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Differential effects of a nurse home-visiting intervention on physically aggressive behavior in children

Kimberly Sidora-Arcoleo1, Elizabeth Anson, Michael Lorber

  • 1Arizona State University College of Nursing and Healthcare Innovation, Phoenix, AZ, USA. kimberly.arcoleo@asu.edu

Journal of Pediatric Nursing
|February 2, 2010
PubMed

Insights

Nurse home visiting (NV) reduced physical aggression (PA) in young girls and children with high-resource mothers. This intervention also improved verbal ability in girls, highlighting the need for subgroup analysis in child development research.

Area of Science:

  • Child Development
  • Public Health Interventions
  • Behavioral Science

Background:

  • Physical aggression (PA) is a significant concern in child development.
  • Nurse home visiting (NV) is a strategy aimed at improving child and maternal outcomes.
  • Understanding differential intervention effects is crucial for optimizing public health strategies.

Purpose of the Study:

  • To investigate the specific effects of nurse home visiting (NV) on physical aggression (PA) in children aged 2-12 years.
  • To explore how these effects vary based on child's gender and maternal psychological resources.

Main Methods:

  • Secondary data analysis of a randomized controlled trial of nurse home visiting (NV).
  • Statistical examination of intervention effects on physical aggression (PA) across different child and maternal subgroups.
  • Mediation analysis to explore pathways of intervention effects.

Main Results:

  • Significant reductions in physical aggression (PA) were observed in girls at 2 years old receiving NV.
  • NV was associated with reduced PA in children of mothers with high psychological resources at ages 6 and 12.
  • Mediation analysis indicated that reduced PA in girls was linked to enhanced verbal abilities.

Conclusions:

  • Nurse home visiting (NV) demonstrates differential effects on physical aggression (PA) based on gender and maternal psychological resources.
  • Subgroup analyses are essential for identifying populations that benefit most from NV interventions.
  • Targeted interventions based on subgroup identification can enhance the success of child development programs.
Abstract

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