title: The Prevention of Child Maltreatment Through the Nurse Family Partnership Program: Mediating Effects in a Long-Term Follow-Up Study.
abstract: We examine maternal life-course mediators of the impact of a nurse home visitation program on reducing child maltreatment among participants in the Elmira trial of the Nurse Family Partnership program from the first child's birth through age 15. For women having experienced low to moderate levels of domestic violence, program effects on the number of confirmed maltreatment reports were mediated by reductions in numbers of subsequent children born to mothers and their reported use of public assistance. Together, the two mediators explained nearly one half of the total effect of nurse home visiting on child maltreatment. The long-term success of this program on reducing child maltreatment can be explained, at least in part, by its positive effect on pregnancy planning and economic self-sufficiency.
authors.affiliation: 1 Department of Human Development, Cornell University, Ithaca, NY, USA.
authors.forename: John
authors.initials: J
authors.lastname: Eckenrode
authors.affiliation: 1 Department of Human Development, Cornell University, Ithaca, NY, USA.
authors.forename: Mary I
authors.initials: MI
authors.lastname: Campa
authors.affiliation: 2 Department of Applied Psychology, New York University, New York, NY, USA.
authors.forename: Pamela A
authors.initials: PA
authors.lastname: Morris
authors.affiliation: 1 Department of Human Development, Cornell University, Ithaca, NY, USA.
authors.forename: Charles R
authors.initials: CR
authors.lastname: Henderson
authors.affiliation: 3 Arlington County, VA, USA.|4 University of Wisconsin-Madison, WI, USA.
authors.forename: Kerry E
authors.initials: KE
authors.lastname: Bolger
authors.affiliation: 5 School of Nursing, University of Rochester, Rochester, NY, USA.
authors.forename: Harriet
authors.initials: H
authors.lastname: Kitzman
authors.affiliation: 6 Department of Pediatrics, School of Medicine, University of Colorado, Denver, CO, USA.
authors.forename: David L
authors.initials: DL
authors.lastname: Olds
mesh_terms: D000293:Adolescent; D002648:Child; D002649:Child Abuse / Q000517:prevention & control*; D002675:Child, Preschool; D017579:Domestic Violence; D022143:Family Nursing / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006792:House Calls; D006801:Humans; D007223:Infant; D015397:Program Evaluation; D011632:Public Assistance
keywords: child maltreatment; evidence-based treatment; home visiting; intervention; prevention