A well-designed RCT to evaluate the antenatal home visiting component of the Prenatal and Early Childhood Nurse Home Visitation Program in multi-disadvantaged, black, low-income women in Tennessee [ 51], found no evidence of a beneficial effect on PTB (11% PTB in the intervention group vs. 13% in the comparator group; adjusted odds ratio 0.8 (95% CI 0.6-1.2 0.6-1.2
During the second baseline visit, components of the intervention will be introduced.
This paper provides a broad overview ofthe history of home visiting, theoretical bases of home visiting programs, key components of evidence-based models, outcomes typically targeted, research on effectiveness, cost information, challenges and benefits of home visiting, and funding/sustainability concerns.
This information coupled with another recent report on computers in the exam room that associated improvements in patient satisfaction in three distinct areas a) satisfaction with visit components; (b) comprehension of the visit; and (c) perceptions of the physician's use of the computer [ 21] has helped justify a recent decision to equip all of our examination rooms with computers.
Among women who had at least one ANC visit, some components of ANC were more commonly received than others.
These included: number of ANC visits made by a woman pertaining to the last birth, place and provider of ANC, timing of first ANC visit, components used to assess the quality of ANC, tetanus toxoid, place of delivery, provider of assistance at delivery, timing of first PNC check-up, and the provider of the PNC check-up.
40 The practice visits present specific components of the resource card and facilitate discussion within the practice around recently diagnosed patients with cancer.
The two study groups were compared on receipt of the home visit components and resident reactions, using rank sum statistics.
Hospital use was analysed using a two-stage procedure to test for differences in binary (any visits or none) and continuous (number of visits in those having at least one visit) components.
The study showed that the number of years since a household graduated, frequency of HEWs household visits, understanding the components of HEP packages, and having higher family income were predictors of HP visits by the Community.
