Abstract
Two randomized trials of prenatal and infancy home visitation conducted in semirural and urban areas are described and their results presented. The studies provide consistent findings that nurse home visitors can improve women's health related behaviors, qualities of infant caregiving, and can help women improve their own life-course development (reflected in behaviors such as rates of subsequent pregnancies and births, and receipt of welfare). The effects of the program on reducing the rates of dysfunctional care (reflected in rates of child maltreatment and health care encounters for injuries) were concentrated in women with few psychological resources. Reviews of other randomized trials indicate that to produce comparable effects, interventions must include those program ingredients embodied in the model tested in these two trials. © 1998 John Wiley & Sons, Inc.
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