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 30 April 2013 to 29 August 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.

The right@home NHV program is based on the Maternal Early Childhood Sustained Home-visiting program and incorporates additional modules to help parents care for and respond to their children, creating a supportive home learning environment. 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.

* A COVID-19 supplemental questionnaire was added to regular assessments from 7 May 2020. For participants who had already completed regular assessments prior to 7 May, the COVID-19 supplemental questionnaire was asked as a stand-alone assessment, with additional content as noted below.



Trial phase Antenatal screening Antenatal Enrolment and Baseline Randomisation 6 w old
follow-up
6 m old
follow-up
1 y old
follow-up
18 m old
follow-up
2 y old
follow-up
End Phase 1 2.5 y old
follow-up
3 y old
follow-up
3.5 y old
follow-up
4 y old
follow-up
4.5 y old
follow-up
5 y old
follow-up
5.5 y old
follow-up
First year of school follow-up
(5-6 y old)
6 y old
follow-up
*COVID-19 Supplement (6-7 y old) End Phase 2
Year 2013-2014 2013-2014 2013-2014 2013-2014 2013-2015 2014-2015 2014-2016 2015-2016 2015-2017 2016-2017 2016-2018 2017-2018 2017-2019 2018-2019 2018-2020 2019-2021 2019-2020 2020
# 5586 total 736 total 363 intervention
359 control
329 intervention
325 control
338 intervention
321 control
326 intervention
311 control
316 intervention
299 control
306 intervention
290 control
262 intervention
244 control
255 intervention
240 control
243 intervention
227 control
248 intervention
217 control
237 intervention
207 control
225 intervention
201 control
188 intervention
168 control
145 intervention
140 control
(as of 13 Oct 2020)
173 intervention
153 control
(as of 13 Oct 2020)
164 intervention
149 control
(as of 13 Oct 2020)
Anthropometrics Anthropometrics Anthropometrics
Behavioural problems Behavioural problems Behavioural problems Behavioural problems
Birth Birth Birth Birth
Demographics Demographics Demographics
Education and childcare Education and childcare
Environmental exposures Environmental exposures Environmental exposures Environmental exposures Environmental exposures Environmental exposures
General health General health General health
Hearing and vision Hearing and vision Hearing and vision Hearing and vision Hearing and vision Hearing and vision Hearing and vision
Home and neighbourhood environments Home and neighbourhood environments Home and neighbourhood environments
Medications and supplements Medications and supplements Medications and supplements Medications and supplements Medications and supplements Medications and supplements
Mental health Mental health Mental health
Neurocognitive development Neurocognitive development Neurocognitive development Neurocognitive development Neurocognitive development Neurocognitive development
Nutrition Nutrition Nutrition
Parenting Parenting Parenting
Relationships Relationships Relationships
Reproductive health and pregnancy Reproductive health and pregnancy Reproductive health and pregnancy Reproductive health and pregnancy
Resilience and wellbeing Resilience and wellbeing Resilience and wellbeing
Sleep Sleep Sleep Sleep
Speech, language and literacy Speech, language and literacy Speech, language and literacy Speech, language and literacy Speech, language and literacy Speech, language and literacy
Substance use Substance use Substance use Substance use Substance use Substance use
Temperament and personality Temperament and personality Temperament and personality
Trial specific information Trial specific information Trial specific information Trial specific information
Bioanalyses and omics Bioanalyses and omics Bioanalyses and omics Bioanalyses and omics Bioanalyses and omics
Biosamples Biosamples Biosamples Biosamples Biosamples
Linkage to other database(s) Linkage to other database(s)
Study Summary
Study name right@home: a randomised controlled trial measuring the benefit of nurse home visiting offered to Australian mothers who are experiencing adversity, from pregnancy to child age 2 years, on (i) parenting and the home environment at 2 years and (ii) child physical and mental health, learning and language, and maternal parenting and health at 3-5 years
Study abbreviation right@home
Current principal investigator/s Prof Sharon Goldfeld
Prof Lynn Kemp
Dr Anna Price
Dr Fiona Mensah
A/Prof Lisa Gold
Ms Penny Dakin
Current project manager Dr Hannah Bryson
Primary Institution Murdoch Children’s Research Institute
Collaborating Institution/s Australian Research Alliance for Children and Youth
Western Sydney University
Major funding sources National Health and Medical Research Council
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 (published study protocol) 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

Trial registration at http://www.isrctn.com/ISRCTN89962120

Are data available to others outside study team? Yes, for student projects and collaborations.
Study focus (e.g. social development) Promoting equity in children’s early learning and 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.
Study type (e.g. randomised control trial, cohort, case-control) Randomised control trial
Year commenced 2013
Ongoing recruitment? No
Commencement sample (N) 363 intervention and 359 controls at randomisation
5586 mothers screened and 736 enrolled
Intergenerational (e.g. offspring)? Yes
Imaging (e.g. fMRI, ultrasound, retinal photograph)? No
Linkage (e.g. BioGrid, VPDC, NAPLAN, Medicare)? School Entrant Health Questionnaire
Tasmanian Kindergarten Developmental Check
NAPLAN Grade 3
Department of Human Services Centrelink contact information
Biosamples (e.g. buccal, blood, hair)? Hair
Ethics approvals or requirements (e.g. specific, extended, unspecified, other)? This project only (Specific consent)
Future research related to this project (Extended consent)
Year Age (mean, range) Eligible sample
(not deceased, not withdrawn)
2013 – 2014 mother’s age (antenatal period), 28 years, range 14-49 years 363 intervention
359 control
2013 – 2014 child age, mean 8 weeks, range 6-21 weeks 355 intervention
352 control
2013 – 2015 child age, mean 6 months, range 5-10 months 352 intervention
346 control
2014 – 2015 child age, mean 12 months, range 11-17 months 347 intervention
337 control
2014 – 2016 child age, mean 18 months, range 15-23 months 342 intervention
329 control
2015 – 2016 child age, mean 24 months, range 22-32 months 335 intervention
318 control
2015 – 2017 child age, mean 30 months, range 29-34 months 281 intervention
261 control
2016 – 2017 child age, mean 36 months, range 35-40 months 276 intervention
254 control
2016 – 2018 child age, mean 42 months, range 41-47 months 272 intervention
251 control
2017 – 2018 child age, mean 49 months, range 47-56 months 268 intervention
244 control
2017 – 2019 child age, mean 54 months, range 54-58 months 266 intervention
238 control
2018 – 2019 child age, mean 5.1 years, range 4.9-5.5 years 258 intervention
231 control
2018 – 2020 child age, mean 5.6 years, range 5.2-5.9 years 213 intervention
188 control
2019-2021 Ongoing, child age 5 to 7 years (first year of school) 211 intervention
185 control
2019-2020 child age, mean 6.1 years, range 5.9-6.4 years 212 intervention
185 control
2020 child age, mean 6.5 years, range 6.0-7.2 years 211 intervention
185 control

Principal Investigator

Prof Sharon Goldfeld

Project Manager

Dr Hannah Bryson

Study Contact

Ph: +613 9345 6355
Email: right.home@rch.org.au

Postal Address

right@home, Centre for Community Child Health (CCCH)
Murdoch Childrens Research Institute
The Royal Children’s Hospital
50 Flemington Road
Parkville
VIC 3052