一项在护士家庭访问项目中开展的关系教育随机对照试验，旨在改善首次低收入母亲的心理健康并预防物质使用问题。

To study home visiting programs augmented with relationship education addressing maternal depression (MD), substance use (SU), and self-harm ideation (SHI). We performed a secondary data analysis of a three-wave longitudinal randomized controlled trial of the Nurse-Family Partnership (NFP) program. In Oregon, 238 low-income, first-time pregnant mothers were randomized to a standard or augmented program where trained nurses integrated the Within My Reach curriculum and intimate partner violence screening and referral with the NFP workflow one-on-one at home visits. Nurses maintained good fideli