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Abstract Background Child maltreatment is a significant public health problem. Group Family Nurse Partnership (gFNP) is a new intervention for young, expectant mothers implemented successfully in pilot studies. This study was designed to determine the effectiveness and cost-effectiveness of gFNP in reducing risk factors for maltreatment with a potentially vulnerable population. Methods A multi-site, randomized controlled, parallel-arm trial and prospective economic evaluation was conducted, with allocation via remote randomization (minimization by site, maternal age group) to gFNP or usual care. Participants were expectant mothers aged below 20 years with at least one live birth, or aged 20–24 years with no live births and with low educational qualifications. Data from maternal interviews at baseline and when infants were 2, 6 and 12 months, and video-recording at 12 months, were collected by researchers blind to allocation. Cost information came from weekly logs completed by gFNP family nurses and other service delivery data reported by participants. Primary outcomes measured at 12 months were parenting attitudes (Adult-Adolescent Parenting Index, AAPI-2) and maternal sensitivity (CARE Index). The economic evaluation was conducted from a UK NHS and personal social services perspective with cost-effectiveness expressed in terms of incremental cost per quality-adjusted life year (QALY) gained. The main analyses were intention-to-treat with additional complier average causal effects (CACE) analyses. Results Between August 2013 and September 2014, 492 names of potential participants were received of whom 319 were eligible and 166 agreed to take part, 99 randomly assigned to receive gFNP and 67 to usual care. There were no between-arm differences in AAPI-2 total (7 · 5/10 in both, SE 0.1), difference adjusted for baseline, site and maternal age group 0 · 06 (95% CI − 0 · 15 to 0 · 28, p = 0 · 59) or CARE Index (intervention 4 · 0 (SE 0 · 3); control 4 · 7 (SE 0 · 4); difference adjusted for site and maternal age group − 0 · 68 (95% CI − 1 · 62 to 0 · 16, p = 0 · 25) scores. The probability that gFNP is cost-effective based on the QALY measure did not exceed 3%. Conclusions The trial did not support gFNP as a means of reducing the risk of child maltreatment in this population but slow recruitment adversely affected group size and consequently delivery of the intervention. Trial registration ISRCTN78814904 . Registered on 17 May 2013.

Background: Child maltreatment is a significant public health problem. Group Family Nurse Partnership (gFNP) is a new intervention for young, expectant mothers implemented successfully in pilot studies. This study was designed to determine the effectiveness and cost-effectiveness of gFNP in reducing risk factors for maltreatment with a potentially vulnerable population.Methods: A multi-site, randomized controlled, parallel-arm trial and prospective economic evaluation was conducted, with allocation via remote randomization (minimization by site, maternal age group) to gFNP or usual care. Participants were expectant mothers aged below 20 years with at least one live birth, or aged 20-24 years with no live births and with low educational qualifications. Data from maternal interviews at baseline and when infants were 2, 6 and 12 months, and video-recording at 12 months, were collected by researchers blind to allocation. Cost information came from weekly logs completed by gFNP family nurses and other service delivery data reported by participants. Primary outcomes measured at 12 months were parenting attitudes (Adult-Adolescent Parenting Index, AAPI-2) and maternal sensitivity (CARE Index). The economic evaluation was conducted from a UK NHS and personal social services perspective with cost-effectiveness expressed in terms of incremental cost per quality-adjusted life year (QALY) gained. The main analyses were intention-to-treat with additional complier average causal effects (CACE) analyses.Results: Between August 2013 and September 2014, 492 names of potential participants were received of whom 319 were eligible and 166 agreed to take part, 99 randomly assigned to receive gFNP and 67 to usual care. There were no between-arm differences in AAPI-2 total (7 · 5/10 in both, SE 0.1), difference adjusted for baseline, site and maternal age group 0 · 06 (95% CI - 0 · 15 to 0 · 28, p = 0 · 59) or CARE Index (intervention 4 · 0 (SE 0 · 3); control 4 · 7 (SE 0 · 4); difference adjusted for site and maternal age group - 0 · 68 (95% CI - 1 · 62 to 0 · 16, p = 0 · 25) scores. The probability that gFNP is cost-effective based on the QALY measure did not exceed 3%.Conclusions: The trial did not support gFNP as a means of reducing the risk of child maltreatment in this population but slow recruitment adversely affected group size and consequently delivery of the intervention.Trial Registration: ISRCTN78814904 . Registered on 17 May 2013. [ABSTRACT FROM AUTHOR]

Copyright of Zeitschrift für Familienforschung (ZzF) is the property of University of Bamberg Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Planned teenage parenthood or ambivalence towards parenthood is an aspect of teenage pregnancy that is largely ignored in academia, politics and nursing. This article seeks to highlight the existence of young people with pregnancy intention and potential barriers that may prevent these young people from being identified in practice. Reference is made to Solent Healthcare's pilot of a brief intervention tool that targets young people with pregnancy intention. The social context of teenage pregnancy is explored, as this may influence school nurses' attitudes to teenage pregnancy. School nurses are encouraged to critically reflect on their perceptions of teenage parenting. [ABSTRACT FROM AUTHOR]

Copyright of Journal for Sociology of Education & Socialization / Zeitschrift für Soziologie der Erziehung & Sozialisation is the property of Julius Beltz GmbH & Co. KG Beltz Juventa and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The article takes the perspective of parenthood as a complex transition process that young adults have to pass through and have to manage. Becoming and being a parent today is not a self-evident stage in the life course as it was for former generations, but involves the necessity and ability to develop and use networks and learn to find a balance between options and constraints. Starting from youth sociological theories about destandardized life courses in late modernity, the Dutch case is taken to illustrate new learning demands and desires of young parents, Dutch as well as non-Dutch. The 'combination problem' of work and care is different for Dutch and non-Dutch young parents. Political initiatives and new institutional facilities at the local level have developed, which are intended to activate the self-responsibility of young adults and parents. It is shown that the social welfare state of the Netherlands still provides fair living chances for the majority of young people and parents but that the tension between Dutch and non-Dutch groups is growing. [ABSTRACT FROM AUTHOR]

Young motherhood is often framed as detrimental to the life chances of young women with research showing negative impacts on education and labor market outcomes. At the same time, qualitative research reports narratives of motherhood as a transformative experience, providing motivation for a fresh start and moving young women away from previously unstable life pathways. These scenarios appear contradictory, however outcomes might vary for different groups of women depending on their pre-birth trajectories. We investigate the effects of early parenthood using the Household, Income and Labour Dynamics in Australia (HILDA) survey. We employ a sequence based approach to compare labor market- and educational precarity of young mothers and non-parenting peers. We employ a novel sequence matching technique creating a comparison group of non-parenting young women, based on similarities in early labor market trajectories. We find that young mothers have higher levels of precarity in their pre-birth trajectories. Moreover, our results show that becoming a young mother is connected to an average increase in labor market and educational precarity post birth, which supports the hypothesis of cumulative disadvantage. However, only mothers with the least precarious trajectories prior to birth experience this development, whereas young women already on highly precarious paths see a decrease in precarity over time. Although our results do not support cumulative disadvantage for the most disadvantaged women, neither does it support the idea of parenthood as a transformative event. Our results point to the importance of understanding heterogeneity in the outcomes of young mothers., (Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.)

• Teenage mothers' and fathers' family formation trajectories display substantial heterogeneity. • Our results challenge a view that having a child early in life means 'having a life's script written'. • Similar main types of family formation trajectories can be identified among both genders. • Teenage fathers' family formation trajectories were related to resources in the family of origin. • Teenage mothers' trajectories were influenced by their parents' family formation trajectories. Previous research has focused on teenage parenthood as a single outcome, and has overlooked the wider family formation trajectory in which it is situated. In this paper, using Swedish register data and sequence analysis tools, we explore the diversity in timing and ordering of childbearing and (re)partnering events among teenage parents. We identify trajectory clusters of traditional family patterns, modern family patterns, single parenthood and re-partnering patterns. We also examine the role of resources in the family of origin for the probability of following the different types of family formation trajectories among teenage parents. Where economic resources in the family of origin is related to the type of trajectory teenage fathers follow, family structure is of greater importance for teenage mothers. The family formation trajectories of teenage parents display substantial heterogeneity, which contradicts a view that a person who has a child early in life suddenly has their life's script written. [ABSTRACT FROM AUTHOR]