title: The effectiveness and cost-effectiveness of the Family Nurse Partnership home visiting programme for first time teenage mothers in England: a protocol for the Building Blocks randomised controlled trial.
abstract: BACKGROUND
  The Nurse Family Partnership programme was developed in the USA where it is made available to pregnant young mothers in some socially deprived geographic areas. The related Family Nurse Partnership programme was introduced in England by the Department of Health in 2006 with the aim of improving outcomes for the health, wellbeing and social circumstances of young first-time mothers and their children.
  
  
  METHODS
  This multi-centre individually randomised controlled trial will recruit 1600 participants from 18 Primary Care Trusts in England, United Kingdom. The trial will evaluate the effectiveness of Family Nurse Partnership programme and usual care versus usual care for nulliparous pregnant women aged 19 or under, recruited by 24 weeks gestation and followed until the child's second birthday. Data will be collected from participants at baseline, 34-36 weeks gestation, 6, 12, 18 and 24 months following birth. Routine clinical data will be collected from maternity, primary care and hospital episodes statistics. Four primary outcomes are to be reported from the trial: birth weight; prenatal tobacco use; child emergency attendances and/or admissions within two years of birth; second pregnancy within two years of first birth.
  
  
  CONCLUSIONS
  This trial will evaluate the effectiveness and cost effectiveness of the Family Nurse Partnership in England. The findings will provide evidence on pregnancy and early childhood programme outcomes for policy makers, health professionals and potential recipients in three domains (pregnancy and birth, child health and development, and parental life course and self-sufficiency) up to the child's second birthday.
  
  
  BACKGROUND
  Trial registration number: ISRCTN23019866.
authors.forename: Eleri
authors.initials: E
authors.lastname: Owen-Jones
authors.forename: Marie-Jet
authors.initials: MJ
authors.lastname: Bekkers
authors.forename: Chris C
authors.initials: CC
authors.lastname: Butler
authors.forename: Rebecca
authors.initials: R
authors.lastname: Cannings-John
authors.forename: Sue
authors.initials: S
authors.lastname: Channon
authors.forename: Kerenza
authors.initials: K
authors.lastname: Hood
authors.forename: John W
authors.initials: JW
authors.lastname: Gregory
authors.forename: Alison
authors.initials: A
authors.lastname: Kemp
authors.forename: Joyce
authors.initials: J
authors.lastname: Kenkre
authors.forename: Belen Corbacho
authors.initials: BC
authors.lastname: Martin
authors.forename: Alan
authors.initials: A
authors.lastname: Montgomery
authors.forename: Gwenllian
authors.initials: G
authors.lastname: Moody
authors.forename: Kate E
authors.initials: KE
authors.lastname: Pickett
authors.forename: Gerry
authors.initials: G
authors.lastname: Richardson
authors.forename: Zoë
authors.initials: Z
authors.lastname: Roberts
authors.forename: Sarah
authors.initials: S
authors.lastname: Ronaldson
authors.forename: Julia
authors.initials: J
authors.lastname: Sanders
authors.forename: Eugena
authors.initials: E
authors.lastname: Stamuli
authors.forename: David
authors.initials: D
authors.lastname: Torgerson
authors.forename: Michael
authors.initials: M
authors.lastname: Robling
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D002985:Clinical Protocols; D003362:Cost-Benefit Analysis; D004739:England; D022143:Family Nursing / Q000379:methods*; D005260:Female; D006792:House Calls / Q000191:economics*; D006801:Humans; D008423:Maternal Age; D008425:Maternal Behavior; D009035:Mothers / Q000523:psychology*; D009723:Nurse-Patient Relations; D011247:Pregnancy; D011314:Preventive Health Services / Q000191:economics* / Q000379:methods; D015397:Program Evaluation; D012307:Risk Factors; D055815:Young Adult
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