Durham Connects RCT Evaluation II

The aim of this randomized controlled trial (RCT) is to conduct a second, independent evaluation the implementation and impact of the Durham Connects (DC) brief universal nurse home-visiting program to prevent child maltreatment and improve child and family health and well-being. Durham Connects is the first home-visiting program that is designed to prevent child maltreatment and improve health and well-being outcomes in an entire community population. Program evaluation will test four hypotheses: 1) The program can be implemented with population reach, fidelity to the manualized intervention protocol, and reliability in assessment of family risk; 2) Random assignment to the Durham Connects program will be associated with lower rates of child maltreatment and emergency department maltreatment-related injuries, better pediatric care, better parental functioning, and better child well-being than assignment as control; 2) Intervention effect sizes will be larger for higher-risk groups; and 3) Community resource use and enhanced family functioning will mediate the positive impact of Durham Connects on outcomes.

Inclusion Criteria: * Infant born between January 1, 2014 and June 30, 2014 * Infant born at a Durham County, North Carolina (NC) hospital (Duke or Durham Regional) * Family of infant resides in Durham County, NC Exclusion Criteria: * Infant born before January 1, 2014 or after June 30, 2014 * Infant not born at a Durham County, NC hospital (Duke or Durham Regional) * Family of infant resides outside of Durham County, NC