Skip to main content

Main menu

  • Home
  • Current Issue
  • Content
    • Current Issue
    • Early Access
    • Multimedia
    • Podcast
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Calls for Papers
  • Info for
    • Authors
    • Reviewers
    • Job Seekers
    • Media
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • Podcast
    • E-mail Alerts
    • Journal Club
    • RSS
    • Annals Forum (Archive)
  • Contact
    • Contact Us
  • Careers

User menu

  • My alerts

Search

  • Advanced search
Annals of Family Medicine
  • My alerts
Annals of Family Medicine

Advanced Search

  • Home
  • Current Issue
  • Content
    • Current Issue
    • Early Access
    • Multimedia
    • Podcast
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Calls for Papers
  • Info for
    • Authors
    • Reviewers
    • Job Seekers
    • Media
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • Podcast
    • E-mail Alerts
    • Journal Club
    • RSS
    • Annals Forum (Archive)
  • Contact
    • Contact Us
  • Careers
  • Follow annalsfm on Twitter
  • Visit annalsfm on Facebook
Research ArticleOriginal Research

Home Visiting for Adolescent Mothers: Effects on Parenting, Maternal Life Course, and Primary Care Linkage

Beth Barnet, Jiexin Liu, Margo DeVoe, Kari Alperovitz-Bichell and Anne K. Duggan
The Annals of Family Medicine May 2007, 5 (3) 224-232; DOI: https://doi.org/10.1370/afm.629
Beth Barnet
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jiexin Liu
PhD, MBA, MS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Margo DeVoe
MS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kari Alperovitz-Bichell
MD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Anne K. Duggan
ScD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF
Loading

Published eLetters

If you would like to comment on this article, click on Submit a Response to This article, below. We welcome your input.

Submit a Response to This Article
Compose eLetter

More information about text formats

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g. higgs-boson@gmail.com
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Image CAPTCHA
Enter the characters shown in the image.

Vertical Tabs

Jump to comment:

  • To the Editor
    David L. Olds
    Published on: 13 June 2007
  • Published on: (13 June 2007)
    Page navigation anchor for To the Editor
    To the Editor
    • David L. Olds, Denver, CO, U.S.

    I am writing to clarify a slight misrepresentation of findings on the impact of the Nurse-Family Partnership (NFP) on rates of subsequent pregnancies and births discussed in the Barnet et al. report(1) on paraprofessional home visiting. The authors indicate that the Nurse- Family Partnership (NFP) had no impact on rates of subsequent pregnancies and births, citing the 4-year follow-up of the Denver trial of the NFP in wh...

    Show More

    I am writing to clarify a slight misrepresentation of findings on the impact of the Nurse-Family Partnership (NFP) on rates of subsequent pregnancies and births discussed in the Barnet et al. report(1) on paraprofessional home visiting. The authors indicate that the Nurse- Family Partnership (NFP) had no impact on rates of subsequent pregnancies and births, citing the 4-year follow-up of the Denver trial of the NFP in which families were randomly assigned to receive this program when delivered either by nurses or by paraprofessional visitors, or to a control group.(2) While the authors are correct that 2 years after the program ended, there were no statistically significant program effects on these outcomes, a more appropriate comparison would have been to examine the program effect on subsequent pregnancies and births within 2 years following birth of the first child, which corresponds to the period examined in the Barnet report, and which represents the interval that is most important from a clinical perspective.(3-6)

    During the 2-year period following birth of the first child, compared to women in the control group, nurse-visited women in the Denver trial had significantly lower rates of subsequent pregnancies (29% versus 41%) and births (12% versus 19%, p<.05); the corresponding effects for paraprofessional-visited women whose visitors had followed the NFP model were not statistically significant (33% versus 41% and 13% versus 19%, p<.10).(3) Moreover, at both the 24 and 48-month follow-ups, nurses in the Denver trial produced statistically significant, larger intervals between births of first and second children compared to the control group.(2;3)

    It may be even more appropriate to compare the Barnet report with nurse program effects on rates of subsequent pregnancies and births in the largely African-American sample enrolled in the Memphis randomized trial of the NFP: within 24 months after delivery of the first child, the rates of subsequent pregnancies were 36% vs. 47% (p<.01) and births were 22% vs. 31% (p<.01).(7) Again, the NFP nurses produced consistent effects on inter-birth intervals.

    Sincerely,

    David Olds, PhD

    Professor of Pediatrics, Psychiatry, Preventive Medicine, and Nursing; Director, Prevention Research Center for Family and Child Health; University of Colorado at Denver and Health Sciences Center; Denver, Colorado

    Reference List

    1. Barnet B, Liu J, DeVoe M , Alperovitz-Bichell K, Duggan AK. Home visiting for adolescent mothers: effects on parenting, maternal life course, and primary care linkage. Annals of Family Medicine 2007;5:224-32.

    2. Olds DL, Robinson J, Pettitt L, Luckey DW, Holmberg J, Ng RK, Isacks K, Sheff K. Effects of home visits by paraprofessionals and by nurses: age-four follow-up of a randomized trial. Pediatrics 2004;114:1560-8.

    3. Olds DL, Robinson J, O'Brien R, Luckey DW, Pettitt LM, Henderson CR Jr, Ng RK, Sheff KL, Korfmacher J, Hiatt S, et al. Home visiting by paraprofessionals and by nurses: a randomized, controlled trial. Pediatrics 2002 Sep;110(3):486-96.

    4. Polit DF, Kahn JR. Early subsequent pregnancy among economically disadvantaged teenage mothers. Am J Public Health 1986 Feb;76 (2):167-71.

    5. Mott FL. The pace of repeated childbearing among young American mothers. Fam Plann Perspect 1986 Jan-1986 Feb 28;18(1):5-12.

    6. Khoshnood B, Lee KS, Wall S, Hsieh HL, Mittendorf R. Short interpregnancy intervals and the risk of adverse birth outcomes among five racial/ethnic groups in the United States. Am J Epidemiol 1998 Oct 15;148(8):798-805.

    7. Kitzman H, Olds DL, Henderson CR Jr, Hanks C, Cole R, Tatelbaum R, McConnochie KM, Sidora K, Luckey DW, Shaver D, et al. Effect of prenatal and infancy home visitation by nurses on pregnancy outcomes, childhood injuries, and repeated childbearing. A randomized controlled trial. JAMA 1997 Aug 27;278(8):644-52.

    Competing interests:   None declared

    Show Less
    Competing Interests: None declared.
PreviousNext
Back to top

In this issue

The Annals of Family Medicine: 5 (3)
The Annals of Family Medicine: 5 (3)
Vol. 5, Issue 3
1 May 2007
  • Table of Contents
  • Index by author
  • In Brief
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on Annals of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Home Visiting for Adolescent Mothers: Effects on Parenting, Maternal Life Course, and Primary Care Linkage
(Your Name) has sent you a message from Annals of Family Medicine
(Your Name) thought you would like to see the Annals of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
5 + 14 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Home Visiting for Adolescent Mothers: Effects on Parenting, Maternal Life Course, and Primary Care Linkage
Beth Barnet, Jiexin Liu, Margo DeVoe, Kari Alperovitz-Bichell, Anne K. Duggan
The Annals of Family Medicine May 2007, 5 (3) 224-232; DOI: 10.1370/afm.629

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Get Permissions
Share
Home Visiting for Adolescent Mothers: Effects on Parenting, Maternal Life Course, and Primary Care Linkage
Beth Barnet, Jiexin Liu, Margo DeVoe, Kari Alperovitz-Bichell, Anne K. Duggan
The Annals of Family Medicine May 2007, 5 (3) 224-232; DOI: 10.1370/afm.629
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • INTRODUCTION
    • METHODS
    • RESULTS
    • DISCUSSION
    • Footnotes
    • REFERENCES
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

  • PubMed
  • Google Scholar

Cited By...

  • Interventions for Preventing Unintended, Rapid Repeat Pregnancy Among Adolescents: A Review of the Evidence and Lessons From High-Quality Evaluations
  • The management of teenage pregnancy
  • Motivational Intervention to Reduce Rapid Subsequent Births to Adolescent Mothers: A Community-Based Randomized Trial
  • In This Issue: New Concepts for Diabetes and Chronic Disease Management
  • Google Scholar

More in this TOC Section

  • Teamwork Among Primary Care Staff to Achieve Regular Follow-Up of Chronic Patients
  • Shared Decision Making Among Racially and/or Ethnically Diverse Populations in Primary Care: A Scoping Review of Barriers and Facilitators
  • Convenience or Continuity: When Are Patients Willing to Wait to See Their Own Doctor?
Show more Original Research

Similar Articles

Subjects

  • Person groups:
    • Women's health
    • Children's health
    • Vulnerable populations
    • Family
  • Core values of primary care:
    • Access
    • Coordination / integration of care

Content

  • Current Issue
  • Past Issues
  • Early Access
  • Plain-Language Summaries
  • Multimedia
  • Podcast
  • Articles by Type
  • Articles by Subject
  • Supplements
  • Calls for Papers

Info for

  • Authors
  • Reviewers
  • Job Seekers
  • Media

Engage

  • E-mail Alerts
  • e-Letters (Comments)
  • RSS
  • Journal Club
  • Submit a Manuscript
  • Subscribe
  • Family Medicine Careers

About

  • About Us
  • Editorial Board & Staff
  • Sponsoring Organizations
  • Copyrights & Permissions
  • Contact Us
  • eLetter/Comments Policy

© 2025 Annals of Family Medicine