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Northwell Health Visits: A Family Connects Pilot Implementation at Northwell Health

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Northwell Health

Status

Completed

Conditions

Unspecified Child Maltreatment, Confirmed
Unspecified Child Maltreatment, Suspected
Postpartum Depression

Treatments

Other: Intervention
Other: Enhanced Intervention

Study type

Interventional

Funder types

Other

Identifiers

NCT03887910
18-0328

Details and patient eligibility

About

Northwell Health Visits (NHV) is a three year pilot replication of the evidence-based model, Family Connects, which is a brief universal Nurse Practitioner home visiting program for new mothers and their infants. We seek to compare outcomes among mothers and infants enrolled in the NHV enhanced intervention arm, those enrolled in the NHV screening-only arm, and those in the control arm. NHV will follow a three- armed randomized control trial design.

Full description

Northwell Health Visits (NHV) is based on Family Connects (formerly Durham Connects), which is a short-term, universal, inexpensive postnatal nurse home visiting program designed to provide brief parenting intervention and to connect families with community resources based on individualized assessments of family needs. The intervention was found to reduce the number of infant emergency medical care episodes and rates of anxiety in mothers, as well as increase community connection, positive parenting behaviors, participation in higher quality out-of-home child care when implemented in Durham, so we are looking to replicate these outcomes. We are adapting the model to serve the local population that is served by Northwell Health - Katz Women's Hospital at Long Island Jewish (LIJ) Medical Center, to see if increasing services in and around discharge is more useful for mothers and infants, and improves outcomes for infants. The focus is of early intervention (education and support by Nurse Practitioner), and connection to community agencies, in order to: reduce healthcare costs, decrease the rate of mothers and infants Potentially Preventable Emergency Room Visits (PPVs), adhere to well-baby care and mother's postpartum care schedules, improve family functioning, strengthen family partnerships and well-being, reduce necessary reports to child protective services, improve mental and physical health outcomes of mothers and infants within the first six months of life.

Enrollment

840 patients

Sex

All

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Infant Born at Katz Women's Hospital at Long Island Jewish (LIJ) Medical Center
  • Mother Age 18 years or older
  • Mother who has delivered a single live born normal infant, vaginally or by cesarean section
  • Mother Primary Language Spoken is English

Exclusion criteria

  • Loss of Pregnancy
  • Fetal demise
  • No health insurance
  • Infant in neonatal intensive care unit

Trial design

Primary purpose

Other

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

840 participants in 3 patient groups

Enhanced Intervention
Experimental group
Description:
Northwell Health Visits postnatal Nurse Practitioner home visitation program and referrals and developmental toys.
Treatment:
Other: Enhanced Intervention
Intervention
Experimental group
Description:
Northwell Health Visits postnatal Nurse Practitioner home visitation program and developmental screening and parent guides only.
Treatment:
Other: Intervention
Control
No Intervention group
Description:
Usual care with developmental toys.

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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