention and 240 of 359 (67%) control group women provided data at 3 years. Compared with controls, the intervention group reported better mental health (reverse Depression Anxiety Stress Scales scores): effect sizes of 0.25 (depression; 95% confidence interval [CI]: 0.08 to 0.32), 0.20 (anxiety; 95% CI: 0.05 to 0.30), 0.17 (stress; 95% CI: 0.09 to 0.37), and 0.23 (total score; 95% CI: 0.12 to 0.38); 0.16 (95% CI: 0.04 to 0.29) for personal well-being; and an odds ratio of 1.60 (95% CI: 1.19 to 2.16) for self-efficacy. CONCLUSIONS: An NHV designed to support mothers experiencing adversity can lead to later maternal mental health benefits, even after the program ends.

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