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Summary

The Public Health Nursing program provided unemployed, female Temporary Assistance for Needy Families (TANF) recipients with at least one chronic health condition with access to a nurse to help address chronic health needs and improve employment outcomes.

Participants met with a public health nurse when they started the program to receive a comprehensive health assessment. The nurse also acted as a case manager to support and coordinate access to care, as well as to help participants manage and prevent diseases through primary care or referrals and health education. Participants were also given the opportunity to attend a two-hour information session about Medicaid. The program lasted nine months, and participants checked in with the nurse after three, six, and nine months.

The target population included unemployed female TANF recipients between 18 and 60 years of age with at least one chronic health condition.  Most participants were unmarried and had previously received TANF cash assistance. The program took place in two counties, one urban and one rural, in north-central Florida.

0197-Public Health Nursin
Populations and employment barriers: Parents, Female, Chronic illness

Effectiveness rating and effect by outcome domain

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Outcome domain Term Effectiveness rating Effect in 2018 dollars and percentages Effect in standard deviations Sample size
Increase earnings Short-term No evidence to assess support
Long-term No evidence to assess support
Very long-term No evidence to assess support
Increase employment Short-term Little evidence to assess support favorable 8% (in percentage points) 0.195 352
Long-term No evidence to assess support
Very long-term No evidence to assess support
Decrease benefit receipt Short-term No evidence to assess support
Long-term No evidence to assess support
Very long-term No evidence to assess support
Increase education and training All measurement periods No evidence to assess support
* This intervention was assessed as supported for this domain, meaning it achieved one or more statistically significant, favorable effects. However, the intervention has an average effect size that is unfavorable because the average includes all effects in this domain - both statistically significant and favorable effects and statistically insignificant but unfavorable effects.

Effectiveness rating key:

  • Well-supported Well-supported   
  • Supported  Supported   
  • Not supported  Not supported   
  • Mixed support  Mixed support   
  • Insufficient evidence  Insufficient evidence   
  • No evidence  No evidence
Effectiveness rating terms?

Studies of this intervention

Study quality rating Study counts per rating
High High 1
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Implementation details

Characteristics of research participants
Black or African American
56%
White
39%
Another race
4%
Hispanic or Latino of any race
5%

The race and ethnicity categories may sum to more than 100 percent if the authors reported race and ethnicity separately; in these cases, we report the category White, rather than White, not Hispanic.

State(s) where implemented

AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Canada

The Pathways Clearinghouse refers to interventions by the names used in study reports or manuscripts. Some intervention names may use language that is not consistent with our style guide, preferences, or the terminology we use to describe populations.

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