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.
| 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 |
Anna Price |
| 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 |
| Primary participant (at recruitment) | Index child |
| 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) |
2022
Goldfeld S, Bryson H, Mensah F, Price A, Gold L, Orsini F, Kenny B, Perlen S, Bohingamu Mudiyanselage S, Dakin P, Bruce T, Harris D, Kemp L. (2022). Nurse home visiting to improve child and maternal outcomes: 5-year follow-up of an Australian randomised controlled trial. PLoS One, 17(11), e0277773. DOI: 10.1371/journal.pone.0277773
Price A, Mudiyanselage SB, Schembri R, Mensah F, Kemp L, Harris D, Goldfeld S. (2022). The Impact of Nurse Home Visiting on the Use, Dose and Quality of Formal Childcare: 3-Year Follow-Up of a Randomized Trial. Acad Pediatr, 22(2), 233 - 243. DOI: 10.1016/j.acap.2021.07.022
2021
Bohingamu Mudiyanselage S, Price AMH, Mensah FK, Bryson HE, Perlen S, Orsini F, Hiscock H, Dakin P, Harris D, Noble K, Bruce T, Kemp L, Goldfeld S, Gold L. (2021). Economic evaluation of an Australian nurse home visiting programme: a randomised trial at 3 years. BMJ Open, 11(12), e052156. DOI: 10.1136/bmjopen-2021-052156
Bryson H, Mensah F, Price A, Gold L, Mudiyanselage SB, Kenny B, Dakin P, Bruce T, Noble K, Kemp L, Goldfeld S. (2021). Clinical, financial and social impacts of COVID-19 and their associations with mental health for mothers and children experiencing adversity in Australia. PLoS One, 16(9), e0257357. DOI: 10.1371/journal.pone.0257357
Bryson H, Middleton M, Huque H, Mensah F, Goldfeld S, Price AM. (2021). Examining longitudinal associations between self-reported depression, anxiety and stress symptoms and hair cortisol among mothers of young children. J Affect Disord, 282, 921 - 929. DOI: 10.1016/j.jad.2020.12.144
Bryson H, Perlen S, Price A, Mensah F, Gold L, Dakin P, Goldfeld S. (2021). Patterns of maternal depression, anxiety, and stress symptoms from pregnancy to 5 years postpartum in an Australian cohort experiencing adversity. Arch Womens Ment Health, 24(6), 987 - 997. DOI: 10.1007/s00737-021-01145-0
Bryson HE, Mensah F, Goldfeld S, Price AMH, Giallo R. (2021). Hair cortisol in mother-child dyads: examining the roles of maternal parenting and stress in the context of early childhood adversity. Eur Child Adolesc Psychiatry, 30(4), 563 - 577. DOI: 10.1007/s00787-020-01537-0
Bryson HE, Price AM, Goldfeld S, Mensah F. (2021). Associations between social adversity and young children's hair cortisol: A systematic review. Psychoneuroendocrinology, 127, 105176. DOI: 10.1016/j.psyneuen.2021.105176
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). DOI: 10.1542/peds.2020-025361
Price DAM, Middleton MM, Matthey AAPS, Goldfeld PS, Kemp PL, Orsini MF. (2021). A comparison of two measures to screen for mental health symptoms in pregnancy and early postpartum: the Matthey Generic Mood Questionnaire and the Depression, Anxiety, Stress Scales short-form. J Affect Disord, 281, 824 - 833. DOI: 10.1016/j.jad.2020.11.055
2020
Bryson H. (2020). Hair cortisol as a measure of stress response to social adversity in early childhood .
Bryson HE, Mensah F, Goldfeld S, Price AMH. (2020). Using Hair Cortisol to Examine the Role of Stress in Children's Health Inequalities at 3 Years. Acad Pediatr, 20(2), 193 - 202. DOI: 10.1016/j.acap.2019.05.008
2019
Bryson H, Mensah F, Goldfeld S, Price A, Giallo R. (2019). Hair cortisol in mother-child dyads: maternal parenting and stress in the context of early adversity .
Bryson H, Mensah F, Goldfeld S, Price A, Giallo R. (2019). Hair cortisol in mother-child dyads: maternal parenting and stress in the context of early adversity .
Bryson H, Mensah F, Goldfeld S, Price A, Giallo R. (2019). Using hair cortisol to examine the role of maternal parenting in the transmission of stress in mother–child dyads experiencing adversity Psychoneuroendocrinology, 107, 18. DOI: 10.1016/j.psyneuen.2019.07.050
Bryson H, Mensah F, Goldfeld S, Price A. (2019). Does stress mediate the association between early adversity and children's health at 3 years? .
Bryson H, Middleton M, Huque H, Mensah F, Goldfeld S, Price A. (2019). Hair cortisol and self-reported depression, anxiety and stress symptoms among mothers of young children .
Bryson H, Middleton M, Huque H, Mensah F, Goldfeld S, Price A. (2019). Hair cortisol and self-reported depression, anxiety and stress symptoms among mothers of young children Psychoneuroendocrinology, 107, 20. DOI: 10.1016/j.psyneuen.2019.07.056
Bryson HE, Goldfeld S, Price AMH, Mensah F. (2019). Hair cortisol as a measure of the stress response to social adversity in young children. Dev Psychobiol, 61(4), 525 - 542. DOI: 10.1002/dev.21840
Goldfeld S, Price A, Smith C, Bruce T, Bryson H, Mensah F, Orsini F, Gold L, Hiscock H, Bishop L, Smith A, Perlen S, Kemp L. (2019). Nurse Home Visiting for Families Experiencing Adversity: A Randomized Trial. Pediatrics, 143(1). DOI: 10.1542/peds.2018-1206
Kemp L, Bruce T, Elcombe EL, Anderson T, Vimpani G, Price A, Smith C, Goldfeld S. (2019). Quality of delivery of "right@home": Implementation evaluation of an Australian sustained nurse home visiting intervention to improve parenting and the home learning environment. PLoS One, 14(5), e0215371. DOI: 10.1371/journal.pone.0215371
Price A, Bryson H, Mensah F, Kemp L, Smith C, Orsini F, Hiscock H, Gold L, Smith A, Bishop L, Goldfeld S. (2019). A brief survey to identify pregnant women experiencing increased psychosocial and socioeconomic risk. Women Birth, 32(3), e351 - e358. DOI: 10.1016/j.wombi.2018.08.162
Price A, Bryson H, Smith A, Mensah F, Goldfeld S. (2019). Processes for engaging and retaining women who are experiencing adversity in longitudinal health services research. BMC Health Serv Res, 19(1), 833. DOI: 10.1186/s12913-019-4698-5
2018
Bryson H, Goldfeld S, Price A, Mensah F. (2018). Hair cortisol as a measure of stress response to social adversity in early childhood .
Bryson H, Goldfeld S, Price A, Mensah F. (2018). Hair cortisol as a measure of stress response to social adversity in early childhood .
Bryson H, Goldfeld S, Price A, Mensah F. (2018). Hair cortisol as a measure of stress response to social adversity in early childhood .
Goldfeld S, D'Abaco E, Bryson H, Mensah F, Price AM. (2018). Surveying social adversity in pregnancy: The antenatal risk burden experienced by Australian women. J Paediatr Child Health, 54(7), 754 - 760. DOI: 10.1111/jpc.13860
Goldfeld S, Price A, Kemp L. (2018). Designing, testing, and implementing a sustainable nurse home visiting program: right@home. Ann N Y Acad Sci, 1419(1), 141 - 159. DOI: 10.1111/nyas.13688
2017
Bryson H. (2017). Hair cortisol as a measure of stress response to social adversity in young children .
Goldfeld S, Price A, Bryson H, Bruce T, Mensah F, Orsini F, Gold L, Hiscock H, Smith C, Bishop L, Jackson D, 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
Price AM, Bryson HE, Mensah F, Kemp L, Bishop L, Goldfeld S. (2017). The feasibility and acceptability of a population-level antenatal risk factor survey: Cross-sectional pilot study. J Paediatr Child Health, 53(6), 572 - 577. DOI: 10.1111/jpc.13510
0
Bryson H, Mensah F, Price A, Gold L, Mudiyanselage SB, Kenny B, Dakin P, Bruce T, Noble K, Kemp L, Goldfeld S. (). Clinical, Financial and Social Impacts of COVID-19 and Their Associations with Mental Health for Mothers and Children Experiencing Adversity in Australia . DOI: 10.21203/rs.3.rs-607579/v1
| Study Contacts | |
|---|---|
| Principal investigator/s |
Sharon Goldfeld Lynn Kemp Anna Price Fiona Mensah Lisa Gold Penny Dakin |
| Project manager |
Anna Price |
| Study Contact |
Anna Price |