The right@home nurse home visiting program (right@home)

right@home is a multi-state nurse home visiting (NHV) randomised controlled trial designed to promote family wellbeing and child development. 722 pregnant women experiencing adversity (≥2 of 10 social risk factors) were recruited between 2013 and 2014 from public maternity hospitals in the states of Victoria and Tasmania (Australia). Participants and their children were followed from pregnancy until children turn 6 years of age, including their first year of school.

right@home aims to investigate the effectiveness of the NHV program in improving parent care of and responsivity to the child, and the home learning environment; and longer-term effects on child physical and mental health and language development and maternal parenting and mental health.

Year 2013-2014 2013-2014 2013-2014 2013-2014 2013-2014 2014-2015 2014-2016 2015-2016 2015-2016 2015-2017 2016-2017 2016-2018 2017-2018 2017-2019 2018-2019 2018-2020 2019-2021 2019-2020 2020 2021
Phase Antenatal screening Antenatal enrolment and Baseline Randomisation 6 week follow-up 6 month follow-up 1 year follow-up 18 month follow-up 2 year follow-up End Phase 1 2.5 year follow-up 3 year follow-up 3.5 follow-up 4 year follow-up 4.5 year follow-up 5 year follow-up 5.5 year follow-up First year of school follow-up 6 year follow-up COVID-19 Supplement End Phase 2
Age < 37 weeks gestation < 37 weeks gestation < 37 weeks gestation 6 weeks 6 months 1 years 18 months 2 years 2 years 2.5 years 3 years 3.5 years 4 years 4.5 years 5 years 5.5 years 5-6 years 6 years 6-7 years 6-7 years
N
RELEVANT LIFECOURSE DOMAINS Anthropometrics Anthropometrics Anthropometrics
Bioanalyses and omics Bioanalyses and omics Bioanalyses and omics Bioanalyses and omics Bioanalyses and omics
Biosamples Biosamples Biosamples Biosamples Biosamples
Community environment Community environment Community environment Community environment Community environment Community environment
Demographics Demographics Demographics Demographics
Education and childcare Education and childcare Education and childcare
Environmental exposures Environmental exposures Environmental exposures Environmental exposures Environmental exposures Environmental exposures
Family environment Family environment Family environment Family environment
Health services Health services Health services Health services
Mental health and behaviour problems Mental health and behaviour problems Mental health and behaviour problems
Methodology Methodology Methodology Methodology
Miscellaneous Miscellaneous Miscellaneous Miscellaneous
Neurocognitive development Neurocognitive development Neurocognitive development Neurocognitive development Neurocognitive development Neurocognitive development
Nutrition Nutrition Nutrition Nutrition
Other health information Other health information Other health information
Peer relationships Peer relationships Peer relationships Peer relationships
Physical activity
Pregnancy and birth Pregnancy and birth Pregnancy and birth Pregnancy and birth
Psychosocial wellbeing Psychosocial wellbeing Psychosocial wellbeing
Romantic relationships Romantic relationships Romantic relationships Romantic relationships Romantic relationships Romantic relationships
Sleep Sleep Sleep Sleep Sleep
Speech and language Speech and language Speech and language Speech and language Speech and language
Substance use Substance use Substance use Substance use Substance use Substance use
Temperament and personality Temperament and personality Temperament and personality Temperament and personality
Study Summary
Study name The right@home nurse home visiting program
Study abbreviation right@home
Current principal investigator/s Sharon Goldfeld
Lynn Kemp
Anna Price
Fiona Mensah
Lisa Gold
Penny Dakin
Current project manager

Maureen Makama

Primary Institution/s Murdoch Children’s Research Institute - MCRI
Collaborating Institution/s Australian Research Alliance for Children and Youth - ARACY
Western Sydney University
Major funding source/s National Health and Medical Research Council - NHMRC
Victorian State Government
Tasmanian State Government
The Ian Potter Foundation
Sabemo Trust
Sidney Myer Fund
Vincent Fairfax Family fund
Study website http://www.rch.org.au/ccch/research-projects/right-at-home/
Key reference for study Goldfeld, S., Price, A., Bryson, H., Bruce, T., Mensah, F., Orsini, F., Gold, L., Hiscock, H., Smith, C., Bishop, L., Jackson, D. and Kemp, L. (2017). ‘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. BMJ Open, 7(3): e013307. doi:10.1136/bmjopen-2016-013307
Study focus

To investigate the effectiveness of a nurse home visiting program in improving parent care of and responsivity to the child, and the home learning environment, to promote family wellbeing and child development.

Sampling frame

Participants were recruited from the public maternity hospitals servicing four local government areas (councils) in Victoria (Ballarat, Dandenong, Frankston, Whittlesea) and three regions in Tasmania (South, North, North West). Eligible participants were pregnant women attending the antenatal clinics from May 2013 to August 2014 that had expected due dates before 1 October 2014, were less than 37 weeks gestation, had two or more of 10 risk factors identified by risk factor screening, and had home addresses within the travel boundaries specified by the local councils/regions managing the intervention nurses.

Primary study type Randomised Control Trial / Other trial
Year commenced

2013

Is this study ongoing? Yes - the study is ongoing
Ongoing recruitment? No
Sample size (N)

5586 mothers were screened and 736 enrolled; 722 families at randomisation, 363 intervention and 359 controls

Survey data available? Yes
Imaging data available? No
Linkage to administrative dataset/s? Yes, linkage to (at least one) administrative dataset underway
Biosamples available? Yes
Are data available to others outside study team, with appropriate safeguards and structures in line with the cohort’s ethics and governance processes? Yes
Are there any costs associated with data/sample access for approved requests? There are usually no costs associated with access
Broadest type of participant consent available Extended consent (can be used for future ethically approved research related to this project)
Phase Year Age Sample size (N)
Antenatal screening 2013-2014 < 37 weeks gestation
Antenatal enrolment and Baseline 2013-2014 < 37 weeks gestation
Randomisation 2013-2014 < 37 weeks gestation
6 week follow-up 2013-2014 6 weeks
6 month follow-up 2013-2014 6 months
1 year follow-up 2014-2015 1 years
18 month follow-up 2014-2016 18 months
2 year follow-up 2015-2016 2 years
End Phase 1 2015-2016 2 years
2.5 year follow-up 2015-2017 2.5 years
3 year follow-up 2016-2017 3 years
3.5 follow-up 2016-2018 3.5 years
4 year follow-up 2017-2018 4 years
4.5 year follow-up 2017-2019 4.5 years
5 year follow-up 2018-2019 5 years
5.5 year follow-up 2018-2020 5.5 years
First year of school follow-up 2019-2021 5-6 years
6 year follow-up 2019-2020 6 years
COVID-19 Supplement 2020 6-7 years
End Phase 2 2021 6-7 years
Study Contacts
Principal investigator/s Sharon Goldfeld
Lynn Kemp
Anna Price
Fiona Mensah
Lisa Gold
Penny Dakin
Project manager

Maureen Makama

Study Contact

Phone: +613 9345 6355
Email: right.home@rch.org.au
Address: right@home, Centre for Community Child Health (CCCH)
Murdoch Children's Research Institute,
Royal Children’s Hospital
Flemington Road, Parkville
Victoria 3052 Australia