Limitations include
the absence of a comparison group.
Not exact matches
The
absence of comparison subjects from these hospitals, which may have had fewer resources for managing complicated clinical situations, may have biased the analysis against the home birth
group.
These results are similar to those found in other sustained nurse home visiting studies, 1 14 although the intervention impacted on a broader range
of domains
of the home environment for this subgroup
of women than has been reported previously.1 An increasing body
of evidence from both animal and human studies suggests that stress in pregnancy has significant impacts on developmental and behavioural outcomes for children.29 While the mental development
of children
of mothers who were not distressed antenatally in both the intervention and
comparison groups was comparable with the general population, children's development was particularly poor in the distressed subgroup in the
absence of the MECSH intervention, suggesting that sustained nurse home visiting may be particularly effective in ameliorating some adverse developmental impacts for children
of mothers with antenatal distress.
Specifically, in the
absence of findings from a
comparison group at low risk for antisocial behavior, our findings could alternatively be interpreted as suggesting either that the intervention produced compensatory but abnormally high elevations in cortisol levels before peer entry or that the intervention normalizes an already perturbed HPA axis.
Summary: (To include
comparison groups, outcomes, measures, notable limitations) Individuals with a history
of at least 3 episodes
of major depression, a current diagnosis
of major depression, a history
of suicidal ideation, and
absence of co-occurring disorders were eligible for the study.
A major problem for the evaluation was the lack
of a
comparison group, or baseline data, to measure what would have happened in the
absence of income management.
A major problem for the evaluation was the lack
of a
comparison group, or baseline data, to measure what would have happened in the
absence of income management... the overall evidence about the effectiveness
of income management in isolation from other NTER measures was difficult to assess... The evaluation findings would have greater strength if these views were supplemented by empirical indicators that showed evidence
of the changes reported by the various stakeholders.
Over the course
of 1 year, the
comparison group of mothers followed a relatively flat change trajectory (the expected developmental trend in
absence of an intervention), whereas Home - Start mothers displayed positive changes regarding how they felt about themselves as a parent.