ADC

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER


[Advanced]
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this link to a friend
Right arrow Similar articles in ADC Online
Right arrow Similar articles in PubMed
Right arrow Add article to my folders
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Raynor, P.
Right arrow Articles by BLAIR, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Raynor, P.
Right arrow Articles by BLAIR, M.
Arch Dis Child 1999;80:500-506 ( June )

A randomised controlled trial of specialist health visitor intervention for failure to thrive

Pauline Raynora, Mary C J Rudolfa, Keith Cooperc, Paul Marchantc, David Cottrellb

a Community Paediatrics, Leeds Community and Mental Health Trust, Belmont House, 3-5 Belmont Grove, Leeds LS2 9NP, UK, b Academic Unit of Child and Adolescent Mental Health, School of Medicine, University of Leeds, Leeds LS2 8NS, UK, c Health Research Unit, School of Health Sciences, Leeds Metropolitan University, Leeds LS1 3HE, UK

Correspondence to: Dr Rudolf.

Accepted 17 December 1998

AIMS---To determine whether home intervention by a specialist health visitor affects the outcome of children with failure to thrive.
METHODS---Children referred for failure to thrive were randomised to receive conventional care, or conventional care and additional specialist home visiting for 12 months. Outcomes measured were growth, diet, use of health care resources, and Bayley, HAD (hospital anxiety and depression), and behavioural scales.
RESULTS---Eighty three children, aged 4-30 months, were enrolled, 42 received specialist health visitor intervention. Children in both groups showed good weight gain (mean (SD) increase in weight SD score for the specialist health visitor intervention group 0.59 (0.63) v 0.42 (0.62) for the control group). Children < 12 months in the intervention group showed a higher mean (SD) increase in weight SD score than the control group (0.82 (0.86) v 0.42 (0.79)). Both groups improved in developmental score and energy intake. No significant differences were found for the primary outcome measures, but controls had significantly more dietary referrals, social service involvement, and hospital admissions, and were less compliant with appointments.
CONCLUSIONS---The study failed to show that specialist health visitor intervention conferred additional benefits for the child. However, the specialist health visitor did provide a more coordinated approach, with significant savings in terms of health service use. Problems inherent to health service research are discussed.


Keywords: failure to thrive; health visitor; home visiting

© 1999 by Archives of Disease in Childhood


This article has been cited by other articles:


Home page
 CLIN PEDIATRHome page
M. Daniel, L. Kleis, and A. P. Cemeroglu
Etiology of Failure to Thrive in Infants and Toddlers Referred to a Pediatric Endocrinology Outpatient Clinic
Clinical Pediatrics, October 1, 2008; 47(8): 762 - 765.
[Abstract] [PDF]

Home page
 Arch. Dis. Child.Home page
J W L Puntis
Specialist feeding clinics
Arch. Dis. Child., February 1, 2008; 93(2): 164 - 167.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
M. M. Black, H. Dubowitz, A. Krishnakumar, and R. H. Starr Jr
Early Intervention and Recovery Among Children With Failure to Thrive: Follow-up at Age 8
Pediatrics, July 1, 2007; 120(1): 59 - 69.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
C. M. Wright, K. N. Parkinson, and R. F. Drewett
How Does Maternal and Child Feeding Behavior Relate to Weight Gain and Failure to Thrive? Data From a Prospective Birth Cohort
Pediatrics, April 1, 2006; 117(4): 1262 - 1269.
[Abstract] [Full Text] [PDF]

Home page
 Arch. Dis. Child.Home page
M C J Rudolf and S Logan
What is the long term outcome for children who fail to thrive? A systematic review
Arch. Dis. Child., September 1, 2005; 90(9): 925 - 931.
[Abstract] [Full Text] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
A. M. Butz, M. Pulsifer, N. Marano, H. Belcher, M. K. Lears, and R. Royall
Effectiveness of a Home Intervention for Perceived Child Behavioral Problems and Parenting Stress in Children With In Utero Drug Exposure
Arch Pediatr Adolesc Med, September 1, 2001; 155(9): 1029 - 1037.
[Abstract] [Full Text] [PDF]

Home page
 Arch. Dis. Child.Home page
P. Raynor and M. C J Rudolf
Anthropometric indices of failure to thrive
Arch. Dis. Child., May 1, 2000; 82(5): 364 - 365.
[Abstract] [Full Text]

Home page
 Arch. Dis. Child.Home page
C. M Wright
Identification and management of failure to thrive: a community perspective
Arch. Dis. Child., January 1, 2000; 82(1): 5 - 9.
[Full Text]

Home page
 Arch. Dis. Child.Home page
C. WRIGHT
A randomised controlled trial of specialist health visitor intervention for failure to thrive
Arch. Dis. Child., January 1, 2000; 82(1): 88e - 88.
[Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER
ARCH DIS CHILD FETAL NEONATAL ED ED PRACTICE
Terms and conditions relating to subscriptions purchased online  ¦  Website terms and conditions  ¦  Privacy policy
Copyright © 1999 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health