Public Health Nurse Tailored Home Visiting and Parenting Behavior for Families at Risk for Referral to Child Welfare Services, Colorado: 2018-2019

Jared D. Huling, Robin R. Austin, Sheng Chieh Lu, Mary M. Doran, Vicki J. Swarr, Karen A. Monsen

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives. To examine public health nurse (PHN) intervention tailoring through the Colorado Nurse Support Program (NSP). Our 2 specific aims were to describe the NSP program and its outcomes and to determine the effects of modifying interventions on short- and long-term outcomes among NSP clients. Methods. In our retrospective causal investigation of 150 families in Colorado in 2018-2019, intervention effects were modeled via longitudinal modified treatment policy analyses. Results. Families served by PHNs improved in terms of knowledge, behavior, and status outcomes after receiving multidimensional, tailored home visiting interventions. Case management interventions provided in the first month of PHN home visits had lasting effects on behavior outcomes, and 2 additional case management interventions in the first month were estimated to have even more of an impact. Conclusions. Modern causal inference methods and real-world PHN data revealed a nuanced, fine-grained understanding of the real impact of tailored PHN interventions. Public Health Implications PHN programs such as the NSP and use of the Omaha System should be supported and extended to advance evaluations of intervention effectiveness and knowledge discovery and improve population health.

Original languageEnglish (US)
Pages (from-to)S306-S313
JournalAmerican journal of public health
Volume112
Issue numberS3
DOIs
StatePublished - Jun 2022

Bibliographical note

Funding Information:
We thank the Omaha System Partnership, a practice-based research network within the University of Minnesota Center for Nursing Informatics, and the anonymous reviewers whose input and feedback strengthened the article.

Publisher Copyright:
© 2022 American Public Health Association Inc.. All rights reserved.

Keywords

  • Child
  • Child Welfare
  • Colorado
  • Female
  • House Calls
  • Humans
  • Nurses, Public Health
  • Parenting
  • Referral and Consultation
  • Retrospective Studies

PubMed: MeSH publication types

  • Journal Article

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