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Engaging Community in Prioritizing Outcomes to Improve Family Health in Evidence-Based Nurse Home Visiting: Using a

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Summary
This summary is machine-generated.

Nurse-Family Partnership (NFP) expanded to new mothers and late registrants. Child maltreatment was prioritized, with outcomes including maternal health and birth results, using a community-engaged process.

Keywords:
Community engagementConsensus buildingHome visitingRemote environment

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Area of Science:

  • Maternal and Child Health
  • Program Evaluation
  • Public Health Policy

Background:

  • Evidence-based home visiting programs like Nurse-Family Partnership (NFP) improve maternal and child health outcomes.
  • NFP traditionally serves first-time mothers enrolled early in pregnancy.
  • NFP has recently expanded to serve multiparous women and late registrants (after 28 weeks gestation) in Florida.

Purpose of the Study:

  • To evaluate the process and impacts of expanding NFP services to multiparous women and late registrants.
  • To guide the NFP expansion evaluation in Florida through a diverse Advisory Committee.

Main Methods:

  • A modified e-Delphi method was employed over three rounds of data collection.
  • Diverse partners were engaged to identify process and impact outcomes for the evaluation.
  • The Advisory Committee identified potential data sources for outcome measurement.

Main Results:

  • Child maltreatment was identified as the highest priority outcome.
  • Key process outcomes included program reach, client enrollment, and engagement.
  • Impact outcomes encompassed maternal physical and mental health, substance use, birth outcomes, and breastfeeding.

Conclusions:

  • Community-engaged processes are essential for selecting key outcomes and ensuring partner buy-in for program evaluations.
  • The e-Delphi method proved feasible and effective for rigorous decision-making, even amidst uncertainty like the COVID-19 pandemic.
  • This approach supports robust evaluation of expanded NFP services.