An IPV intervention in the context of nurse home visitation: the NFP Curriculum Study

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The randomized controlled trial (RCT) testing the Nurse Family Partnership-Intimate Partner Violence Intervention (NFP-IPVI – see BMC-Health Services Research) developed by the NFP IPV Research Team led by Harriet MacMillan, Jeff Coben, David Olds and Susan Jack has completed the trial involving 15 US NFP sites. Funding from 2007 to 2012 was provided through a CDC grant administered through the West Virginia University Injury Control Research Center. Follow-up with participants continued to the two-year post-partum point, with new funding ($381,000) received in early 2014 from the Public Health Agency of Canada.

Concurrently, a seed-funded evaluation of the integrated KTE approach is being conducted. Susan Jack reports that in-depth qualitative interviews have been conducted with 25 key NFP stakeholders who were actively engaged in planning and implementing the NFP-IPVI trial. Data are currently being analyzed to understand the processes involved in evaluating novel interventions within the context of an evidence-based home visitation program, factors that influence health service delivery agencies’ decisions to participate in research, and how agencies respond to the challenges of implementing a new intervention within existing clinical services.

In a related activity, following several years of development work, the BC Healthy Connections Project was launched — the first province-wide Canadian implementation and evaluation of the NFP. This $5-million five-year project is funded by the BC Ministries of Health and Children and Family Development and is being conducted in close collaboration with these Ministries and five participating Health Authorities across the province. NFP’s impact within the Canadian context is being evaluated using a rigorous randomized controlled trial and qualitative interview methods. The primary outcome indicator by which we will judge NFP’s success in BC will be the prevention of childhood injuries. The BC Healthy Connections Project involves nine PreVAiL members: Charlotte Waddell and Harriet MacMillan are the Nominated Principal Investigators; Susan Jack is a Co-Principal Investigator; Michael Boyle, Lil Tonmyr and Colleen Varcoe are Co-Investigators; Andrea Gonzalez and Cody Shepherd are Co-Investigators; David Olds is a Consultant. This project provides unique training opportunities for graduate students and emerging investigators in child health, violence prevention, public policy and population health. The trial, including the newly-developed and tested IPV component, began in 2013. As described below, a sub-study examining biological markers of adversity in infants participating in the program, led by Andrea Gonzalez, was funded by CIHR for just under $1 million.

Dr. Jack is also working to implement and evaluate the NFP in Ontario.

Author: Blue, Becky

Staff, 2011 Winter