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Visit Attendance Patterns in Nurse-Family Partnership Community Sites

机译:参观护士家庭合作社区网站的出勤模式

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We examined visit attendance patterns of mothers enrolled in the Nurse-Family Partnership (NFP) home visitation program and associations between these patterns and characteristics of the families and sites, with the goal of increasing participant engagement. We utilized repeated measures latent class analysis to identify attendance patterns among 66,967 mothers in NFP sites across the USA. Mothers enrolled from 1996 to 2010. Data were collected by home visitors and aggregated by the NFP National Service Office. Five visit attendance patterns were identified. Consistent attenders (22%) remained engaged for the full program and attended 51.3 visits on average. Inconsistent attenders (9%) remained engaged but missed many visits, with an average of 36.4 visits. The remaining patterns were characterized by when participants left the program: early (28%; 6.7 visits), gradually (27%; 19.4 visits), or late (15%; 35.3 visits). Consistent and inconsistent attenders were less likely to use English as their primary language than other participants (R = 0.12; p .001). Participants with more nurse changes per visit attended were more likely to drop out early (R = 0.11; p .001). Sites with a higher percent of missing data had smaller portions of mothers who remained consistently engaged in the program over time (b = - 0.032; p .01) and greater portions in the late (b = 0.007; p .04) and gradual attrition classes (b = 0.018; p .01). The large number of participants who dropped out early is concerning. Further exploration of this group may optimize use of resources by improving either retention or targeting of potential participants.
机译:我们审查了参加护士家庭合作(NFP)家庭探视计划和家庭和地点特征之间的母亲的访问考勤模式,其中包括增加参与者参与的目标和特征之间的协会。我们利用重复措施潜在阶级分析,以识别美国跨国公司的66,967名母亲中的出勤模式。母亲从1996年到2010年开始注册。由家庭访客收集数据,并由NFP国家服务办公室汇总。确定了五种访问考勤模式。一致的会员(22%)仍留于全面计划,平均参加51.3次访问。应邀出席人(9%)仍然订婚但错过了许多访问,平均访问36.4。当参与者离开程序时,剩余的模式的特点是:早期(28%; 6.7访问),逐渐(27%; 19.4次访问),或晚期(15%; 35.3访问)。一致和不一致的会员不太可能使用英语作为其主要语言的英语,而不是其他参与者(r = 0.12; p& .001)。每次访问的护士更改的参与者更有可能提前辍学(r = 0.11; p& .001)。缺失数据百分比较高的网站具有较小的母亲,尤其是随着时间的推移始终始终从事程序(B = - 0.032; p& 0.01),并且后期更大的部分(b = 0.007; p <.04 )和渐进的磨损等级(B = 0.018; p& .01)。早期退出的大量参与者就是关于。本组的进一步探索可以通过改善潜在参与者的保留或瞄准来优化资源的使用。

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