Quasi-Experimental Pilot Study of Intervention to Increase Participant Retention and Completed Home Visits in the Nurse–Family Partnership




Erin M. Ingoldsby, Pilar Baca, Maureen W. McClatchey, Dennis W. Luckey, Mildred O. Ramsey, Joan M. Loch, Jan Lewis, Terrie S. Blackaby, Mary B. Petrini, Bobbie J. Smith, Mollie McHale, Marianne Perhacs, and David L. Olds

Brief Type

Journal Publication


  • Nurse-Family Partnership (NFP)


We evaluated an intervention to increase participant retention and engagement in community practice settings of the Nurse–Family Partnership (NFP), an evidence-based program of nurse home visiting for low-income, first-time parents. Using a quasi-experimental design (6 intervention and 11 control sites that delivered the NFP), we compared intervention and control sites on retention and number of completed home visits during a 10-month period after the intervention was initiated. Nurses at the five intervention sites were guided in tailoring the frequency, duration, and content of the visits to participants’ needs. NFP nurses at the control
sites delivered the program as usual. At the intervention sites, participant retention and completed home visits increased from the pre-intervention to intervention periods, while at the control sites, these outcomes decreased from the pre-intervention to intervention periods, leading to a significant intervention-control difference in change in participant retention (hazard ratio, 0.42; p=0.015) and a 1.4 visit difference in change in completed home visits (p<0.001, ES=0.36). We conclude that training nurse home visitors to promote adaptation of program dosage and content to meet families’ needs shows promise as a way to improve participant retention and completed home visits. (author abstract)

Data Collection Methods

  • Program administrative record reviews



For More Information

Ingoldsby, E. M., Baca, P., McClatchey, M. W., Luckey, D. W., Ramsey, M. O., Loch, J. M., . . . Olds, D., L. (2013).  Quasi-experimental pilot study of intervention to increase participant retention and completed home visits in the Nurse–Family Partnership. Prevention Science, 14, 525–534. DOI 10.1007/s11121-013-0410-x
Author Contact Information:
David l. Olds


  • Home Visiting Workforce Characteristics and Workforce Development
  • Program Quality, Continuous Quality Improvement, and Fidelity
  • Participant Recruitment, Retention, Engagement, and Dosage