Results of the FIRST STEPS study: a randomised controlled trial and economic evaluation of the Group Family Nurse Partnership (gFNP) programme compared to routine care in improving outcomes for high-risk mothers and their children and preventing abuse
Background: Family Nurse Partnership (FNP) is a home-based nurse home-visiting programme to support vulnerable parents. Group FNP (gFNP) has similar aims and materials and was demonstrated to be feasible in implementation evaluations. Objectives: To determine whether gFNP, compared to usual care, c...
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| Format: | Article |
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NIHR Health Technology Assessment Programme
2017
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| Online Access: | https://eprints.nottingham.ac.uk/48441/ |
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| author | Barnes, Jacqueline Stuart, Jane Allen, Elizabeth Petrou, Stavros Sturgess, Joanna Barlow, Jane Macdonald, Geraldine Spiby, Helen Aistrop, Dipti Melhuish, Edward Kim, Sung Wook Pink, Joshua Datta, Jessica Elbourne, Diane |
| author_facet | Barnes, Jacqueline Stuart, Jane Allen, Elizabeth Petrou, Stavros Sturgess, Joanna Barlow, Jane Macdonald, Geraldine Spiby, Helen Aistrop, Dipti Melhuish, Edward Kim, Sung Wook Pink, Joshua Datta, Jessica Elbourne, Diane |
| author_sort | Barnes, Jacqueline |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Background: Family Nurse Partnership (FNP) is a home-based nurse home-visiting programme to support vulnerable parents. Group FNP (gFNP) has similar aims and materials and was demonstrated to be feasible in implementation evaluations.
Objectives: To determine whether gFNP, compared to usual care, could reduce risk factors for maltreatment in a vulnerable group and be cost effective.
Design: A multi-site randomised controlled parallel-group trial and prospective economic evaluation, with eligible women allocated (minimised by site and maternal age group) to gFNP or usual care.
Setting: Community locations in the UK.
Participants: Expectant mothers aged <20 with one or more previous live births, or 20–24 with no previous live births and with low educational qualifications, defined as neither Mathematics nor English Language General Certificate of Education (GCSE) at grade C or higher or, if both, no more than four GCSEs at grade C or higher.
Intervention: Groups offered from early pregnancy until infants are 12 months old with 44 sessions (14 pregnancy, 30 infancy), delivered to 8-12 women with similar expected delivery dates (EDDs; range 8-10 weeks) by two Family Nurses (FNs), one of whom has notified their intention to practise as a midwife.
Main outcome measures: Parenting was assessed by a self-report measure of parenting opinions, the revised Adolescent Adult Parenting Index (AAPI-2) and an objective measure of maternal sensitivity, the CARE index. Cost-effectiveness was primarily expressed in terms of incremental cost per quality -adjusted life year (QALY) gained.
Data sources: Interviews with participants at baseline and when infants were two, six and 12 months. Cost information from nurse weekly logs and other service delivery data. |
| first_indexed | 2025-11-14T20:09:03Z |
| format | Article |
| id | nottingham-48441 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T20:09:03Z |
| publishDate | 2017 |
| publisher | NIHR Health Technology Assessment Programme |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-484412024-08-15T15:24:50Z https://eprints.nottingham.ac.uk/48441/ Results of the FIRST STEPS study: a randomised controlled trial and economic evaluation of the Group Family Nurse Partnership (gFNP) programme compared to routine care in improving outcomes for high-risk mothers and their children and preventing abuse Barnes, Jacqueline Stuart, Jane Allen, Elizabeth Petrou, Stavros Sturgess, Joanna Barlow, Jane Macdonald, Geraldine Spiby, Helen Aistrop, Dipti Melhuish, Edward Kim, Sung Wook Pink, Joshua Datta, Jessica Elbourne, Diane Background: Family Nurse Partnership (FNP) is a home-based nurse home-visiting programme to support vulnerable parents. Group FNP (gFNP) has similar aims and materials and was demonstrated to be feasible in implementation evaluations. Objectives: To determine whether gFNP, compared to usual care, could reduce risk factors for maltreatment in a vulnerable group and be cost effective. Design: A multi-site randomised controlled parallel-group trial and prospective economic evaluation, with eligible women allocated (minimised by site and maternal age group) to gFNP or usual care. Setting: Community locations in the UK. Participants: Expectant mothers aged <20 with one or more previous live births, or 20–24 with no previous live births and with low educational qualifications, defined as neither Mathematics nor English Language General Certificate of Education (GCSE) at grade C or higher or, if both, no more than four GCSEs at grade C or higher. Intervention: Groups offered from early pregnancy until infants are 12 months old with 44 sessions (14 pregnancy, 30 infancy), delivered to 8-12 women with similar expected delivery dates (EDDs; range 8-10 weeks) by two Family Nurses (FNs), one of whom has notified their intention to practise as a midwife. Main outcome measures: Parenting was assessed by a self-report measure of parenting opinions, the revised Adolescent Adult Parenting Index (AAPI-2) and an objective measure of maternal sensitivity, the CARE index. Cost-effectiveness was primarily expressed in terms of incremental cost per quality -adjusted life year (QALY) gained. Data sources: Interviews with participants at baseline and when infants were two, six and 12 months. Cost information from nurse weekly logs and other service delivery data. NIHR Health Technology Assessment Programme 2017-11-15 Article PeerReviewed Barnes, Jacqueline, Stuart, Jane, Allen, Elizabeth, Petrou, Stavros, Sturgess, Joanna, Barlow, Jane, Macdonald, Geraldine, Spiby, Helen, Aistrop, Dipti, Melhuish, Edward, Kim, Sung Wook, Pink, Joshua, Datta, Jessica and Elbourne, Diane (2017) Results of the FIRST STEPS study: a randomised controlled trial and economic evaluation of the Group Family Nurse Partnership (gFNP) programme compared to routine care in improving outcomes for high-risk mothers and their children and preventing abuse. Public Health Research, 5 (9). ISSN 2050-439X group support; parenting attitudes; maternal sensitivity; mental health https://www.journalslibrary.nihr.ac.uk/phr/phr05090/#/abstract doi:10.3310/phr05090 doi:10.3310/phr05090 |
| spellingShingle | group support; parenting attitudes; maternal sensitivity; mental health Barnes, Jacqueline Stuart, Jane Allen, Elizabeth Petrou, Stavros Sturgess, Joanna Barlow, Jane Macdonald, Geraldine Spiby, Helen Aistrop, Dipti Melhuish, Edward Kim, Sung Wook Pink, Joshua Datta, Jessica Elbourne, Diane Results of the FIRST STEPS study: a randomised controlled trial and economic evaluation of the Group Family Nurse Partnership (gFNP) programme compared to routine care in improving outcomes for high-risk mothers and their children and preventing abuse |
| title | Results of the FIRST STEPS study: a randomised controlled trial and economic evaluation of the Group Family Nurse Partnership (gFNP) programme compared to routine care in improving outcomes for high-risk mothers and their children and preventing abuse |
| title_full | Results of the FIRST STEPS study: a randomised controlled trial and economic evaluation of the Group Family Nurse Partnership (gFNP) programme compared to routine care in improving outcomes for high-risk mothers and their children and preventing abuse |
| title_fullStr | Results of the FIRST STEPS study: a randomised controlled trial and economic evaluation of the Group Family Nurse Partnership (gFNP) programme compared to routine care in improving outcomes for high-risk mothers and their children and preventing abuse |
| title_full_unstemmed | Results of the FIRST STEPS study: a randomised controlled trial and economic evaluation of the Group Family Nurse Partnership (gFNP) programme compared to routine care in improving outcomes for high-risk mothers and their children and preventing abuse |
| title_short | Results of the FIRST STEPS study: a randomised controlled trial and economic evaluation of the Group Family Nurse Partnership (gFNP) programme compared to routine care in improving outcomes for high-risk mothers and their children and preventing abuse |
| title_sort | results of the first steps study: a randomised controlled trial and economic evaluation of the group family nurse partnership (gfnp) programme compared to routine care in improving outcomes for high-risk mothers and their children and preventing abuse |
| topic | group support; parenting attitudes; maternal sensitivity; mental health |
| url | https://eprints.nottingham.ac.uk/48441/ https://eprints.nottingham.ac.uk/48441/ https://eprints.nottingham.ac.uk/48441/ |