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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

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Published on: January 12, 2018

Toward Population Impact from Home Visiting.

Kenneth A Dodge¹, W Benjamin Goodman, Robert Murphy

¹Duke University.

|March 26, 2013

Summary

This summary is machine-generated.

The Durham Connects program demonstrated population-level impact by reducing infant emergency room visits and hospitalizations. This universal nurse home-visiting initiative achieved success through community partnerships and early intervention.

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Area of Science:

Public Health
Pediatrics
Health Services Research

Background:

Previous home-visiting programs showed family-level but not population-level effectiveness.
The Durham Connects (DC) initiative aimed to achieve population-level impact through community agency collaboration.

Purpose of the Study:

To evaluate the population impact of the Durham Connects (DC) initiative, a universal postnatal nurse home-visiting program.
To assess the effectiveness of a Preventive System Of Care model in achieving early-intervention goals.

Main Methods:

A population randomized controlled trial involving all 4,777 births in Durham, NC, over 18 months.
Universal, short-term, postnatal nurse home visits delivering brief interventions and needs assessments.
Connecting families with community resources based on 12 assessed domains.

Main Results:

The Durham Connects program achieved high penetration and fidelity.
By 6 months of age, infants in the DC group had 18% fewer emergency room visits compared to controls.
Infants in the DC group experienced 80% fewer hospital overnights than control families.

Conclusions:

Population-level impact is achievable with well-designed and implemented programs.
Key factors for success include community partnerships, universal reach, comprehensive assessment, and sustainable funding models.
The Durham Connects initiative provides a model for effective population-level early intervention through nurse home visiting.