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Follow-up study on the long-term effectiveness of the home-visiting program "ProKind": study protocol for a

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Summary

This study evaluates the long-term effects of the Pro Kind program, a German adaptation of the Nurse-Family Partnership, on maternal and adolescent outcomes up to 16 years post-intervention. Findings will inform European policy on evidence-based maternal and child health interventions.

Keywords:
follow-upnurse family partnership programrandomized controlled trial (RCT)study protocolsustained nurse home visiting programs (SNHVs)

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Area of Science:

  • Public Health
  • Developmental Psychology
  • Social Work

Background:

  • The Nurse-Family Partnership (NFP) is an evidence-based home visiting program with proven maternal and child outcome improvements.
  • Pro Kind, the first German adaptation of NFP, was implemented from 2006-2012, with prior evaluations showing short- and medium-term benefits.
  • No European trial has yet assessed the long-term effects of NFP adaptations into adolescence.

Purpose of the Study:

  • To evaluate the effectiveness of the Pro Kind program 14-16 years post-intervention.
  • To assess long-term adolescent and maternal outcomes, including mental health, parenting, risk behaviors, life satisfaction, and economic effects.
  • To provide evidence for the adaptation of NFP in European welfare contexts.

Main Methods:

  • The study protocol outlines the third phase of the Pro Kind randomized controlled trial (RCT).
  • The original RCT enrolled 755 pregnant women with psychosocial risk factors.
  • The 15-year follow-up utilizes self-report data (online interviews, questionnaires) and administrative records (employment, social benefits, criminal justice).

Main Results:

  • This is the first long-term follow-up of an NFP adaptation in Europe.
  • U.S. NFP trials show effectiveness, but results may not generalize to European welfare systems.
  • Long-term evaluation is crucial for informing policy and ensuring evidence-based decision-making in Europe.

Conclusions:

  • Long-term follow-up of NFP adaptations in Europe is essential.
  • Evidence from this study will inform policy and practice regarding home visiting programs.
  • This research addresses the need for context-specific evidence on the lasting impact of maternal and child health interventions.