BC Healthy Connections Project

NFP is an intensive home-visiting program originally developed in the United States to help young first-time mothers and their children. The goals are to improve children’s health and development, while also improving mothers’ life situations. The BC Healthy Connections Project, or BCHCP, involved a randomized controlled trial to evaluate how the Nurse-Family Partnership program works in British Columbia, Canada (2011–2022).


The Children’s Health Policy Centre (CHPC) led the trial, in collaboration with McMaster and other Universities. Between 2013 and 2016, we enrolled 739 pregnant girls and young women and their 737 children across the four participating regional Health Authorities (Fraser Health, Interior Health, Island Health and Vancouver Coastal Health). Many Indigenous (including First Nations, Métis or Inuit) girls and young women (200 or 27%) generously agreed to participate in this long-term trial.

The CHPC study team sustained engagement with the children and mothers for the 2.5 years of their participation—starting in pregnancy until children reached their second birthday. We conducted six research interviews with each family, either in-person or via telephone, completing more than 3,700 research interviews. Baseline findings showed that we reached the population that NFP was designed to benefit. We also found that NFP reduced prenatal substance use. Findings on the main child and maternal outcomes will be released in 2022.

The BCHCP was funded by the BC Ministry of Health, with support from the BC Ministry of Children and Family Development. The four participating regional Health Authorities funded nursing and program delivery costs. Funding was also provided by the Mowafaghian Foundation and the R & J Stern Family Foundation. Charlotte Waddell and Harriet MacMillan are the Nominated Co-Principal Investigators. Nicole Catherine is the Scientific Director and Co-Principal Investigator. Susan Jack and Debbie Sheehan are also Co-Principal Investigators.

We are also collaborating on two adjunctive studies: a nursing process evaluation, determining how NFP was delivered in select rural and remote areas in BC (led by Susan Jack); and the Healthy Foundations Study, examining biological markers of NFP’s potential effect on child health (led by Andrea Gonzalez).

You can reach the BC Healthy Connections Project by email at: bchcp@nullsfu.ca

According to BC’s longstanding intentions, the four regional Health Authorities are offering NFP to all eligible women — as a program embedded within other public health services. For more information on referrals to the program in these Fraser Health, Interior Health, Island Health and Vancouver Coastal Health Authorities, please contact your family doctor or midwife, or local Health Authority.

Training Manuals

The aim of the following training manuals is to inform health researchers, research trainees and students conducting long-term research with populations experiencing socioeconomic disadvantage. This body of work highlights the team’s knowledge and expertise collected over eight years in conducting 4,000 in-person and telephone research interviews with 739 girls and young women and their 737 children who were experiencing socioeconomic disadvantage

Part 1: Field Interviewer Hiring and Training

Part 2: Interview Preparation and Risk Mitigation

Part 3: Questionnaire Administration

Part 4: Data Collection Considerations

Part 5: The Field Interviewer Role