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Ann N Y Acad Sci. 2018 May;1419(1):141-159. doi: 10.1111/nyas.13688.

Designing, testing, and implementing a sustainable nurse home visiting program: right@home.

Goldfeld S1,2,3, Price A1,2,3, Kemp L4.

Author information

1
Centre for Community Child Health, Murdoch Children's Research Institute, The Royal Children's Hospital, Parkville, Victoria, Australia.
2
Population Health, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
3
Department of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia.
4
Ingham Institute, Western Sydney University, Sydney, Victoria, Australia.

Abstract

Nurse home visiting (NHV) offers a potential platform to both address the factors that limit access to services for families experiencing adversity and provide effective interventions. Currently, the ability to examine program implementation is hampered by a lack of detailed description of actual, rather than expected, program development and delivery in published studies. Home visiting implementation remains a black box in relation to quality and sustainability. However, previous literature would suggest that efforts to both report and improve program implementation are vital for NHV to have population impact and policy sustainability. In this paper, we provide a case study of the design, testing, and implementation of the right@home program, an Australian NHV program and randomized controlled trial. We address existing gaps related to implementation of NHV programs by describing the processes used to develop the program to be trialed, summarizing its effectiveness, and detailing the quality processes and implementation evaluation. The weight of our evidence suggests that NHV can be a powerful and sustainable platform for addressing inequitable outcomes, particularly when the program focuses on parent engagement and partnership, delivers evidence-based strategies shown to improve outcomes, includes fidelity monitoring, and is adapted to and embedded within existing service delivery systems.

KEYWORDS:

evaluation; implementation; nurse home visiting; quality; randomized controlled trial; retention rates

PMID:
29791738
DOI:
10.1111/nyas.13688

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