scholarly journals Evaluating the real-world implementation of the Family Nurse Partnership in England: protocol for a data linkage study

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e038530
Author(s):  
Francesca L Cavallaro ◽  
Ruth Gilbert ◽  
Linda Wijlaars ◽  
Eilis Kennedy ◽  
Ailsa Swarbrick ◽  
...  
Keyword(s):  
Real World ◽  
Home Visiting ◽  
Data Linkage ◽  
Hospital Admissions ◽  
Maternal Characteristics ◽  
The Real ◽  
Wide Range ◽  
The Family ◽  
Children In Care ◽  
Family Nurse Partnership

IntroductionAlmost 20 000 babies are born to teenage mothers each year in England, with poorer outcomes for mothers and babies than among older mothers. A nurse home visitation programme in the USA was found to improve a wide range of outcomes for young mothers and their children. However, a randomised controlled trial in England found no effect on short-term primary outcomes, although cognitive development up to age 2 showed improvement. Our study will use linked routinely collected health, education and social care data to evaluate the real-world effects of the Family Nurse Partnership (FNP) on child outcomes up to age 7, with a focus on identifying whether the FNP works better for particular groups of families, thereby informing programme targeting and resource allocation.Methods and analysisWe will construct a retrospective cohort of all women aged 13–24 years giving birth in English NHS hospitals between 2010 and 2017, linking information on mothers and children from FNP programme data, Hospital Episodes Statistics and the National Pupil Database. To assess the effectiveness of FNP, we will compare outcomes for eligible mothers ever and never enrolled in FNP, and their children, using two analysis strategies to adjust for measured confounding: propensity score matching and analyses adjusting for maternal characteristics up to enrolment/28 weeks gestation. Outcomes of interest include early childhood development, childhood unplanned hospital admissions for injury or maltreatment-related diagnoses and children in care. Subgroup analyses will determine whether the effect of FNP varied according to maternal characteristics (eg, age and education).Ethics and disseminationThe Nottingham Research Ethics Committee approved this study. Mothers participating in FNP were supportive of our planned research. Results will inform policy-makers for targeting home visiting programmes. Methodological findings on the accuracy and reliability of cross-sectoral data linkage will be of interest to researchers.

scholarly journals Costs and consequences of the Family Nurse Partnership (FNP) programme in England: evidence from the Building Blocks trial

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1640 ◽  
Author(s):  
Kerry Bell ◽  
Belen Corbacho ◽  
Sarah Ronaldson ◽  
Gerry Richardson ◽  
Kerry Hood ◽  
...  
Keyword(s):  
Home Visiting ◽  
Controlled Trial ◽  
Full Range ◽  
Building Blocks ◽  
Public Health Services ◽  
Intervention Programme ◽  
The Family ◽  
Cost Consequence ◽  
Implementation Costs ◽  
Family Nurse Partnership

Background: The Family Nurse Partnership (FNP) is a licensed intensive home visiting intervention programme delivered to teenage mothers which was originally introduced in England in 2006 by the Department of Health and is now provided through local commissioning of public health services and supported by a national unit led by a consortium of partners. The Building Blocks (BB) trial aimed to explore the effectiveness and cost-effectiveness of this programme. This paper reports the results of an economic evaluation of the Building Blocks randomised controlled trial (RCT) based on a cost-consequence approach. Methods: A large sample of 1618 families was followed-up at various intervals during pregnancy and for two years after birth. A cost-consequence approach was taken to appraise the full range of costs arising from the intervention including both health and social measures of cost alongside the consequences of the trial, specifically, the primary outcomes. Results: A large number of potential factors were identified that are likely to attract additional costs beyond the implementation costs of the intervention including both health and non-health outcomes. Conclusion: Given the extensive costs and only small beneficial consequences observed within the two year follow-up period, the cost-consequence model suggests that the FNP intervention is unlikely to be worth the substantial costs and policy makers may wish to consider other options for investment. Trial registration: ISRCTN23019866 (20/04/2009)

The Fissioning of the Modern Family in Utopia- The Real- World Consequences of Political Illusions

2018 ◽  
Vol 1 (1) ◽  
pp. 98-112
Author(s):  
Bryce Christensen
Keyword(s):  
United States ◽  
20Th Century ◽  
Real World ◽  
Family Life ◽  
The United States ◽  
The Real ◽  
The Family ◽  
Modern Family

Since the mid-20th century, the United States-, like many Europeancountries, -has witnessed dramatic changes in family life, resulting inremarkably low rates for marriage and fertility, remarkably high rates fordivorce, cohabitation, and out-of-wedlock births. To understand these changes the article presents, on the example of literature, ideologies, philosophical trends, and intellectual opinions, which in a particularly destructive way influenced the contemporary condition of the family.

The Image of Woman as Motherhood in Rabindranath Tagore’s Gora

2016 ◽  
Vol 6 (9) ◽  
pp. 1841
Author(s):  
Negin Karami ◽  
Sohila Faghfori ◽  
Esmaeil Zohdi
Keyword(s):  
Real World ◽  
Central Character ◽  
Rabindranath Tagore ◽  
The Real ◽  
The Family ◽  
The Republic ◽  
Women's Role ◽  
Divine Mother

This article evaluates the image of a traditional Indian motherhood in Gora written by Rabindranath Tagore. In Gora, Tagore portrays a divine mother and a goddess as well as the conception of the central character in relation to development of social, political, religious, and economical decisions of male. Yet, he insists that woman has the important roles in man’s life and she should make the best identity for her own life in the family or in the larger society. However, This essay can be read as the ideology of a feminine ideal that compares nature of India motherland with mother of everyone in all aspects of life but it examines distinctions between Tagore and Wollstonecraft concerning women’s role as mothers within the family because as a feminist she argues that the rights of women are demanded within the republic. In order to explore Rabindranath Tagore’s treatment of motherhood, Virginia Woolf’s perspective will be analyzed in respect to her feministic approach. So, disregarding how Tagore demonstrates the idea of words, Woolf realizes ideal of motherhood was essential in women’s life and develops a female atmosphere in which women portray their status in the real world and fight against their patriarchal mother.

scholarly journals Dynamics of an Information Spreading Model with Isolation

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Xia-Xia Zhao ◽  
Jian-Zhong Wang
Keyword(s):  
Mathematical Model ◽  
Hopf Bifurcation ◽  
Limit Cycle ◽  
Real World ◽  
Modern Society ◽  
The Real ◽  
Spreading Model ◽  
Wide Range ◽  
Bistable Phenomenon ◽  
Information Spreading

Information plays an important role in modern society. In this paper, we presented a mathematical model of information spreading with isolation. It was found that such a model has rich dynamics including Hopf bifurcation. The results showed that, for a wide range of parameters, there is a bistable phenomenon in the process of information spreading and thus the information cannot be well controlled. Moreover, the model has a limit cycle which implies that the information exhibits periodic outbreak which is consistent with the observations in the real world.

scholarly journals PENERAPAN FUNGSI KELUARGA ERA CYBERSPACE DI KELURAHAN CATUR RUNGGAL SLEMAN YOGYAKARTA (PENDEKATAN KOMUNIKASI INTERPERSONAL)

2019 ◽  
Vol 2 (1) ◽  
pp. 72-89
Author(s):  
Mike Meiranti
Keyword(s):  
Qualitative Methods ◽  
Family Member ◽  
Interpersonal Communication ◽  
Real World ◽  
Social Protection ◽  
The Real ◽  
Internal Conflicts ◽  
The Family ◽  
The World ◽  
Happy Family

Family is a relationship that is bound by marriage ropes where in fostering the family of husband and wife have the best hope for the continuity of the family. Basically the formation of a family is to carry out family functions in order to form a happy happy family, family functions such as religion, education, social, protection, intuition, economy, recreation, and bilological. However, in the development of the world of cyberspace family functions have begun to shift its application, this is due to the development of cyberspace which has formed a new pattern of thinking, lifestyle and orientation in a family so that families who cannot control the development of cyberspace will be vulnerable to internal conflicts and will adversely affect developing children if parents tend to be busy with their activities in cyberspace compared to the real world. Seeing this reality, the most effective thing for the application of family functions to work well is by interpersonal communication between each family member. Where culture of communication becomes a powerful weapon in carrying out the roles and functions in the household. In this paper researchers will use qualitative methods that are descriptive  

scholarly journals Evaluation of the effectiveness of the Family Nurse Partnership home visiting programme in first time young mothers in Scotland: a protocol for a natural experiment

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Fiona V Lugg-Widger ◽  
Michael Robling ◽  
Mandy Lau ◽  
Shantini Paranjothy ◽  
Jill Pell ◽  
...  
Keyword(s):  
Home Visiting ◽  
Natural Experiment ◽  
Routine Data ◽  
Young Mothers ◽  
Data Systems ◽  
Multilevel Regression ◽  
Eligibility Criteria ◽  
Prenatal Health ◽  
The Family ◽  
Family Nurse Partnership

Introduction: Individual, social and economic circumstances faced by young mothers can challenge a successful start in life for their children. Intervening early might enhance life chances for both mother and child. The Family Nurse Partnership (FNP) is an intensive nurse-led home visiting programme developed in the US which aims to improve prenatal health behaviours, birth outcomes, child development and health outcomes, and maternal life course. Establishing evidence of effectiveness beyond the original US setting is important to understand where further adaptation is required within a country specific context. Objective: This study will form one strand of the Scottish Governments’ plan to evaluate the effectiveness of FNP as compared to usual care for mothers and their children in Scotland and will focus only on outcomes that can be identified using routine administrative data systems. Methods: This study is a natural experiment with a case-cohort design using linked anonymised routine health, educational and social care data. Cases will be women enrolled as FNP Clients in ten NHS Health Boards in Scotland and Controls will be women who met FNP eligibility criteria but were pregnant at a time when the programme was not recruiting. Outcomes are mapped to the Scottish FNP logic model. All comparative analyses will be pre-specified, conducted on an intention to treat basis and will use multilevel regression models to compare outcomes between groups. Discussion: The study protocol is based upon the specification of FNP commissioned by the Scottish Government. This study design is novel for the evaluation of the FNP/NFP programmes which are primarily evaluated with an RCT. Outcomes included within the study have been selected on the basis that they are outcomes FNP aims to influence and where there is routine data available to assess the outcome.

scholarly journals Failing Solidarity: Justified or Excused?

2020 ◽  
Vol 12 (02) ◽  
pp. 189-218
Author(s):  
Eleonora Milazzo
Keyword(s):  
European Union ◽  
Real World ◽  
Refugee Crisis ◽  
Member States ◽  
The Real ◽  
Eu Member States ◽  
Wide Range ◽  
To Come ◽  
The Eu

The concept of solidarity has been receiving growing attention from scholars in a wide range of disciplines. While this trend coincides with widespread unsuccessful attempts to achieve solidarity in the real world, the failure of solidarity as such remains a relatively unexplored topic. In the case of the so-called European Union (EU) refugee crisis, the fact that EU member states failed to fulfil their commitment to solidarity is now regarded as established wisdom. But as we try to come to terms with failing solidarity in the EU we are faced with a number of important questions: are all instances of failing solidarity equally morally reprehensible? Are some motivations for resorting to unsolidaristic measures more valid than others? What claims have an effective countervailing force against the commitment to act in solidarity?

Authorship Attribution for a Resource Poor Language—Urdu

2022 ◽  
Vol 21 (3) ◽  
pp. 1-23
Author(s):  
Zulqarnain Nazir ◽  
Khurram Shahzad ◽  
Muhammad Kamran Malik ◽  
Waheed Anwar ◽  
Imran Sarwar Bajwa ◽  
...  
Keyword(s):  
South Asian ◽  
Real World ◽  
Authorship Attribution ◽  
Writing Style ◽  
Effective Technique ◽  
The Real ◽  
Learning Techniques ◽  
Wide Range ◽  
Heterogeneous Datasets ◽  
Asian Languages

Authorship attribution refers to examining the writing style of authors to determine the likelihood of the original author of a document from a given set of potential authors. Due to the wide range of authorship attribution applications, a plethora of studies have been conducted for various Western, as well as Asian, languages. However, authorship attribution research in the Urdu language has just begun, although Urdu is widely acknowledged as a prominent South Asian language. Furthermore, the existing studies on authorship attribution in Urdu have addressed a considerably easier problem of having less than 20 candidate authors, which is far from the real-world settings. Therefore, the findings from these studies may not be applicable to the real-world settings. To that end, we have made three key contributions: First, we have developed a large authorship attribution corpus for Urdu, which is a low-resource language. The corpus is composed of over 2.6 million tokens and 21,938 news articles by 94 authors, which makes it a closer substitute to the real-world settings. Second, we have analyzed hundreds of stylometry features used in the literature to identify 194 features that are applicable to the Urdu language and developed a taxonomy of these features. Finally, we have performed 66 experiments using two heterogeneous datasets to evaluate the effectiveness of four traditional and three deep learning techniques. The experimental results show the following: (a) Our developed corpus is many folds larger than the existing corpora, and it is more challenging than its counterparts for the authorship attribution task, and (b) Convolutional Neutral Networks is the most effective technique, as it achieved a nearly perfect F1 score of 0.989 for an existing corpus and 0.910 for our newly developed corpus.

scholarly journals Adversarial Examples in Physical World

2021 ◽  
Author(s):  
Jiakai Wang
Keyword(s):  
Artificial Intelligence ◽  
Neural Networks ◽  
Potential Risk ◽  
Real World ◽  
Deep Neural Networks ◽  
Physical World ◽  
The Real ◽  
Wide Range ◽  
Adversarial Examples ◽  
Ai Safety

Although deep neural networks (DNNs) have already made fairly high achievements and a very wide range of impact, their vulnerability attracts lots of interest of researchers towards related studies about artificial intelligence (AI) safety and robustness this year. A series of works reveals that the current DNNs are always misled by elaborately designed adversarial examples. And unfortunately, this peculiarity also affects real-world AI applications and places them at potential risk. we are more interested in physical attacks due to their implementability in the real world. The study of physical attacks can effectively promote the application of AI techniques, which is of great significance to the security development of AI.

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